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1.
Environ Monit Assess ; 129(1-3): 179-87, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16957841

RESUMO

Since February 1999, the Municipal Wastewater Treatment Plant (MWTP) of Balneário Camboriú, Brazil, started a complementary treatment with ClO(2) application on its effluent. It was realized to minimize its impacts caused by increase of the population during summer. This study was realized in order to verify the influence of this compound in the water quality and the environmental evaluations. Samples of surface water were collected in this environment between January 1997 and June 2001 for chemical and microbiological surveys. The results had shown that after application of ClO(2), fecal coliforms were decreased about six times in the beach (2.3 x 10(3) to 3.5 x 10(2) MPN/100 ml) and three times in the river (3.3 x 10(4) to 1.0 x 10(4) MPN/100 ml), during summer time. NH(4) (+) showed an increase of about four times and 1.5 times, respectively, to beach and river. These results are showing the influence of ClO(2) on chemical and microbiological parameters.


Assuntos
Cloretos/análise , Monitoramento Ambiental , Rios , Poluição da Água , Brasil , Ecossistema
2.
Z Naturforsch C J Biosci ; 56(9-10): 703-6, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11724372

RESUMO

A methanolic extract and two fractions (n-hexane and ethyl acetate) from Virola oleifera leaves and some compounds (one lignan and two flavonoids) were investigated to verify the analgesic activity by using the writhing test in mice. The crude methanolic extract showed a moderate analgesic effect (about 40% of inhibition in this test at 10 mg/kg), whereas n-hexane and ethyl acetate fractions caused inhibition of 51.3 +/- 5.9% and 50.5 +/- 6.3%, respectively. Oleiferin-C (1), a lignan isolated from the n-hexane fraction, showed an interesting analgesic potential in this model when compared to two standard drugs, paracetamol (4-acetamidophenol) and aspirin (acetylsalicylic acid). The ID50 calculated for this compound was 17.25 micromol/kg, with confidence interval between 13.7 and 21.3 micromol/kg, being about 8 times more potent than the standard drugs. The mixture of two glycoside-flavonoids, identified as astilbin (2) and quercitrin (3), also exhibited good analgesic activity, causing 63% of reduction of abdominal constriction in mice. These results suggest beneficial effect of this plant to treat dolorous processes.


Assuntos
Analgésicos/química , Flavonoides/química , Lignanas/química , Myristicaceae/química , Extratos Vegetais/química , Folhas de Planta/química , Acetaminofen/farmacologia , Acetaminofen/uso terapêutico , Acetatos , Analgésicos/isolamento & purificação , Analgésicos/uso terapêutico , Animais , Aspirina/farmacologia , Aspirina/uso terapêutico , Intervalos de Confiança , Flavonoides/isolamento & purificação , Hexanos , Lignanas/isolamento & purificação , Masculino , Metanol , Camundongos , Dor/tratamento farmacológico , Fitoterapia , Extratos Vegetais/uso terapêutico
3.
Clin Cancer Res ; 7(2): 277-82, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11234879

RESUMO

The signals of the transforming growth factor beta (TGF-beta) superfamily are conveyed through cell surface serine/threonine kinase receptors to the intracellular mediators known as Smads. Activation of Smads causes their translocation from the cytoplasm to the nucleus, where they function to control gene expression. The present study analyzed the expression of Smad4 and TGF-beta1 to determine their prognostic significance in advanced gastric cancer. Of 249 cases of advanced gastric cancer, 41 had invaded the muscular layer, 114 had invaded the subserosal layer, and 94 had invaded the serosa. Anti-Smad4 and TGF-beta1 antibodies were used for immunohistochemical staining. Reduced expression of Smad4 was 75.1%, whereas positive expression of TGF-beta1 was 39.6% in gastric cancer. Smad4 expression was related to the depth of tumor invasion (P < 0.05), and TGF-beta1 expression correlated with tumor gross type (P < 0.05). Postoperative survival analysis indicated that patients who had a tumor with reduced Smad4 expression had a poorer clinical outcome than those with preserved expression (P < 0.05). Furthermore, in patients with TGF-beta1-positive tumors, survival rate was significantly better in patients with preserved Smad4 expression than in those with reduced Smad4 expression (P < 0.05). According to multivariate analysis, Smad4 expression acted as an independent prognostic factor. Smad4 expression, particularly in the TGF-beta pathway, is an effective predictor of outcome for patients with advanced gastric cancer.


Assuntos
Proteínas de Ligação a DNA/metabolismo , Neoplasias Gástricas/metabolismo , Transativadores/metabolismo , Fator de Crescimento Transformador beta/metabolismo , Adulto , Idoso , Idoso de 80 Anos ou mais , Núcleo Celular/metabolismo , Regulação da Expressão Gênica , Humanos , Técnicas Imunoenzimáticas , Pessoa de Meia-Idade , Análise Multivariada , Estadiamento de Neoplasias , Prognóstico , RNA Mensageiro , Transdução de Sinais/fisiologia , Proteína Smad4 , Neoplasias Gástricas/diagnóstico , Neoplasias Gástricas/mortalidade , Taxa de Sobrevida , Células Tumorais Cultivadas
4.
Cancer ; 89(6): 1214-9, 2000 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-11002215

RESUMO

BACKGROUND: Cyclin E and p27 play opposing roles in the cell cycle. This study investigated the protein expression of p27 with cyclin E in the progression and prognosis of gastric carcinoma. METHODS: Of 241 patients with advanced gastric carcinoma, 38 had muscular layer invasion, 113 had subserosal layer invasion, and 90 had serosal invasion. Anti-p27 and cyclin E antibodies were used for immunohistochemical staining. RESULTS: Positive expression of p27 and cyclin E was 32.4% and 38.2%, respectively. Both p27 and cyclin E expression were related to histology of tumors but not to depth of invasion, lymph node metastasis, or stage grouping. A positive correlation was observed between p27 and cyclin E expression (P < 0. 05). Tumors were divided into two groups according to the expression of cyclin E. Within the cyclin E positive tumors, the five-year survival rate was higher in patients with a p27 positive tumor than in those with a p27 negative tumor (P < 0.05). Patients with cyclin E positive tumors showing low expression of p27 had a poor prognosis. In cyclin E negative group tumors, no significant differences were observed irrespective of p27 expression. CONCLUSIONS: Reduced p27 expression is a negative prognostic factor for patients with cyclin E positive tumors.


Assuntos
Carcinoma/patologia , Proteínas de Ciclo Celular , Ciclina E/fisiologia , Proteínas Associadas aos Microtúbulos/fisiologia , Neoplasias Gástricas/patologia , Proteínas Supressoras de Tumor , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma/metabolismo , Carcinoma/cirurgia , Ciclina E/biossíntese , Inibidor de Quinase Dependente de Ciclina p27 , Progressão da Doença , Feminino , Humanos , Imuno-Histoquímica , Masculino , Proteínas Associadas aos Microtúbulos/biossíntese , Pessoa de Meia-Idade , Prognóstico , Neoplasias Gástricas/metabolismo , Neoplasias Gástricas/cirurgia , Análise de Sobrevida
5.
Cancer Lett ; 148(2): 181-8, 2000 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-10695995

RESUMO

The expression of p21 and p53 proteins was analyzed by immunohistochemistry in 256 patients with advanced gastric cancer. The results showed that strong, weak and negative expression of p21 were detected in 22.2 (57/256), 68.0 (174/256) and 9.8% (25/256) of the patients, respectively. p53 expression was found in 28.9% (74/256). The expression of p21 was not associated with clinicopathological features. In p53 negative tumors, p21 expression was associated with the survival of patients who underwent curative operations (P = 0.007). The 5-year survival rates were 20.1, 36.6 and 59.8% in patients with p21-negative, -weakly positive and -strongly positive tumors, respectively. In contrast, in p53-positive tumors, prognosis did not differ in spite of p21 expression. Multivariate analysis showed that p21 expression was an independent factor in patients with p53-negative tumors. These results indicate that examination of p21 expression in p53 negative tumors will be useful for estimating the prognosis of patients with advanced gastric cancer.


Assuntos
Ciclinas/biossíntese , Neoplasias Gástricas/metabolismo , Neoplasias Gástricas/patologia , Proteína Supressora de Tumor p53/biossíntese , Adulto , Idoso , Idoso de 80 Anos ou mais , Inibidor de Quinase Dependente de Ciclina p21 , Ciclinas/genética , Feminino , Regulação Neoplásica da Expressão Gênica , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Prognóstico , Neoplasias Gástricas/genética , Análise de Sobrevida , Proteína Supressora de Tumor p53/genética
6.
Oncology ; 57(2): 131-7, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10461060

RESUMO

BACKGROUND AND OBJECTIVES: Even though the pathological background contributes to lymph node metastasis, the biological characteristics of tumors have also gained wide attention. In this study, the expression of the cadherin-catenin complex and p53 was studied in early gastric cancer. Their correlation with lymph node metastasis and the predictability of lymph node metastases, by combining these factors, were also discussed. METHODS: One hundred and one specimens obtained from surgery were studied by immunohistochemistry using monoclonal anti-E-cadherin, anti-alpha-catenin and anti-p53 antibodies. RESULTS: Expression of E-cadherin and alpha-catenin was reduced in 50.5 and 64.4%, respectively. p53 protein staining was positive in 29.7%. There was a significant correlation between E-cadherin and alpha-catenin expression, but no correlation was found between p53 expression and E-cadherin or alpha-catenin expression. A reduction in alpha-catenin expression and p53 overexpression correlated to lymph node metastases, respectively. Multivariate analysis showed that cooccurrence of reduced expression of alpha-catenin and overexpression of p53 was an independent factor indicating lymph node metastases. CONCLUSION: A study of both alpha-catenin and p53 expression may be helpful to predict lymph node metastases in early gastric cancer.


Assuntos
Biomarcadores Tumorais/análise , Caderinas/análise , Proteínas do Citoesqueleto/análise , Regulação Neoplásica da Expressão Gênica , Metástase Linfática , Neoplasias Gástricas/química , Neoplasias Gástricas/patologia , Proteína Supressora de Tumor p53/análise , Adulto , Idoso , Idoso de 80 Anos ou mais , Regulação para Baixo , Feminino , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Invasividade Neoplásica , Valor Preditivo dos Testes , Regulação para Cima , alfa Catenina
7.
J Biosci Bioeng ; 87(3): 383-5, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-16232486

RESUMO

Bacillus ehimensis EAG1 (IFO15659) produced and secreted chitosanase in the presence of exogenous chitosan. The chitosanase was purified from the culture filtrate of the bacterium to apparent homogeneity in SDS-polyacrylamide gel electrophoresis. The purified enzyme had a molecular weight of approximately 31,000. A 1.9-kbp DNA fragment containing the chitosanase gene was cloned and the complete nucleotide sequence was determined. The sequence was found to contain a single open reading frame encoding a protein of 302 amino acids. The deduced amino acid sequence showed significant homology with the chitosanase from Bacillus circulans MH-K1.

8.
Ann Surg Oncol ; 5(7): 585-9, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9831105

RESUMO

BACKGROUND: Recent studies suggest that angiogenesis enhances tumor growth and metastasis. Lymph node metastasis influences the prognosis and selection of treatment modalities in cancers. In this study, the authors investigated the correlation between angiogenesis and clinicopathologic features to determine whether angiogenesis correlated with lymph node metastasis in early-stage gastric cancer. METHODS: A total of 97 specimens from patients with early gastric cancer were studied by immunohistochemical methods using anti-Factor VIII-related antigen antibody. RESULTS: Tumor size was significantly correlated with microvessel count, which increased as tumor size increased. Microvessel counts from tumors with lymphatic vessel invasion, lymph node metastasis, and submucosal invasion were significantly higher than those without. Furthermore, microvessel count was an independent factor that influenced lymph node metastasis (P = .0016) by multivariate logistic regression analysis. CONCLUSION: In the early stage of gastric carcinoma, angiogenesis is an independent factor that impacts on lymph node metastasis.


Assuntos
Linfonodos/irrigação sanguínea , Neovascularização Patológica , Neoplasias Gástricas/irrigação sanguínea , Adulto , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Feminino , Humanos , Imuno-Histoquímica , Modelos Logísticos , Linfonodos/patologia , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Prognóstico , Fatores de Risco , Neoplasias Gástricas/patologia
9.
Int J Cancer ; 71(3): 442-50, 1997 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-9139882

RESUMO

Transfection of human fibroblast growth factor 9 (FGF-9) cDNA into mouse BALB/c 3T3 clone A31 cells led to morphological transformation of the cells and foci formation 4 weeks later. Isolated transformants had a higher saturation density than parental A31 cells, could grow in soft agar, and secreted FGF-9 into the culture supernatant. The introduction of FGF-9 N33 cDNA, which encodes a truncated protein that has 33 N-terminal amino acids deleted and has the same mitogenic potency as FGF-9, failed to lead to foci formation. Although FGF-9 is a secretory protein, it does not have a typical secretory signal sequence, and the secreted protein retains the full sequence coded in the cDNA except for the initiating methionine. The produced FGF-9 N33 was not secreted and remained within the cell. It is possible that FGF-9 has an uncleavable signal sequence within the first 33 N-terminal amino acids. All of the phenotypes acquired by transformation could be arrested by treatment with a neutralizing anti-human FGF-9 monoclonal antibody (MAb) 150-59. Additionally, transformants formed tumors in nude mice. Injection of MAb 150-59 suppressed tumor formation in nude mice and caused existing tumors to regress. Our results suggest that the cellular transformation mediated by FG F-9 is produced by autocrine stimulation. We have detected FGF-9 production in the human tumor cell lines glioma NMC-G1, from which FGF-9 was originally purified, and stomach carcinoma AZ-521. The growth of NMC-G1 was not affected by MAb 150-59, but that of AZ-521 was arrested by MAb 150-59 in the presence of heparin. Moreover, the growth of the AZ-521 cell tumor in nude mice could be partially arrested by antibody treatment. The possibility of a participation of FGF-9 in the formation of human tumors is suggested.


Assuntos
Transformação Celular Neoplásica , Fatores de Crescimento de Fibroblastos , Glioma/patologia , Substâncias de Crescimento/fisiologia , Oncogenes , Neoplasias Gástricas/patologia , Células 3T3 , Animais , Anticorpos Monoclonais/farmacologia , Células COS , Divisão Celular , Linhagem Celular , Células Clonais , DNA Complementar , Fator 9 de Crescimento de Fibroblastos , Substâncias de Crescimento/biossíntese , Substâncias de Crescimento/imunologia , Humanos , Camundongos , Camundongos Nus , Proteínas Recombinantes/biossíntese , Transfecção , Transplante Heterólogo , Células Tumorais Cultivadas
10.
Hybridoma ; 15(4): 299-305, 1996 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8880218

RESUMO

Hybridomas secreting monoclonal antibodies (MAbs) against human fibroblast growth factor 9 (FGF-9) were established using recombinant human (rh) FGF-9 N33 as the immunogen. Among these, MAb 150-59 demonstrated a potent neutralizing activity against FGF-9. It arrested the FGF-9-induced growth of BALB/c 3T3 A31 cells at an equimolar dose of the factor. It also abrogated the in vivo thrombopoietic activity of FGF-9. Mitogenic activity of several other FGF family members such as FGF-1, FGF-2, and FGF-4 was not neutralized by this MAb. A sensitive sandwich enzyme immunoassay for FGF-9 was developed employing MAbs 150-59 and 13-3. The detection limit of this system was 3 pg/well. In this assay system, FGF-1 and FGF-2 were not cross-reactive up to 1 microgram/well. Using this system, the distribution of FGF-9 in rat organs was examined. FGF-9 could be detected only in the extract of rat cerebellum. Also, we detected a high amount of FGF-9 in the culture supernatant of certain cell lines originated from human tumor. These findings suggest that this enzyme immunoassay system may be used to clarify biological meaning of FGF-9.


Assuntos
Fatores de Crescimento de Fibroblastos , Substâncias de Crescimento/análise , Técnicas Imunoenzimáticas , Animais , Anticorpos Monoclonais/farmacologia , Linhagem Celular , Meios de Cultivo Condicionados/análise , Fator 9 de Crescimento de Fibroblastos , Substâncias de Crescimento/genética , Substâncias de Crescimento/imunologia , Hematopoese/efeitos dos fármacos , Humanos , Hibridomas , Camundongos , Camundongos Endogâmicos BALB C , Testes de Neutralização , Ratos , Ratos Sprague-Dawley , Proteínas Recombinantes/análise , Proteínas Recombinantes/imunologia , Distribuição Tecidual , Células Tumorais Cultivadas
11.
Growth Factors ; 12(3): 179-90, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-8619924

RESUMO

Fibroblast growth factor 9 (FGF-9), a novel member of the FGF family, was found to have thrombopoietic activity in vitro and in vivo. In an in vitro megakaryocyte colony-stimulating factor assay, anti-mouse interleukin-6 (IL-6) monoclonal antibody neutralized FGF-9 activity. This suggests that the activity may be exerted via IL-6 induction. BALB/c mice that received subcutaneous FGF-9 injections of 4 to 100 micrograms/day for 2 weeks showed a dose-dependent transient increase in peripheral platelet counts 10 to 12 days after the first treatment. Histologic studies showed a marked increase in megakaryocytes in bone marrow and extramedullary hematopoiesis in the spleen and the liver. Examination of changes in the DNA content of bone marrow megakaryocytes revealed that the ploidy distribution underwent a marked shift 3 days after FGF-9 injection, with a large increase in the 2N megakaryocyte population. The major modal ploidy shifted from the normal 16N to 2N. The number of megakaryocyte progenitor cells in FGF-9-treated mice increased up to 1.5-fold in the bone marrow and 10-fold in the spleen on day 6. These results indicate that FGF-9 acts on the in vivo proliferation of megakaryocytes.


Assuntos
Plaquetas/citologia , Fatores de Crescimento de Fibroblastos , Substâncias de Crescimento/farmacologia , Hematopoese/efeitos dos fármacos , Megacariócitos/citologia , Contagem de Plaquetas/efeitos dos fármacos , Animais , Anticorpos Monoclonais/farmacologia , Plaquetas/efeitos dos fármacos , Células da Medula Óssea , Divisão Celular/efeitos dos fármacos , DNA/análise , Fator 9 de Crescimento de Fibroblastos , Substâncias de Crescimento/administração & dosagem , Substâncias de Crescimento/imunologia , Humanos , Injeções Subcutâneas , Interleucina-6/biossíntese , Cinética , Megacariócitos/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos BALB C , Ploidias , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/imunologia , Proteínas Recombinantes/farmacologia , Valores de Referência , Baço/citologia , Fatores de Tempo
12.
Biochem Biophys Res Commun ; 194(3): 1500-7, 1993 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-8352808

RESUMO

Hybridomas producing monoclonal antibodies (MoAbs) against human neurotrophin-3 (hNT-3) were established using recombinant hNT-3 produced in CHO cells and E. coli as immunogens. Of the five MoAbs obtained, MoAb 3w3 showed the highest antibody titer and also best neutralized NT-3 activity as measured by the survival of chick embryonic day-8 dorsal root ganglia neurons. A sandwich enzyme immunoassay (EIA) for NT-3 was established with solid phase MoAb 3W3 and the Fab' fragment of MoAb 3W3 conjugated to horseradish peroxidase. The detection limit was 2.7 pg/well of NT-3 and no cross-reactivity with nerve growth factor up to 100 ng/well was observed. Using this EIA system we have screened a variety of cell lines for NT-3 production. Among these tested, only human Burkitt's lymphoma Namalwa cells were found to be producing NT-3.


Assuntos
Técnicas Imunoenzimáticas , Fatores de Crescimento Neural/análise , Animais , Anticorpos Monoclonais/imunologia , Linfoma de Burkitt/metabolismo , Células CHO , Sobrevivência Celular , Embrião de Galinha , Cricetinae , Escherichia coli , Gânglios Espinais/crescimento & desenvolvimento , Humanos , Hibridomas , Fatores de Crescimento Neural/biossíntese , Fatores de Crescimento Neural/imunologia , Neurônios , Neurotrofina 3 , Testes de Neutralização , Proteínas Recombinantes/biossíntese , Proteínas Recombinantes/imunologia
13.
J Biol Chem ; 268(4): 2857-64, 1993 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-8428960

RESUMO

Growth factors for rat primary glial cells were identified in conditioned medium of a human glioma-derived cell line. The factors, designated glia-activating factors (GAFs), were purified to homogeneity by a combination of heparin affinity chromatography, gel filtration, and high performance liquid chromatography on a heparin affinity column and a C4 reversed-phase column. GAFs could be resolved into three peaks by C4 column chromatography. The M(r) values of these three proteins were estimated to be 30,000, 29,000, and 25,000 on sodium dodecyl sulfate-polyacrylamide gel electrophoresis under reducing conditions. These M(r) values were in good agreement with the value of 26,000 +/- 3,000 estimated from the elution volume upon gel filtration chromatography under nondenaturing conditions. These data suggested that each of the GAFs consists of a single polypeptide chain and has no subunit structures. These three purified GAFs had almost the same growth-stimulating effect on glial cells in vitro, and the half-maximal dose was around 10(-11) M. Concanavalin A staining and glycopeptide N-glycosidase treatment of GAFs indicated that an asparagine-linked oligosaccharide chain(s) was attached to these three kinds of GAFs. Microsequencing of each GAF revealed a single amino-terminal sequence with no significant homology to any known protein, and the amino-terminal sequence of the 30-kDa GAF included that of the 29-kDa GAF. GAFs also stimulated the cell growth of oligodendrocyte type 2 astrocyte progenitor cells, BALB/c3T3 fibroblasts, and PC-12 cells but not that of human umbilical vein endothelial cells.


Assuntos
Glioma/patologia , Substâncias de Crescimento/isolamento & purificação , Substâncias de Crescimento/fisiologia , Heparina/metabolismo , Neuroglia/citologia , Sequência de Aminoácidos , Animais , Química Encefálica , Divisão Celular , Células Cultivadas , Cromatografia de Afinidade , Glioma/química , Humanos , Técnicas In Vitro , Dados de Sequência Molecular , Ratos
14.
J Immunol Methods ; 93(2): 157-65, 1986 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-3490518

RESUMO

Mosmann's method for measuring the number of viable cells with a tetrazolium salt, 3-(4,5-dimethylthiazol-2-yl)-2,5-di-phenyltetrazolium bromide (MTT), was modified to make it possible to measure a large number of interleukin 2 (IL-2) samples at one time with less labor and more accuracy. Each step of the method was examined in detail and modified (the modified MTT method). An IL-2-dependent mouse natural killer cell line, NKC3, was used as an indicator cell line. The incubation period before adding MTT was reduced to 24 h, A solution of 10% sodium dodecyl sulfate-0.01 N HCl was used to dissolve the MTT formazan produced. We have compared the values obtained by the modified MTT method and the conventional [3H]thymidine method (3H-TdR method), and confirmed that the estimates of IL-2 content were almost equal. The variation of IL-2 content measured by both methods was within 5% in terms of the standard error.


Assuntos
Interleucina-2/análise , Células Cultivadas , Colorimetria , Detergentes/farmacologia , Humanos , Solubilidade , Sais de Tetrazólio , Tiazóis , Trítio/metabolismo
15.
Nihon Geka Gakkai Zasshi ; 87(5): 564-71, 1986 May.
Artigo em Japonês | MEDLINE | ID: mdl-3520288

RESUMO

Preoperative ultrasonic examination was correlated to final pathological diagnosis in 102 cases which underwent thyroidectomy in our clinic from 1979 to May 1985. Preoperative ultrasonic diagnosis was as follows: Sensitivity was 78% (45/58 cases), and specificity was 86% (38/44 cases). Four factors in ultrasonic image were considered: Shape, boundary, internal echo and margin were featured, and correlated to malignancy in 75 cases with mainly solid nodules. Among 34 nodules with irregular shape, 33 (97%) were pathologically malignant and 40 of 42 (95%) with rugged boundary were also malignant. Whether internal echo was even or not could not be used as a diagnostic criteria. Similarly, whether a nodule had well defined margin or not was found not to be a significant criteria in order to differentiate malignant from benign lesions. In 15 of 34 cases with lymph node metastases, metastatic lymph nodes were detected by ultrasonography. Lymph node metastases must be also evaluated by ultrasonography preoperatively in thyroid diseases. Each of these factors must be considered individually in the diagnosis of thyroid nodules. By evaluation of the ultrasonography findings the pathological characteristics may be inferred, and consequently being possible to reach a correct diagnosis.


Assuntos
Neoplasias da Glândula Tireoide/diagnóstico , Ultrassonografia , Adenocarcinoma/diagnóstico , Carcinoma/diagnóstico , Diagnóstico Diferencial , Humanos , Metástase Linfática , Doenças da Glândula Tireoide/diagnóstico , Neoplasias da Glândula Tireoide/patologia
16.
Nihon Geka Gakkai Zasshi ; 87(3): 315-23, 1986 Mar.
Artigo em Japonês | MEDLINE | ID: mdl-3713683

RESUMO

For surgical treatment of esophageal cancer, the importance of evaluating lymph node metastasis and the lymph flow of the esophagus can not be overemphasized. In oder to investigate the lymph flow of the esophagus, we preoperatively performed lymphoscintigraphy by endoscopic local injection of 99mTc Rhenium Colloid into the esophageal wall in 42 esophageal cancer cases and 4 gastric cancer cases. Postoperatively, the RI uptake of each dissected regional lymph nodes was examined by a Scintillation Counter. The findings were as follows. From the upper third of the thoracic esophagus, the main lymph flow was ascending to the neck and upper mediastinum. From the middle third, the lymph flow was ascending to the neck and upper mediastinum and descending into the abdomen. From the lower third, the main lymph flow was descending to the abdomen. In some cases, the lymph flow to the tracheal bifurcation nodes or to the lymph nodes around the left renal vein was observed. In 61% of the esophageal cancer cases with a partial bilateral neck dissection, the lymph flow to the bilateral supraclavicular lymph nodes was predominant compared to the upper mediastinum nodes.


Assuntos
Neoplasias Esofágicas/cirurgia , Excisão de Linfonodo , Linfa/fisiologia , Metástase Linfática/diagnóstico por imagem , Compostos de Tecnécio , Animais , Humanos , Coelhos , Cintilografia , Rênio , Tecnécio
17.
J Clin Ultrasound ; 13(3): 153-60, 1985.
Artigo em Inglês | MEDLINE | ID: mdl-3920276

RESUMO

The celiac axis could be visualized with ultrasound in 140 out of 166 cases (84%). Failure to identify the celiac axis was associated with extensive metastases to the celiac lymph nodes in 73% (19/26) of these cases. The location of lymph nodes in this region could be determined using the celiac axis and its branches as land marks. Celiac lymph nodes can be roughly classified into three types: Type 1--unclear margins and relatively uniform diffuse internal echoes, Type 2--clear margins and weak internal echoes, and Type 3--clear margins and scattered, large internal echoes, frequently seen with notchings. Metastases in celiac lymph nodes were found in 53 of 166 cases, based on histological examination of surgically removed nodes. A preoperative ultrasonic examination indicated lymph node metastases in 39 out of the 53 cases (sensitivity of 74%) and no lymph node metastases in 108 of the remaining 113 cases (specificity of 96%). Most lymph nodes with metastases were of Types 2 or 3. The longer the diameter of the lymph node or the larger the ratio of metastatic area to node cross-sectional area, the higher the detection rate tended to be. These results indicate that ultrasound can be very useful in screening patients for celiac lymph node metastases.


Assuntos
Artéria Celíaca , Neoplasias Esofágicas/patologia , Metástase Linfática/diagnóstico , Neoplasias Gástricas/patologia , Ultrassonografia , Erros de Diagnóstico , Humanos
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