Biomedical subjects
Publications and source records attributed to Y Yuasa.
We present three cases of ectopic ureteral orifice terminating in the seminal vesicle. The enlarged seminal vesicle, ipsilateral renal agenesis or hypoplasia and the absence of normal ureteral orifice are the triad of CT findings in this disease.
Solid and cystic tumor of pancreas is an uncommon neoplasm which is histologically low grade malignant but amenable to cure by surgical excision. It tends to occur in young women. US and CT depict a well circumscribed mass that can be solid, mixed solid and cystic and largely cystic. Their ratio depends on the degree of hemorrhage and necrosis. Angiography shows a mildly to moderately vascular mass which corresponds to solid parts. MRI is useful to detect the hemorrhage which is common in this tumor.
During serial subcutaneous transplantation of several types of human tumors into nude mice, the local development of malignant mouse-specific sarcomas has been observed. Although the frequency of sarcoma induction is low, this phenomenon is very important because the mouse-specific sarcomas completely replaced the human tumors during serial transplantation. The DNA of five independently induced mouse-specific sarcomas was transfected into NIH/3T3 cells in order to detect oncogenes associated with mouse-specific sarcoma induction. Two of these DNAs were found to carry activated mouse c-N-ras and c-Ki-ras genes. The sequence analysis of the molecularly cloned mouse c-N-ras oncogene showed a single nucleotide transition from G to A at the 12th codon. This results in substitution of aspartic acid for glycine at this position. The mouse c-myc gene was also found to be amplified in a sarcoma. In these mouse sarcoma DNAs, human Alu sequences were not detected. These data strongly suggest that the mouse-specific sarcomas were not induced by the transfer of human transforming sequences but by the alterations of mouse proto-oncogenes.
A case of I-cell disease is reported. The patient suffered from several episodes of pneumonia, and died of pneumonia at 12 months of age. Tissue specimens obtained at autopsy were stained with colloidal iron to demonstrate acid mucopolysaccharides. Characteristic foamy changes were observed in organs such as the heart, kidneys, liver, spleen and brain. An interesting finding in this case was that not only the interstitial cells but the alveolar epithelium in the lung showed the same foamy changes. The major causes of death of patients with I-cell disease are congestive heart failure and recurrent respiratory infections. However, there have been few reports on the histological changes in the lungs, and none have described the changes in the alveolar epithelium. Further cases must be investigated to examine the pathological relation between the histological changes in the lungs and the cause of death, because recurrent respiratory infections are the major contributor to death in patients with I-cell disease.
A parameter study with use of the finite element method was conducted for examination of the relationships between the shape parameters of a clasp (width and thickness at the base and tip of the clasp) and its displacement or stress. By synthesis of these relationships, a simple formula defining the clasp tip displacement in terms of clasp dimensions ("displacement formula") was obtained. A stiffness parameter "Fd" (the load producing a 1-mm displacement of the clasp tip) was proposed, and a formula defining Fd in terms of shape parameters was derived from the displacement formula. Fd would be a practical parameter for the definition of clasp retention, and the present formulae appear to be useful tools for investigation of the retention of removable partial dentures.
Tooth tapping frequency was measured in young (21-29 years) and elderly (61-67 years) subjects. They were asked to continue the maximal frequent tapping during 1 min., and their mandibular movement were measured with a Mandibular Kinesiograph. The results are as follows: 1. Each phase of closing, occluding, opening and cycle was prolonged at the terminal of the 1 min. tapping. That is, tapping frequency decreased. Young subjects had 4.6 Hz tapping frequency and 2.7 Hz for elderly subjects. 2. Although the opening phase per cycle and the closing were not changed in spite of the tapping continuity, the occluding one increased at the terminal of the 1 min. tapping. 3. No difference existed between the young subjects and elderly in the maximal velocity of the mandibular movement at the opening and closing. Opening velocity was larger than closing velocity at the young subjects.
In 19 human meningiomas (14 primary and four recurrent tumors and one tumor transplanted into athymic nude mice), oncogene expression, amplification, and rearrangement, and loss of heterozygosity on chromosome 22 were examined. Compared to nontumor brain tissue, there was greater than a fivefold expression of the sis oncogene in six (40%) of 15 tumors studied and of the c-myc oncogene in 12 (63%) of the total 19 tumors. Expression of the sis gene was lower in the recurrent tumors than in the primary cases, and there was no detectable expression in anaplastic meningioma cells. Rearrangement of the sis gene was found in one meningioma. Loss of heterozygosity on chromosome 22 was detected in two of the five informative heterozygous cases. Expression of the c-myc gene was higher in cases with a loss of heterozygosity than in those without. These results suggest that the sis and c-myc oncogenes are associated with tumorigenicity and that c-myc may induce meningiomas through loss of the putative tumor suppressor gene.
We tried to detect oncogenes associated with familial adenomatous polyposis by a tumorigenicity assay in nude mice. One polyp and two peripheral blood lymphocyte DNAs out of 12 samples from patients induced Alu-positive tumors. Lymphocyte DNAs from one of 5 healthy people also showed tumorigenic activity. The transforming genes of polyps from a patient and lymphocytes from a normal person were found to be the human N-ras gene. Since these N-ras genes were amplified in nude mouse tumors and did not show any alterations in the nucleotide sequences around codons 12 and 61, it is likely that the tumors were induced by the amplified normal N-ras genes. The transforming sequences from two patients' lymphocytes did not hybridize with 12 known oncogene probes, suggesting that these two genes are novel oncogenes or genes for which we have not yet examined the homology. One oncogene derived from a patient's lymphocytes was partially cloned and shown to be located on human chromosome 7. This gene did not hybridize with the met and erbB1 genes, which are potential oncogenes located on chromosome 7. These data indicate that this gene is a new oncogene.
A 55-year-old male patient with acute onset of abdominal pain was examined. He had no apparent history of abdominal trauma or bleeding tendency. MRI showed three layered architecture, so-called "ring sign" distinctive of hematoma. MRI seemed to be very useful in non-invasively diagnosing intramural duodenal hematoma.
Eighteen cases with bladder tumors were examined by means of superconducting MRI. Sequences used were spin echo (TR/TE (msec) = 500/20 as T1WI (weighted image) and 1500/80 as T2WI) and serial "fast spin echo (fast SE)" pre/post Gd-DTPA administration. "Fast SE" was a new technique offering a distinct T1WI (TR/TE = 100/14, utilizing a 14 second breath hold). Slice thickness of "fast SE" was 10 mm and slice plane was selected perpendicular to the tumor base to detect the extent of invasion. Serial scan of "fast SE" was performed before and immediately after 0.1 mmol/kg Gd administration. Scanning was completed before the bladder was opacified by Gd. Tumor and normal mucosa were both markedly enhanced whereas the surrounding muscle layer remained hypointense. On delayed scan, the elevated character of the tumor was outlined by opacified urine but the distinction between the mucosa and the muscle layer became unclear. Total cystectomy (TC) was performed in 6 of 18 cases and pathological tumor extension was correlated with MR findings. Transurethral resection (TUR) was performed in the remaining 12 patients, and the tumor extension was assessed by follow-up biopsy after TUR. Intact liner hypointensity indicated superficial lesions (= less than pT2), while disruption of the linear hypointensity corresponded pathologically to deep muscle invasion (= greater than pT3a). Accuracy of serial "fast SE" in tumor staging was 94% (17/18). Serial "fast SE" allowed the distinction of superficial from invasive tumors more accurately than conventional studies, and therefore assisted in choosing the correct operative method.
To elucidate the mechanism of polyp formation in familial polyposis coli patients, cDNA clones, expressed differently between normal colonic mucosae and polyps, were screened. Three polyp-derived cDNA clones showed increased levels of transcription under neoplastic conditions. Among them, clone P6 was determined to be derived from the mtDNA encoding parts of subunit 1 of NADH dehydrogenase and 16S rRNA. The number of copies and restriction enzyme patterns of the mtDNA did not vary in either normal or neoplastic tissues, and a level of different mitochondrial mRNA was increased in the same proportion, suggesting a change in the rate of synthesis and/or degradation of the mtRNA. No cDNA clone which was expressed higher in normal colonic mucosae than in polyps was isolated from the cDNA library derived from normal mucosae.
Recently, some radiologists using non-ionic contrast media for angiography have noted the increased tendency of thrombus formation in the injection syringe or angiographic catheter contaminated with blood. In vitro studies by some authors have shown that non-ionic contrast media had only a slight anticoagulative effect as compared with ionic contrast media. But the in vivo studies comparing the anticoagulative effect of both ionic and non-ionic contrast media have not been performed previously. We investigated the effect of non-ionic and ionic contrast media on platelet aggregation in 40 patients undergoing angiography. The in vivo study revealed a negligible influence of both non-ionic and ionic contrast media on systemic platelet aggregation. The dose of contrast media also showed no significant correlation with platelet aggregation. Our study suggests that the data from in vitro experiments cannot be extended to in vivo study as for the relationship between contrast media and their anticoagulant effect.
Masticatory function of 10 telescope denture wearers in the Kennedy class II mandible patients was evaluated with electromyography. Electromyographic activity during mastication with kamaboko and peeled raw carrot was recorded from bilateral masseter and the anterior part of temporal muscles at each interval: Before treatment, immediately after denture insertion and 2, 4, 6, 8 weeks after respectively. Mean of duration, interval and cycle of EMG activities, coefficient of variation and average variation were calculated. The results were as follows: 1. Means of duration and cycle times decreased immediately to 2 weeks after denture insertion. 2. EMG activities during raw carrot chewing became regular immediately to 2 weeks after denture insertion, and within 4 weeks in kamaboko chewing. These results suggest that telescope dentures would be adapted to stomatognathic system within short period after denture insertion.
One of the most consistently frustrating areas of maxillofacial rehabilitation is the treatment of patients who have had radical cancer surgery of the tongue, floor of the mouth, and mandible. The patient described in this report, was a 66-year-old man who had squamous cell carcinoma of the right jaw. The right body of the mandible distal to the right cuspid was resected, and this part of the mandible was not reconstructed. For this mandibulectomy patient, we have treated with the removable partial denture using 30 degree teeth and TS telescope crown as retainer, registrating maxillomandibular relation with Gothic arch tracer and MKG. In addition, masticatory function in this patient was evaluated on tooth contact, tapping pattern, masticatory efficiency and rhythm of mastication. Consequently, 4 to 8 weeks later, tapping pattern and centric occlusion was stabilized, and masticatory function was improved. We will continue to observe this case in long term.
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