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Biomedical subjects

W Weybora

Publications and source records attributed to W Weybora.

17 recordsLinked to original sources

Radiographic appearance of an ossifying fibromyxoid tumor of soft parts.

This case report describes an ossifying tumor in the left musculus erector spinae in a 32-year-old man. Radiologically it showed irregular lamellar bone formation in the periphery, demonstrating as juxtacortical and macroscopically sarcoma-like features. Histologic it was diagnosed as an ossifying fibromyxoid tumor of soft parts (OFTSP). The CT features of this tumor have never previously been reported. This is the first time pulmonary metastases, malignant pleural effusion, and death of the patient directly related with an OFTSP have been described.

Abdominal Muscles↗

[The limits of the differential diagnostic capacity of CT and sonography in cystic hepatic echinococcosis].

In regions of only sporadic occurrence of hydatid disease, the heterogenic appearance of the cysts often causes a diagnostic dilemma. In 28 patients the reports of sonography and/or computed tomography, without and during bolus injection of 100ml anionic contrast material, were compared to the results of the indirect haemagglutination test (IHA). In six cases additionally the enzyme-linked immunosorbent assay (ELISA), and in nine the histologic specimen were evaluated. The authors discuss the value of CT and US reporting on their experience and the difficulties in establishing the diagnosis in 14 histologically and/or serologically proven cases and another 14 cases with "typical" appearance but negative serology and/or histology.

Animals↗

Influence of superoxide dismutase on staphylococcal arthritis--a histological and biochemical investigation using an experimental animal model.

The effect of superoxide dismutase (SOD) on staphylococcal arthritis has not been successfully evaluated to date. A suitable animal model has been developed to investigate a possible correlation. Using 16 rabbits divided into four groups, we injected the knee joints of two groups with Staphylococcus aureus and the other two with NaCl. One group in each of the two treatment groups was also injected with SOD. Blood samples and samples of joint fluid were taken at 12 hour intervals. Lipids were measured in plasma and joint fluid. The joints were examined macroscopically and microscopically using a scoring system to quantitate the deterioration of joint structures. Lipid peroxide concentrations measured in plasma differed in each of the groups, with higher values found in animals with septic arthritis compared with controls. The estimations made of lipid peroxide in joint fluid also displayed extreme variability, with the highest values found in animals with Staphylococcal arthritis treated with SOD. Histological examination also verified that the infected joints injected with SOD showed significantly more inflammation, a higher amount of bacteria in the joint cavity, and more distinct joint damage than joints injected only with bacteria. The mechanisms responsible for this SOD effect remain to be determined.

Animals↗

Staphylococcal arthritis--effects of superoxide dismutase on infected knee joints of rabbits.

The effect of SOD on staphylococcal arthritis has not been successfully evaluated to date. We developed an animal model to investigate the correlation. Using 16 rabbits divided into four groups, we injected two groups with staphylococcus aureus and the other two with NaCl. One group in each was also injected with SOD. The presence of SOD activity in untreated and infected knee joints of rabbits over a period of 72 hours showed no significant difference. TBA-reactive substances (TBARS) measured in joint fluid and plasma did differ in each of the groups, with the highest values found in animals with septic arthritis treated with SOD. This finding corresponded especially with the histological investigation. Joints of infected animals intra-articularly injected with SOD also showed histologically significantly more inflammation, a higher amount of bacteria in the joint cavity, and more distinct joint damage than joints injected only with bacteria. The mechanisms responsible for this SOD effect remain to be determined.

Animals↗

[Computer-assisted diagnosis of bone tumors and tumor-like skeletal diseases: critical evaluation of its clinical use].

Thirty-four patients with bone tumours and tumour-like abnormalities of the skeleton, of varying ages, were examined by a computer-aided diagnostic program; the accuracy, clinical usefulness and specific advantages and disadvantages of the program have been evaluated. This was done by two statistical methods, both with showed high accuracy and reliability of the system (97% and 88.2%). In addition to the diagnostic results, the growth rate of the lesion could be estimated. This indicates the biological behaviour of the tumour independently of the histological diagnosis.

Bone Neoplasms↗

Intermediate filaments and desmosomal plaque proteins in testicular seminomas and non-seminomatous germ cell tumours as revealed by immunohistochemistry.

Seminomas and non-seminomatous testicular germ cell tumours were studied for the presence of cytokeratin and vimentin filaments and desmosomes using immunohistochemical methods. In the majority of the classical seminomas and in seminomatous area of mixed tumours most tumour cells appeared to lack cytokeratin filaments. Some seminomas contained a focally variable proportion of cells exhibiting cytokeratin-positive structures while other cases contained only few seminoma cells with a well developed fibrillar cytokeratin network. Gel electrophoresis of cytoskeletal proteins from microdissected regions revealed cytokeratin polypeptides nos. 8 and 18 typical of simple epithelia. In one seminoma, however, all, or almost all, tumour cells contained cytokeratin filaments. This finding is in line with the assumption of transitional forms between seminoma and embryonal carcinoma. Despite the lack - or variable expression - of cytokeratin filaments most seminoma cells contained desmosomes, although often few in number and irregularly distributed at the circumference of the cells. Loosely arranged and often very sparse vimentin fibrils were found in many, but not all seminoma cells. Double label immunofluorescence microscopy suggested that the majority of desmosomes was associated with intermediate filaments of the vimentin type. In contrast, in carcinoma cells of malignant teratomas, in well differentiated epithelial cells of intermediate-type malignant teratomas and in trophoblastic cells present in trophoblastic-type malignant teratomas cytokeratin filament bundles as well as desmosomes were decorated. The arrangement and density of the cytokeratin filament skeleton and of desmosomes varied with degree of maturation of the tissue. The most regular distribution and intensive staining of cytokeratin filaments and desmoplakin was found in "mature" tissues. Vimentin was demonstrated in mesenchymal areas and stroma cells. The results show that seminomas are distinguished from most other germ cell and non-germ cell tumours by the presence of true desmosomes together with scanty vimentin filaments in most tumour cells. In addition, they indicate that seminoma cells can be heterogeneous in their cytoskeletal complement and may include cells with cytokeratin expression, indicative of a multipotential character of the initially transformed cell(s).

Adolescent↗

Distribution of TPA and cytokeratins in gastrointestinal carcinomas as revealed by immunohistochemistry.

The presence and distribution of tissue polypeptide antigen (TPA) were assessed in gastrointestinal carcinomas of different origin, morphology and degree of differentiation. Immunocytochemistry was employed, using the PAP technique on formalin-fixed, paraffin-embedded material and compared with the results obtained with antibodies to cytokeratins. Like cytokeratins, TPA was a reliable marker of epithelial differentiation and showed tissue distribution patterns similar to cytokeratins, as revealed by antibodies with broad-range cytokeratin immunoreactivity. In most carcinomas, TPA-specific immunostaining was less intense than in non-neoplastic tissue. No direct relationship between intensity of TPA staining and morphological degree of differentiation and proliferation was found. TPA staining was most pronounced at the periphery of the cells. In stratified epithelium, i.e. oesophageal mucosa, basally located cells exceeded superficial cells in TPA immunoreactivity in contrast to the cytokeratin antibodies which decorated the more superficially placed cell layers. TPA and cytokeratin staining patterns were similar in neoplastic and non-neoplastic gastric, intestinal mucosa, as well as in biliary tract epithelium. Antral and cardial mucoid glands of the stomach as well as gastric carcinomas of the pylorocardial type remained unstained with both types of antibodies. Similar staining with TPA and cytokeratin antibodies was also observed in pancreatic and liver tissue. In this study, hepatocytes were, although weakly, stained by TPA antibodies and an identical staining was found with benign and malignant hepatocellular neoplasms. Ductal and ductular TPA-staining was most conspicuous and so was the immunoreactivity of cholangiocellular carcinomas. A comparison between TPA and cytokeratins was also made by immunoblotting which revealed immunoreactivity of antibodies to TPA with cytokeratin polypeptides of different species (man, mouse) and organs (epidermis, liver), particularly with the cytokeratin component 8 of human liver and the related component A of mouse liver. The significance of this finding is uncertain until the pertinent epitopes have been revealed by monoclonal mapping of the components which exhibit similar molecular weights by SDS polyacrylamide gel electrophoresis.

Antigens, Neoplasm↗

Distribution of vimentin, cytokeratins, and desmosomal-plaque proteins in human nephroblastoma as revealed by specific antibodies: co-existence of cell groups of different degrees of epithelial differentiation.

The distribution of cytokeratins, desmosomal-plaque proteins (desmoplakins), and vimentin in nephroblastoma tissue was studied by immunofluorescence microscopy using specific antibodies. In undifferentiated blastema cells, desmosomes, as revealed by antibodies to desmoplakins, preceded the advent of significant amounts of cytokeratins, indicating that desmosomes are early and sensitive markers of epithelial differentiation. Cytokeratin-positive tumor cells were seen in the following distribution patterns: groups of loosely arranged and scattered cells containing only scant cytokeratin fibrils surrounded by negative stroma cells; focal accumulation of cytokeratin-positive cells with cytokeratin-specific cytoplasmic fibril meshwork staining; rosettes of cytokeratin-positive cells without formation of distinct lumina, showing concentration of cytokeratin staining in the center; tubules with distinct lumina made up of cytokeratin-positive cells, with cytokeratin staining concentrated in the subapical cell portions. In cytokeratin-positive cells, the numbers of desmoplakin-positive dots were generally increased; in well-formed tubules, enrichment of desmoplakin-positive spots, corresponding to the subapical skeletal disks, was most conspicuous. Vimentin was demonstrated in stromal areas, but also in blastema cells showing coexpression of desmosomes and vimentin filaments. Moreover, in certain blastema cells, an overlap of cytokeratin and vimentin immunostaining was observed. Epithelial cells of nephroblastoma tubules did not react with vimentin antibodies. Our results show that the appearance of desmosomal plaques, as demonstrated by antibodies to desmoplakins, may be a very early feature of epithelial differentiation, and they also emphasize the value of antibodies to desmoplakins in tumor cell typing and diagnosis.

Cell Differentiation↗

[Fatal Candida mycosis following leukemia therapy].

The authors report a case of fatal Candida septicaemia in a seven year-old female patient who had been undergoing cytostatic therapy for the previous four years for acute lymphoblastic leukaemia. The condition was histologically identified by means of special staining methods and immunocytochemistry. Since secondary mycoses--like in the present case--are frequently missed clinically, this report serves to emphasize their great importance.

Antineoplastic Agents↗

[Inflammatory finger vascular obstructions as one of the possible causes of complications of panaritiums].

Vascular insufficiency may complicate chronic digital infection. The reasons for this are twofold: firstly the oedema associated with chronic inflammation causes venous obstruction and this may lead to arterial occlusion. This report has also shown that a second cause of vascular insufficiency may result from direct damage to the vessel walls by the invading organisms, which leads to infectious thrombosis, particularly of the venous structures.

Aged↗

[Myocardial infarction while windsurfing (author's transl)].

A 40-year-old joiner collapsed while windsurfing. After hospitalization the ECG showed a posterior wall infarction (stage 1) of which the patient shortly died. Autopsy revealed a fresh and a rather older posterior wall infarction, otherwise the coronary artery system was unremarkable. From indirect anamnesis a Wolff-Parkinson-White syndrome with paroxysmal tachycardias and collapses could be established. The non-traumatic causes of death in sport generally and the problems of WPW syndrome, paroxysmal tachycardia, collapse and sport in particular are dealt with in more detail. Possible causes for infarction with unremarkable coronary artery system are briefly presented. Finally a connection between reinfarction and windsurfing is discussed.

Adult↗

A new, simple method for intraoperative fast diagnosis.

The suitability of stain-coated, ready-to-use slides (Testsimplets) for routine staining of intraoperative imprint-cytology preparations is discussed. The microscopic preparations are easily and quickly prepared, may be evaluated immediately and, with a slight loss of quality, may be kept for up to a week after application of paraffin to the cover glass. This method produces interpretable slides from cell-rich benign and malignant tumors. It is by no means a complete substitute for the usual fast-section techniques, but may be used in order to save time.

Biopsy↗