Complete resorption of the humerus in metastatic thyroid carcinoma: a case report.

BACKGROUND: Thyroid carcinoma is the most common endocrinological malignancy, but its spread to bone is rare. Particularly, bone metastases leading to complete resorption of the humerus are extremely uncommon. We aimed to explore factors affecting treatment decision in humeral metastasis by presenting a case and analyze the possible treatments via conducting a literature review. CASE PRESENTATION: We described a case of a 68-year-old woman experiencing chronic pain in her right upper arm for six years. Clinical, radiological, and pathological evaluations confirmed humeral metastasis from thyroid carcinoma. Surgical treatments like tumor removal or limb amputation were suggested for prolonging life and pain relief, but the patient refused them and pursued conservative managements such as herbal medicine, radioactive iodine (131I) therapy, and Levothyroxine Sodium(L-T4). The humeral destruction aggravated gradually, ultimately leading to complete resorption of her right humerus. The patient could not move her right shoulder, but her forearm motion was almost normal; thus, she could complete most of her daily living activities independently. Surgical treatments such as limb amputation were advised but she still refused them for preservation of the residual limb function and preferred conservative managements. CONCLUSION: A personalized multidisciplinary approach is important for patients with bone metastasis. The balance between limb amputation for life-prolonging and pain relief and limb salvage for preservation of residual function and social and psychological well-being should be considered. Our literature review revealed that some novel surgical treatments and techniques are available for bone metastases. This case adds to our current understanding of bone metastases and will contribute to future research and treatments.

Pyroptosis in Osteoarthritis: Molecular Mechanisms and Therapeutic Implications.

Osteoarthritis (OA) is a chronic disease that causes pain and functional impairment by affecting joint tissue. Its global impact is noteworthy, causing significant economic losses and property damage. Despite extensive research, the underlying pathogenesis of OA remain an area of ongoing investigation. It has recently been discovered that the OA progression is significantly influenced by pyroptosis. Pyroptosis is a complex process that involves three pathways culminating in the assembly of Gasdermin-D (GSDMD)-N-terminal (GSDMD-NT) into pores through aggregation on the plasma membrane. The aggregation of GSDMD-NT proteins stimulates the release of inflammatory mediators, such as Interleukin-1ß (IL-1ß), Interleukin-18 (IL-18), and Matrix Metallopeptidase 13 (MMP13), ultimately leading to cellular lysis. The pyroptosis process in specific cells, including synovial macrophages, fibroblast-like synoviocytes (FLS), chondrocytes, and subchondral osteoblasts, contributs factor to the development of OA. Currently, the specific cells that undergo pyroptosis first are not yet fully understood, and it remains unknown whether pyroptosis in one cell can trigger the same process in other cells. Therefore, targeting pyroptosis could potentially offer a novel treatment approach for OA patients. We present a comprehensive analysis of the molecular mechanisms and key features of pyroptosis. We also outline the current research progress on various aspects, including synovial tissue, articular cartilage, extracellular matrix (ECM), and subchondral bone, with a focus on pyroptosis. The aim is to provide theoretical references for the effective management of OA.

Cartilage organoids and osteoarthritis research: a narrative review.

Osteoarthritis (OA) is one of the most common degenerative joint diseases, significantly impacting individuals and society. With the acceleration of global aging, the incidence of OA is increasing. The pathogenesis of osteoarthritis is not fully understood, and there is no effective way to alleviate the progression of osteoarthritis. Therefore, it is necessary to develop new disease models and seek new treatments for OA. Cartilage organoids are three-dimensional tissue masses that can simulate organ structure and physiological function and play an important role in disease modeling, drug screening, and regenerative medicine. This review will briefly analyze the research progress of OA, focusing on the construction and current development of cartilage organoids, and then describe the application of cartilage organoids in OA modeling, drug screening, and regeneration and repair of cartilage and bone defects. Finally, some challenges and prospects in the development of cartilaginous organoids are discussed.

Heavy metal contamination in western Xiamen Bay sediments and its vicinity, China.

Concentrations of selected heavy metals (Cu, Pb, Zn, Cd, Cr, Ni and Fe) in surface sediments from nine sites in western Xiamen Bay and its vicinity were studied in order to understand current metal contamination due to urbanization and economic development in Xiamen, China. The sediment samples were collected in December 2004 and July 2005 respectively in order to examine temporal variations. In this study, we found that heavy metal concentrations in surface sediments sampled in the western Xiamen Bay and adjacent Maluan Bay and Yuandang Lagoon varied from 19 to 97mg kg(-1) for Cu, 45 to 60mg kg(-1) for Pb, 65 to 223mg kg(-1) for Zn, 0.11 to 1.01mg kg(-1) for Cd, 37 to 134mg kg(-1) for Cr, 25 to 65mg kg(-1) for Ni and 3.08 to 4.81% for Fe. Although all metal concentrations in sediments meets Chinese National Standard Criteria for Marine Sediment Quality, both metal enrichment factors (EF) and geoaccumulation index (I(geo)) show that Pb contamination exists in the entire study area and contamination of other metals are also present in some locations depending on the sources, of which sewage outlets and commercial ports are the main sources of contaminants to the area. This study shows that using the sediment quality standard criteria only to assess sediments cannot properly reflect sediment contamination. A multiple approaches should be applied for the sediment quality assessment.

Heavy metal contaminant remediation study of western Xiamen Bay sediment, China: laboratory bench scale testing results.

A surface sediment sample (<5cm) was collected from a sewage sludge contaminated site (118 degrees 02.711'E, 24 degrees 32.585'N) within western Xiamen Bay, China, in July 2005 for a sediment decontamination study. A series of laboratory-based experiments under various conditions were performed using chemical complexation reagents (e.g., H2C2O4, EDTA-2Na, etc.) and their combination in order to provide information for sediment remediation technology development. In this study, the results suggest that aeration and agitation of the sediment samples in distilled-deionized water (DDW) have either no or weak (<30%) effect on metal removal, whereas agitation, aeration and rotation of the samples in chemical complexation solutions yield much better metal removal efficiency (up to 90%). A low pH condition (e.g., pH<3) and a low solid to liquid ratio (e.g., S:L=1:50) could increase metal removal efficiency. The experimental results suggest that 0.20 M (NH4)2C2O4+0.025 M EDTA combination with solid:liquid ratio=1:50 and 0.50 M ammonium acetate (NH4Ac)+0.025 M EDTA combination with solid:liquid ratio=1:50 are the most effective methods for metal removal from the contaminated sediments. This research provides additional useful information for sediment metal remediation technology development.