histological

组织学
  • 文章类型: Journal Article
    背景:阿司匹林是一种具有代表性的非甾体抗炎药(NSAIDs),在临床上常用于治疗肌腱病。在这项研究中,我们旨在评估阿司匹林对肩袖撕裂修复后腱-骨界面愈合的生物力学和组织学愈合作用.方法:雄性SD大鼠20只,随机分为两组,每组10只。C组只进行维修,而组-肌腱修复后用阿司匹林治疗。阿司匹林组大鼠腹腔注射10mg/kg阿司匹林,每24小时注射7天。手术后八周,每只大鼠的左肩用于组织学分析,右肩用于生物力学分析。结果:在生物力学分析中,在失效载荷方面没有显着差异(C组:0.61±0.32N,阿司匹林组:0.74±0.91N;p=.697)和极限应力(C组:0.05±0.01MPa,阿司匹林组:0.29±0.43MPa;p=.095)。对于伸长率(C组:222.62±57.98%,阿司匹林组:194.75±75.16%;p=.028),阿司匹林组的伸长水平低于C组。在组织学评估中,Bonar评分证实两组间胶原纤维密度(C组:1.60±0.52,阿司匹林组:2.60±0.52,p=.001)和血管分布(C组:1.00±0.47,阿司匹林组:2.20±0.63,p=.001)存在显著差异.结论:肩袖撕裂修复术后注射阿司匹林可增强肌腱愈合早期重塑期的愈合效果。
    Background: Aspirin is a representative non-steroidal anti-inflammatory drug (NSAIDs) and has been commonly used for the treatment of tendinopathy in clinical practice. In this study, we aimed to evaluate the biomechanical and histological healing effects of aspirin on the healing of the tendon-to-bone interface after rotator cuff tear repair. Methods: A total of 20 male Sprague-Dawley rats were randomly divided into two groups of 10 rats each. Group-C performed repaironly, and group-aspirin treated with aspirin after tendon repair. Group-aspirin rat were intraperitoneally injected with aspirin at 10 mg/kg every 24 h for 7 days. Eight weeks after surgery, the left shoulder of each rat was used for histological analysis and the right shoulder for biomechanical analysis. Results: In the biomechanical analysis, there was no significant difference in load-to-failure (group-C: 0.61 ± 0.32 N, group-aspirin: 0.74 ± 0.91 N; p = .697) and ultimate stress (group-C: 0.05 ± 0.01 MPa, group-aspirin: 0.29 ± 0.43 MPa; p = .095). For the elongation (group-C: 222.62 ± 57.98%, group-aspirin: 194.75 ± 75.16%; p = .028), group-aspirin confirmed a lower elongation level than group-C. In the histological evaluation, the Bonar score confirmed significant differences in collagen fiber density (group-C: 1.60 ± 0.52, group-aspirin: 2.60 ± 0.52, p = .001) and vascularity (group-C: 1.00 ± 0.47, group-aspirin: 2.20 ± 0.63, p = .001) between the groups. Conclusions: Aspirin injection after rotator cuff tear repair may enhance the healing effect during the early remodeling phase of tendon healing.
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  • 文章类型: Journal Article
    亚硝酸盐是集约化水产养殖中最常见的有毒污染物之一,对水生动物有害。很少研究虾暴露于亚硝酸盐后的恢复机制。本研究重点研究亚硝酸盐暴露和暴露后恢复对凡纳滨对虾组织学和生理方面的影响,并利用转录组测序分析适应亚硝酸盐暴露的分子机制。结果表明,短期亚硝酸盐暴露对肝胰腺和g的组织病理学损害随着恢复而解决。总抗氧化能力(T-AOC),超氧化物歧化酶(SOD),和过氧化氢酶(CAT)的虾在亚硝酸盐暴露期间显着降低,恢复后恢复到对照水平,丙二醛(MDA)水平与它们相反。暴露后抗氧化系统的恢复减轻了氧化损伤。亚硝酸盐暴露导致免疫酶酸性磷酸酶(ACP)和碱性磷酸酶(AKP)的活性降低,可以恢复到控制水平。南美白对虾可以通过调节Na+/K+-ATP酶(NKA)活性来适应亚硝酸盐暴露。转录组分析显示,谷胱甘肽代谢和过氧化物酶体途径的激活有助于在恢复期缓解凡纳滨对虾的氧化损伤。过度氧化损伤激活细胞凋亡和p53途径。此外,Sestrin2和STEAP4可能对虾的恢复具有积极作用。这些结果为亚硝酸盐暴露造成的伤害和南美白对虾的恢复能力提供了证据。这项研究可以补充对虾在亚硝酸盐暴露下的适应和恢复机制的知识。
    Nitrite is one of the most common toxic pollutants in intensive aquaculture and is harmful to aquatic animals. Recovery mechanisms post exposure to nitrite in shrimp have rarely been investigated. This study focuses on the effect of nitrite exposure and post-exposure recovery on the histological and physiological aspects of Litopenaeus vannamei and utilizes transcriptome sequencing to analyze the molecular mechanisms of adaptation to nitrite exposure. The results showed that histopathological damage to the hepatopancreas and gills caused by short-term nitrite exposure resolved with recovery. The total antioxidant capacity (T-AOC), superoxide dismutase (SOD), and catalase (CAT) of shrimp were significantly reduced during nitrite exposure and returned to the control level after recovery, malondialdehyde (MDA) levels were opposite to them. Restoration of the antioxidant system after exposure mitigated oxidative damage. Nitrite exposure results in reduced activity of the immuno-enzymes acid phosphatase (ACP) and alkaline phosphatase (AKP), which can be recovered to the control level. L. vannamei can adapt to nitrite exposure by regulating Na+/K+-ATPase (NKA) activity. Transcriptome analysis revealed that activation of glutathione metabolism and peroxisomal pathways facilitated the mitigation of oxidative damage in L. vannamei during the recovery period. Excessive oxidative damage activates the apoptosis and p53 pathways. Additionally, Sestrin2 and STEAP4 may have a positive effect on recovery in shrimp. These results provide evidence for the damage caused by nitrite exposure and the recovery ability of L. vannamei. This study can complement the knowledge of the mechanisms of adaptation and recovery of shrimp under nitrite exposure.
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  • 文章类型: Journal Article
    了解犬乳腺(CMG)的正常生理至关重要,因为它为了解犬乳腺肿瘤提供了基础参考。Ki-67表达表示的增殖指数(PI)之间的关系,随着细胞凋亡指数(AI)通过Caspase-3的表达在发情周期,在现有文献中没有充分的记载。这项研究旨在提供对整个发情周期阶段CMG中PI和AI之间相互作用的见解。对一系列不同的母犬(n=18)进行了广泛的调查。通过阴道细胞学检查确定发情周期阶段,生殖道和血清孕酮和雌二醇浓度的组织学检查。对整个乳腺链进行了组织学检查,通过使用抗Ki-67和Caspase-3抗体的双重免疫组织化学评估增殖和凋亡。PI和AI通过系统随机抽样的方法进行了评估,每个细胞类型至少计数200个细胞。在所有乳腺成分的早期发情期间,PI均显着较高,与基质细胞相比,上皮细胞中观察到的阳性细胞比例更高。在终芽内的上皮细胞中检测到最高的PI。在颅内乳腺的Ki-67标记中发现了显着差异。在上皮细胞中,孕酮浓度与PI之间呈正相关。在整个发情周期中,AI始终处于低位,在组织学成分中几乎没有差异。Caspase-3标记在尾部乳腺对中显示出最高的阳性。在小叶间充质细胞中,孕酮浓度与AI之间呈负相关和中度相关。这项研究强调了内分泌调节对乳腺组织细胞增殖指数的影响,强调在涉及犬乳腺的毒理学研究中需要考虑这些激素变化。
    Understanding the normal physiology of the canine mammary gland (CMG) is crucial, as it provides a foundational reference for understanding canine mammary neoplasms. The relation between the Proliferation Index (PI) indicated by Ki-67 expression, along with the Apoptotic Index (AI) determined through Caspase-3 expression during the oestrous cycle, is inadequately documented in existing literature. This study seeks to offer insights into the interplay between PI and AI in the CMG across oestrous cycle phases. An extensive investigation was conducted on a diverse case series of bitches (n = 18). Oestrous cycle stages were determined through vaginal cytology, histological examination of the reproductive tract and serum progesterone and oestradiol concentrations. The entire mammary chain was histologically examined, and proliferation and apoptosis were assessed via double immunohistochemistry employing anti-Ki-67 and Caspase-3 antibodies. PI and AI were evaluated through a systematic random sampling approach, counting a minimum of 200 cells for each cell type. There was a significantly higher PI during early dioestrus in all mammary gland components, with a greater proportion of positive cells observed in epithelial cells compared to stromal cells. The highest PI was detected in epithelial cells within the end buds. Significant differences were found in Ki-67 labelling across the cranial mammary glands. A positive and strong correlation was noted between progesterone concentration and PI in epithelial cells. The AI remained consistently low throughout the oestrous cycle, with few differences observed across histological components. Caspase-3 labelling displayed the highest positivity in caudal mammary pairs. A negative and moderate correlation was identified between progesterone concentration and AI in interlobular mesenchymal cells. This study highlights the influence of endocrine regulation on cell proliferation indices in mammary tissue, emphasizing the need to consider these hormonal variations in toxicopathological studies involving canine mammary gland.
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  • 文章类型: Journal Article
    了解癌症临床病理特征与麻醉药剂量之间的复杂关系对于优化患者预后和手术安全性至关重要。这项回顾性研究调查了接受电视胸腔镜手术(VATS)的非小细胞肺癌(NSCLC)患者的这种关系。对接受VATS和静脉复合吸入全身麻醉的NSCLC患者的病历进行了全面分析。根据组织学对患者进行分类,化疗,放射治疗,和硬膜外麻醉因素。进行统计学分析以比较组间的差异。结果揭示了令人信服的见解。具体来说,肺腺癌(LUAD)患者在全身麻醉期间出现较高剂量的罗库溴铵和咪达唑仑,与鳞状细胞癌(sqCL)患者相比,麻醉后监护病房(PACU)的停留时间更短。此外,与非化疗患者相比,接受VATS的化疗患者对苯肾上腺素和瑞芬太尼的需求降低.同样,与非放疗患者相比,接受VATS的放疗患者对罗库溴铵的必要性降低.值得注意的是,与仅接受全身麻醉的患者相比,接受硬膜外麻醉联合全身麻醉的患者减少了氢吗啡酮的需求,并延长了住院时间.总之,这项研究的结果表明,在接受VATS的不同患者组中有几项重要观察结果.在LUAD患者中,罗库溴铵和咪达唑仑的剂量较高,这表明在不同类型的肺癌中药物需求存在潜在差异。此外,观察到的LUAD患者PACU住院时间较短,提示患者可能会加快康复过程.去氧肾上腺素和瑞芬太尼化疗患者的麻醉需求降低表明对麻醉和疼痛管理的反应不同。需要较低剂量罗库溴铵的放射治疗患者暗示先前放射治疗对肌肉松弛的潜在影响。最后,硬膜外麻醉与全身麻醉的组合导致氢吗啡酮的需求减少和住院时间延长。提示这种联合方法在疼痛管理和术后恢复方面的潜在益处.这些发现强调了为特定患者人群定制麻醉策略以优化VATS程序结果的重要性。
    Understanding the intricate relationship between cancer clinicopathological features and anesthetics dosage is crucial for optimizing patient outcomes and safety during surgery. This retrospective study investigates this relationship in patients with non-small cell lung cancer (NSCLC) undergoing video-assisted thoracic surgery (VATS). A comprehensive analysis of medical records was undertaken for NSCLC patients who underwent VATS with intravenous compound inhalation general anesthesia. Patients were categorized based on histological, chemotherapy, radiotherapy, and epidural anesthesia factors. Statistical analysis was performed to compare the differences between the groups. The results revealed compelling insights. Specifically, patients with lung adenocarcinoma (LUAD) undergoing VATS exhibited higher dosages of rocuronium bromide and midazolam during general anesthesia, coupled with a shorter post-anesthesia care unit (PACU) stay compared to those with squamous cell carcinoma (sqCL). Furthermore, chemotherapy patients undergoing VATS demonstrated diminished requirements for phenylephrine and remifentanil in contrast to their non-chemotherapy counterparts. Similarly, radiotherapy patients undergoing VATS demonstrated a decreased necessity for rocuronium bromide compared to non-radiotherapy patients. Notably, patients who received epidural anesthesia in combination with general anesthesia manifested reduced hydromorphone requirements and prolonged hospital stays compared to those subjected to general anesthesia alone. In conclusion, the findings from this study indicate several important observations in diverse patient groups undergoing VATS. The higher dosages of rocuronium bromide and midazolam in LUAD patients point to potential differences in drug requirements among varying lung cancer types. Additionally, the observed shorter PACU stay in LUAD patients suggests a potentially expedited recovery process. The reduced anesthetic requirements of phenylephrine and remifentanilin chemotherapy patients indicate distinct responses to anesthesia and pain management. Radiotherapy patients requiring lower doses of rocuronium bromide imply a potential impact of prior radiotherapy on muscle relaxation. Finally, the combination of epidural anesthesia with general anesthesia resulted in reduced hydromorphone requirements and longer hospital stays, suggesting the potential benefits of this combined approach in terms of pain management and postoperative recovery. These findings highlight the importance of tailoring anesthesia strategies for specific patient populations to optimize outcomes in VATS procedures.
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  • 文章类型: Journal Article
    背景:阴茎是男性的重要受体,在性交中发挥重要作用。虽然龟头和阴茎轴之间存在明显的差异,目前缺乏对这些区别的全面和详细的分析。
    目的:本研究旨在回顾现有文献中关于龟头和阴茎轴之间的差异,提供对它们的解剖和组织学差异的系统检查。
    方法:我们的调查包括对已发表文献的彻底搜索,包括原创文章,reviews,给编辑的信,病例报告集中在阴茎上。我们对龟头和阴茎轴之间的解剖和组织学差异进行了全面审查。
    结果:确定了以下关键差异。首先,关于神经支配,龟头和阴茎轴具有不同的神经通路。龟头表现出三维结构,而阴茎轴表现出二维分布。值得注意的是,阴茎轴的神经延伸穿透分支进入海绵体。此外,2个区域之间的神经特异性抗体存在差异。第二,关于组成,龟头和阴茎轴由不同的海绵体组成。龟头含有独特的上皮结构和受体,把它和阴茎轴分开。第三,关于静脉,龟头和阴茎轴的静脉系统存在差异。第四,关于生物测定法,在两个地区之间观察到生物测定学研究的差异。
    结论:龟头和轴之间存在差异。为了进一步提高我们的认识,未来的研究应该更深入地研究龟头和阴茎轴之间的差异。此外,龟头和阴茎轴的更专业的细分将有助于更精确和定制的治疗。
    BACKGROUND: The penis serves as a vital receptor in men, playing a significant role in sexual intercourse. While there are discernible disparities between the glans penis and the penile shaft, a comprehensive and detailed analysis of these distinctions is currently lacking.
    OBJECTIVE: This study aimed to review the existing literature on the variances between the glans penis and the penile shaft, providing a systematic examination of their anatomical and histological dissimilarities.
    METHODS: Our investigation encompassed a thorough search of the published literature, including original articles, reviews, letters to the editor, and case reports focused on the penis. We conducted a comprehensive review of the anatomical and histological dissimilarities between the glans penis and the penile shaft.
    RESULTS: The following key differences were identified. First, regarding innervation, the glans penis and the penile shaft possess distinct neural pathways. The glans penis exhibits a 3-dimensional structure, while the penile shaft exhibits a 2-dimensional distribution. Notably, the nerves of the penile shaft extend penetrating branches into the corpus cavernosum. Furthermore, there are variations in nerve-specific antibodies between the 2 regions. Second, regarding composition, the glans penis and the penile shaft consist of dissimilar cavernous bodies. The glans penis contains unique epithelial structures and receptors, setting it apart from the penile shaft. Third, regarding the veins, there are disparities in the venous systems of the glans penis and the penile shaft. Fourth, regarding biothesiometry, variances in biothesiometry research have been observed between the 2 regions.
    CONCLUSIONS: There are differences between the glans and the shaft. To further advance our understanding, future research should delve deeper into the discrepancies between the glans penis and the penile shaft. Additionally, a more specialized subdivision of the glans penis and the penile shaft would facilitate more precise and tailored treatments.
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  • 文章类型: Journal Article
    牙源性角化囊肿(OKCs)在几乎所有的斑状基底细胞癌综合征(NBCCS)或Gorlin综合征患者中都是常见表现,不管种族。在大多数NBCCS患者中,OKC表现为影响颌骨的多种病变,这使其成为研究该综合征患者的路标。在大约40%的儿科患者中,最初的演示是一个OKC,这通常可能导致NBCCS的诊断缺失。这在没有临床上明显的NBCCS相关表现的患者中尤其常见。这篇综述研究了临床医生和口腔病理学家可能会在患有OKC和OKC手术标本的儿科患者中寻找的临床病理特征,这些特征可以作为NBCCS诊断的指标。尽管这些功能本身无法诊断NBCCS,他们可能会显著有助于在早期阶段启动诊断过程,对儿童和亲属有明显的好处。
    Odontogenic keratocysts (OKCs) are a common presentation in almost all patients with nevoid basal cell carcinoma syndrome (NBCCS) or Gorlin syndrome, irrespective of race. In most patients with NBCCS, OKC presents as multiple lesions affecting the jaws which makes it a signpost for the investigation of patients with the syndrome. In approximately 40% of pediatric patients, the initial presentation is that of a single OKC, which may often result in missing the diagnosis of NBCCS. This is particularly common in patients without clinically apparent NBCCS-related manifestations. This review examines the clinicopathological features that clinicians and oral pathologists may look for in pediatric patient with OKC and OKC surgical specimens that may serve as indicators for the diagnosis of NBCCS. Although these features do not diagnose NBCCS by themselves, they may significantly help in initiating the diagnostic process at an early stage with an obvious benefit to the child and relatives.
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  • 文章类型: Journal Article
    目的:对肠系膜上动脉(SMA)壁的组织学和纤维结构进行定量分析,进一步探讨血管壁的结构和组织学变化与相关疾病发生的可能关系。
    方法:对从22具尸体获得的SMA标本进行了组织学和纤维结构分析。SMA标本分为初始,弯曲的,和远端段,每节分为前壁和后壁。
    结果:从初始到弯曲到远端段,弹性蛋白的比率下降(31.4%±6.0%,21.1%±5.8%,18.6%±4.7%,分别;P<.001),而平滑肌肌动蛋白的比例(24.5%±8.7%,30.5%±6.8%,36.1%±7.3%,分别;P<.001)增加。弹性纤维纵向波幅角起伏(AAU)在初始段[7°(3.25°,15°)],曲线段最低[2°(1°,5°)]。在SMA弯曲段中,前壁,与后壁相比,显示弹性蛋白(19.0%±5.8%vs23.3%±5.0%;P=.010)和胶原蛋白(41.4%±12.3%vs49.0%±10.2%;P=.032)的比例较低,下弹性纤维纵向AAU[1°(1°,5°)vs3°(2°,5.25°);P=.013],较低的AFD(8.06±0.36像素对8.45±0.50像素;P=0.005),和较低的ASL(17.96±1.59像素对20.05±2.33像素;P=.001)。
    结论:SMA壁结构沿圆周和轴向变化,致密的波状弹性纤维的存在可以保护SMA的初始部分免受夹层和动脉瘤的影响,但是高度交联的胶原纤维会增加斑块形成的可能性。在弯曲段的前壁,较低的弹性蛋白和胶原蛋白含量,较低的弹性纤维起伏,较高程度的胶原纤维交联导致SMA夹层和动脉瘤的发生。在远端段,高水平的血管平滑肌细胞和长胶原纤维束提供预防SMA相关疾病的发展。
    BACKGROUND: To quantitatively analyze histological and fiber structure of the superior mesenteric artery (SMA) wall and to further explore the possible relationship between the architecture and histology changes of vessel wall and the occurrence of related diseases.
    METHODS: Histological and fiber structure analysis were performed on SMA specimens obtained from 22 cadavers. The SMA specimens were divided into initial, curved, and distal segments, and each segment was separated into the anterior and posterior walls.
    RESULTS: From the initial to the curved to the distal segment, the ratio of elastin decreased (31.4% ± 6.0%, 21.1% ± 5.8%, 18.6% ± 4.7%, respectively; P < 0.001), whereas the ratio of smooth muscle actin (24.5% ± 8.7%, 30.5% ± 6.8%, 36.1% ± 7.3%, respectively; P < 0.001) increased. Elastic fiber longitudinal amplitude of angular undulation was highest in the initial segment [7° (3.25°, 15°)] and lowest in the curved segment [2° (1°, 5°)]. In SMA curved segment, the anterior wall, when compared with the posterior wall, demonstrated a lower ratio of elastin (19.0% ± 5.8% vs. 23.3% ± 5.0%; P = 0.010) and collagen (41.4% ± 12.3% vs. 49.0% ± 10.2%; P = 0.032), a lower elastic fiber longitudinal amplitude of angular undulation [1° (1°, 5°) vs. 3° (2°, 5.25°); P = 0.013], a lower average fiber diameter (8.06 ± 0.36 pixels vs. 8.45 ± 0.50 pixels; P = 0.005), and a lower average segment length (17.96 ± 1.59 pixels vs. 20.05 ± 2.33 pixels; P = 0.001).
    CONCLUSIONS: SMA wall structure varies along the circumferential and axial directions, the presence of dense undulated elastic fiber protects the SMA initial segment of from dissection and aneurysm, but highly cross-linked collagen fiber here increases the likelihood of plaque formation. In the anterior wall of the curved segment, lower elastin and collagen content, lower elastic fiber undulation, and higher degree of collagen fiber cross-linking leads to the occurrence of SMA dissection and aneurysm. In the distal segment, high levels of vascular smooth muscle cells and bundles of long collagen fiber offer protection against the development of SMA-related diseases.
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  • 文章类型: Journal Article
    乳腺癌是当今普遍存在的恶性肿瘤,特别是影响妇女的最常见的癌症形式之一。很大一部分患者最初出现局部疾病,寻求治愈性治疗。相反,另一个重要的部分被诊断为转移性疾病,预后较差。近年来,后一组的预后发生了深刻的变化,主要是由于各种生物标志物的发现和靶向治疗的出现。这些生物标志物,包括血清学,组织学,和遗传指标,已经在乳腺癌管理的多个方面证明了它们的价值。它们在初始诊断中起着至关重要的作用,在随访期间帮助检测复发,指导靶向治疗的应用,并为预后分层提供有价值的见解,特别是对于高度侵袭性的肿瘤类型。分子标志物现在已经成为转移性乳腺癌诊断的基石,鉴于化疗方案和治疗方式的多样性。这些标记标志着乳腺癌治疗方案的变革性转变。他们的诊断精度使肿瘤的复发风险升高的分类,侵略性增强,死亡率上升。此外,针对特定分子异常的治疗方法的存在引发了一系列肿瘤行为的变化.因此,这篇文章的主要目的是提供一个全面的临床回顾,诊断,预后,以及目前使用的主要生物标志物的治疗效用,以及它们对转移性乳腺癌的临床影响。在这样做的时候,我们的目标是帮助更深刻地理解这种复杂的疾病,最终,通过更精确和有效的治疗策略来提高患者的治疗效果。
    Breast cancer is a prevalent malignancy in the present day, particularly affecting women as one of the most common forms of cancer. A significant portion of patients initially present with localized disease, for which curative treatments are pursued. Conversely, another substantial segment is diagnosed with metastatic disease, which has a worse prognosis. Recent years have witnessed a profound transformation in the prognosis for this latter group, primarily due to the discovery of various biomarkers and the emergence of targeted therapies. These biomarkers, encompassing serological, histological, and genetic indicators, have demonstrated their value across multiple aspects of breast cancer management. They play crucial roles in initial diagnosis, aiding in the detection of relapses during follow-up, guiding the application of targeted treatments, and offering valuable insights for prognostic stratification, especially for highly aggressive tumor types. Molecular markers have now become the keystone of metastatic breast cancer diagnosis, given the diverse array of chemotherapy options and treatment modalities available. These markers signify a transformative shift in the arsenal of therapeutic options against breast cancer. Their diagnostic precision enables the categorization of tumors with elevated risks of recurrence, increased aggressiveness, and heightened mortality. Furthermore, the existence of therapies tailored to target specific molecular anomalies triggers a cascade of changes in tumor behavior. Therefore, the primary objective of this article is to offer a comprehensive review of the clinical, diagnostic, prognostic, and therapeutic utility of the principal biomarkers currently in use, as well as of their clinical impact on metastatic breast cancer. In doing so, our goal is to contribute to a more profound comprehension of this complex disease and, ultimately, to enhance patient outcomes through more precise and effective treatment strategies.
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  • 文章类型: Journal Article
    背景本文旨在描述238例口腔粘膜下纤维化(OSMF)的临床人口统计学和病理学特征,重点是临床和组织病理学分类系统与恶性转化发生率之间的相关性。方法回顾性检索了13年的口腔活检标本7098例,其中238例OSMF被纳入本研究。数据分析了年龄,性别,习惯,临床症状,功能分期,组织学分期,上皮的类型和性质,印戒细胞变化,存在/不存在发育不良或转化鳞状细胞癌,和治疗。结果临床和组织学,大多数病例是中等晚期。男人人数超过女人。发现异型增生的患病率为23.94%,恶性转化率估计为13.8%。临床分期与年龄和组织学分级之间存在显着相关性。组织学分期与患者年龄之间没有相关性。结论OSMF是一种与习惯相关的进行性慢性口腔疾病,恶性转化率高。辅助理疗的多模式治疗有助于临床症状的改善。
    Background  This paper aims to descriptively present the clinico-demographic and pathological profile of 238 cases of oral submucous fibrosis (OSMF) with emphasis on the correlation between clinical and histopathological classification systems and the incidence of malignant transformation. Methods A total of 7098 oral biopsies were retrospectively retrieved over a period of 13 years, out of which 238 cases of OSMF were included in the present study. Data were analyzed for age, gender, habits, clinical symptoms, functional staging, histological staging, type and nature of epithelium, signet-ring cell changes, presence/absence of dysplasia or transformation squamous cell carcinoma, and treatment. Results Clinically and histologically, most cases were moderately advanced. Men outnumbered women. The prevalence of dysplasia was found to be 23.94% and the malignant transformation rate was estimated to be 13.8%. There was a significant correlation between clinical staging with age and histological grading. No correlation was found between histological staging and the age of the patients. Conclusions OSMF is a habit-related progressive chronic oral condition with a high malignant transformation rate. Multimodal treatment with auxiliary physiotherapy helps in the improvement of the clinical symptoms.
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  • 文章类型: Case Reports
    背景:口腔组织的形态发生是由潜在的结缔组织固有地决定和遗传控制的。从pal供体部位收获的结缔组织移植物(CTG)最初保留了“区域特异性”,并被认为是上皮角质化的原因。
    方法:本病例研究显示冠状晚期皮瓣(CAF)与CTG治疗边缘组织衰退(MTR)的组织学和基因组结果。术后12个月收集的组织样本,在治疗部位的减积过程中,对患者进行了Masson三色染色(MTS)和全基因组测序(WGS).
    结果:临床,与6个月时的基线相比的平均根覆盖率(90%),12个月(95%),术后24个月(95%)。即使在12个月后,治疗部位的膨胀也很明显。然而,临床上不存在上皮角质化的可辨别的改变。尽管MTS揭示了非角化和对角化的区域,WGS显示角质化基因的显著表达,神经嵴,和位置标记基因。
    结论:CAF合并CTG仍被认为是治疗MTR的“金标准”。迄今为止,在非角质化粘膜超过CTG的部位,上覆上皮的角质化可能甚至在12个月后仍未完成。从报道的病例的分析中可以明显看出,尽管表达了用于角质化的基因,但临床上这样的位点可能看起来是非角质化的。基因组和表型表达之间复杂的相互作用是生物学概念的基础。然而,必须承认,生物体的表型不仅取决于遗传表达,而且通常受到遗传背景和环境因素之间复杂相互作用的影响。
    结缔组织充当传递遗传密码并对上覆的上皮组织的性质产生影响的介质。具体证据表明,结缔组织在影响上覆上皮的角质化过程中起着重要作用。带有结缔组织移植物的冠状推进皮瓣后的上皮角质化除了移植物内的固有潜力外,还受环境因素的控制。基因表达谱的差异可能因个体而异,牙齿和部位之间。
    BACKGROUND: Oral tissue morphogenesis is innately determined and genetically controlled by underlying connective tissue. The connective tissue graft (CTG) harvested from palatal donor sites originally retains \"regional specificity\" and is considered to be responsible for epithelial keratinization.
    METHODS: This case study presents histological and genomic outcomes of coronally advanced flap (CAF) with CTG for the management of marginal tissue recession (MTR). The tissue samples harvested at 12-month postoperative period, during the debulking procedure of the treated site were subjected to Masson\'s trichrome staining (MTS) and whole-genome sequencing (WGS).
    RESULTS: Clinically, the mean root coverage as compared to baseline at 6 months (90%), 12 months (95%), and 24 months (95%) postoperatively was achieved. Overbulking of treated site was evident even after 12 months. Nevertheless, clinically discernible alterations in epithelial keratinization were not present. Although MTS revealed areas of non-keratinization and para-keratinization, WGS revealed a significant expression of keratinization genes, neural crest, and positional marker genes.
    CONCLUSIONS: CAF with CTG is still considered the \"gold standard\" in treatment of MTR. The keratinization of overlying epithelium at sites hitherto where non-keratinized mucosa is advanced over CTG may not be complete even after 12 months. It is evident from the analysis of the reported case that clinically such sites may appear non-keratinized despite the expression of genes for keratinization. The complex interplay between genomic and phenotypic expressions serves as a foundation of biological concepts. Nevertheless, it is imperative to acknowledge that the phenotype of an organism is not solely determined by genetic expression and is often influenced by a complex interaction between genetic background and environmental factors.
    UNASSIGNED: The connective tissue serves as a medium for transmitting the genetic code and exerting an influence on the properties of the overlying epithelial tissue. Concrete evidence implies connective tissue plays a significant role in influencing the keratinization process of the overlying epithelium. Epithelial keratinization following a coronally advanced flap with connective tissue graft is also governed by environmental factors in addition to inherent potential within the graft. Differences in gene expression profiles may vary from individuals, teeth and among sites.
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