RESUMO
We report a case of extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) type of the salivary gland arising in a background of chronic sclerosing sialadenitis. Chronic sclerosing sialadenitis is a common fibrosing chronic inflammatory lesion of the submandibular gland, which is thought to be the result of sialolithiasis, and is not associated with a systemic autoimmune disease. Salivary MALT lymphomas are typically associated with lymphoepithelial sialadenitis (LESA) in a patient with or without Sjögren's syndrome. Our case of salivary MALT lymphoma was neither preceded by Sjögren's syndrome nor accompanied by LESA. This case suggests that chronic inflammatory processes other than Sjögren's syndrome may provide a substrate for the development of MALT lymphoma.
Assuntos
Linfoma de Zona Marginal Tipo Células B/patologia , Sialadenite/patologia , Neoplasias da Glândula Submandibular/patologia , Glândula Submandibular/patologia , Idoso , Biomarcadores Tumorais/análise , Biópsia por Agulha , Doença Crônica , Citometria de Fluxo , Humanos , Técnicas Imunoenzimáticas , Infiltração Leucêmica/patologia , Linfoma de Zona Marginal Tipo Células B/química , Linfoma de Zona Marginal Tipo Células B/complicações , Linfoma de Zona Marginal Tipo Células B/cirurgia , Masculino , Sialadenite/complicações , Sialadenite/metabolismo , Sialadenite/cirurgia , Glândula Submandibular/química , Glândula Submandibular/cirurgia , Neoplasias da Glândula Submandibular/química , Neoplasias da Glândula Submandibular/complicações , Neoplasias da Glândula Submandibular/cirurgiaAssuntos
Carcinossarcoma/diagnóstico , Neoplasias Ovarianas/diagnóstico , Idoso , Feminino , HumanosRESUMO
To date, many approaches to engineering new tissue have emerged and they have all relied on vascularization from the host to provide permanent engraftment and mass transfer of oxygen and nutrients. Although this approach has been useful in many tissues, it has not been as successful in thick, complex tissues, particularly those comprising the large vital organs such as the liver, kidney, and heart. In this study, we report preliminary results using micromachining technologies on silicon and Pyrex surfaces to generate complete vascular systems that may be integrated with engineered tissue before implantation. Using standard photolithography techniques, trench patterns reminiscent of branched architecture of vascular and capillary networks were etched onto silicon and Pyrex surfaces to serve as templates. Hepatocytes and endothelial cells were cultured and subsequently lifted as single-cell monolayers from these two-dimensional molds. Both cell types were viable and proliferative on these surfaces. In addition, hepatocytes maintained albumin production. The lifted monolayers were then folded into compact three-dimensional tissues. Thus, with the use microfabrication technology in tissue engineering, it now seems feasible to consider lifting endothelial cells as branched vascular networks from two-dimensional templates that may ultimately be combined with layers of parenchymal tissue, such as hepatocytes, to form three-dimensional conformations of living vascularized tissue for implantation.