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1.
Nanotechnology ; 24(10): 105306, 2013 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-23435347

RESUMO

We fabricate and explore the resonance characteristics of self-supporting thin film based metallic nanocantilever systems. Nanocantilevers of Au and Ag are fabricated from self-supporting (polycrystalline) thin films (∼100 nm) grown via a surfactant mediated process. Focused ion beam assisted milling and manipulation techniques are used to fabricate the nanocantilevers. The resonance characteristics of the cantilevers are investigated by the piezoelectric base excitation method and the frequencies of their first resonance modes are determined by digitally processing and analysing scanning electron microscopy images captured during the study. The resonance characteristics of the nanocantilevers are observed to deviate from the Euler-Bernoulli description. We suggest a polynomial expression to describe the peculiar dimensional dependence of resonance frequency of a mechanically vibrating nanocantilever, where the zeroth order term in the polynomial expression represents an Euler-Bernoulli like form. We also demonstrate a fabrication and measurement technique for an elastically coupled Au nanocantilever system and analysis of its vibration characteristics by means of an analogous mass-spring system.

2.
J Phys Condens Matter ; 36(8)2023 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-37918015

RESUMO

Co2C nanoparticles (NPs) are amongst transition metal carbides whose magnetic properties have not been well explored. An earlier study (Royet al2021J. Phys.: Condens. Matter33375804) showed that a pellet made from Co2C NPs exhibits exchange bias (EB) effect below a temperature,TEB= 50 K and a spin glass (SG) feature emerges belowTSG= 5 K. In the current study we use magnetic, electrical transport, specific heat, and muon spin rotation (µSR) measurements to explore further the magnetic properties of a pellet made with 40 nm diameter pure Co2C NPs. We uncover the onset of Kondo localization at Kondo temperatureTK(= 40.1 K), which is close to the onset temperature (TEB) of the EB effect. A crossover from the Kondo-screened scenario to the Ruderman-Kittel-Kasuya-Yosida interaction-dominated regime is also observed forT

3.
Sci Rep ; 11(1): 7445, 2021 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-33811220

RESUMO

Two-dimensional (2D) topological surface states in a three-dimensional topological insulator (TI) should produce uniform 2D surface current distribution. However, our transport current imaging studies on Bi2Se3 thin film reveal non-uniform current sheet flow at 15 K with strong edge current flow. This is consistent with other imaging studies on thin films of Bi2Se3. In contrast to strong edge current flow in thin films, in single crystal of Bi2Se3 at 15 K our current imaging studies show the presence of 3.6 nm thick uniform 2D sheet current flow. Above 70 K, this uniform 2D sheet current sheet begins to disintegrate into a spatially non-uniform flow. The flow becomes patchy with regions having high and low current density. The area fraction of the patches with high current density rapidly decreases at temperatures above 70 K, with a temperature dependence of the form [Formula: see text]. The temperature scale of 70 K coincides with the onset of bulk conductivity in the crystal due to electron doping by selenium vacancy clusters in Bi2Se3. Thus our results show a temperature dependent competition between surface and bulk conductivity produces a temperature dependent variation in uniformity of current flow in the topological insulator.

4.
J Phys Condens Matter ; 33(37)2021 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-34186520

RESUMO

It is interesting to explore the connections between the exchange bias effect (EBE) and magnetic anisotropy (MA). It is often found that materials exhibiting a strong EBE also have enhanced MA. Here we explore 40 nm diameter Co2C nanoparticles (NPs) that exhibit ferromagnetism with a blocking temperature exceeding 300 K. We report the first observation of EBE in these Co2C NPs below 50 K. The effect arises from the exchange coupling of frozen ferromagnetic spins with a freely rotatable spin component. The dynamics of the freely rotatable component freezes in a temperature range between 5 K to 20 K resulting in low-temperature coexistence of a glassy behavior along with ferromagnetism. In fact, Co2C displays a unique separation of onset temperatures of spin freezing (∼20 K), vanishing of EBE (∼50 K), and magnetic blocking (⩾450 K). Our calculations show that Co2C NPs have a core-shell structure. Our study suggests that modifying chemical co-ordination in the shell is one of the effective routes to manipulating MA compared to manipulating EBE.

5.
Phys Rev Lett ; 103(16): 167001, 2009 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-19905716

RESUMO

The driven state of a well-ordered flux line lattice in a single crystal of 2H-NbSe2 in the time domain has revealed the presence of substantial fluctuations in velocity, with large and distinct time periods ( approximately seconds). A superposition of a periodic drive in the driven vortex lattice causes distinct changes in these fluctuations. We propose that prior to the onset of the peak effect there exists a heretofore unexplored regime of coherent dynamics, with unexpected behavior in velocity fluctuations.

6.
Histopathology ; 52(2): 119-29, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17825057

RESUMO

The aim of this review was to document and discuss diagnostic problems associated with divergent differentiation ('metaplastic change') in malignant melanomas, defined as the development in these tumours of morphologically, immunohistochemically and/or ultrastructurally recognizable non-melanocytic cell or tissue components. Types of divergent differentiation reported in malignant melanoma include: fibroblastic/myofibroblastic, Schwannian and perineurial, smooth muscle, rhabdomyosarcomatous, osteocartilaginous, ganglionic and ganglioneuroblastic, neuroendocrine and probable epithelial. Divergent differentiation is certainly a rare phenomenon and, when it occurs, can be missed by unwary pathologists and lead to diagnostic uncertainty. A carefully chosen immunohistochemical panel and the input of electron microscopy can help to clarify the nature of the cellular differentiation of these tumours and lead to a correct final diagnosis. The clinical significance of such aberrations is uncertain, nor are the underlying mechanisms as yet well defined.


Assuntos
Diferenciação Celular , Melanoma/patologia , Neoplasias Cutâneas/patologia , Fibroblastos/patologia , Cistos Glanglionares/patologia , Humanos , Melanoma/diagnóstico , Miócitos de Músculo Liso/patologia , Células de Schwann/patologia , Neoplasias Cutâneas/diagnóstico
7.
Phys Rev E Stat Nonlin Soft Matter Phys ; 77(4 Pt 2): 046118, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18517701

RESUMO

We investigate the distribution of magnetic fields around dense solid plasmas generated by intense p-polarized laser approximately 10(16) W cm(-2), 100 fs) irradiation of magnetic tapes, using high sensitivity magneto-optical microscopy. By investigating the effect of irradiation on the magnetic tape, we present evidence for axial magnetic fields and map out the spatial distribution of these fields around the laser generated plasma. By using the axial magnetic field distribution as a diagnostic tool we uncover evidence for angular momentum associated with the plasma.

8.
Sci Rep ; 8(1): 2726, 2018 02 09.
Artigo em Inglês | MEDLINE | ID: mdl-29426905

RESUMO

Recent studies showed that silk and human hair fibers develop thermoelectric properties at optimal water, temperature and light conditions. The nature of charge carriers and the role of water in mediating charge conduction in these fibers is an unexplored issue. By studying four different classes of natural fibers, viz., silk cocoon, human hair, jute and corn silk, we uncover their common electrical transport properties and its dependence on water concentration and temperature. All these fibers uniformly exhibit nonlinear, hysteretic current - voltage characteristics, which scale with water concentration. The optimal electrical conductivity shows thermally activated hopping transport mechanism. Scanning tunneling microscope (STM) and dielectric measurements of silk cocoon fibers showed the electronic density of states and dielectric properties of the hydrated medium enhances with water concentration. Electron paramagnetic resonance (EPR) study reveals that the charge carriers in these membranes are electronic in nature. Our results are explained through the mechanism of hopping of a Polaron, which is an electron surrounded by positive charge fluctuations created by water molecules. The mechanism unravels the peculiar role water plays in mediating electrical activity in these membranes and also opens the possibility for exploring such charge transport mechanism in other biological membranes.


Assuntos
Bombyx/fisiologia , Condutividade Elétrica , Membranas/química , Seda/química , Estresse Mecânico , Água/química , Animais , Transporte de Elétrons , Resistência ao Cisalhamento
9.
J Phys Condens Matter ; 29(42): 425804, 2017 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-28786819

RESUMO

By investigating temperature dependent structural and magnetic properties of cobalt (Co) embedded within nanoporous anodized alumina template, we observe changes in the easy axis of Co magnetization and an unusual increase in its saturation magnetization below a temperature T cr. Analysis of our M(H) data reveals that the magnetized volume of the sample increases rapidly as T falls below T cr. To understand these features we perform micro-magnetic simulations for a single Co-nanopillar wherein by varying its magneto-crystalline anisotropy energy we are able to show that the changes observed near T cr are related to the changes in the magnetic anisotropy of the nanopillar. We propose crystallographic structural distortions trigger changes in the balance between shape and magneto-crystalline anisotropy in our nanopillar. Our results suggest interplay between magnetism, structure and magnetic anisotropy in low dimensional Co-nanopillars, which can be modified with temperature of the system.

10.
Sci Rep ; 7(1): 5531, 2017 07 17.
Artigo em Inglês | MEDLINE | ID: mdl-28717176

RESUMO

Under the influence of a constant drive the moving vortex state in 2H-NbS2 superconductor exhibits a negative differential resistance (NDR) transition from a steady flow to an immobile state. This state possesses a high depinning current threshold ([Formula: see text]) with unconventional depinning characteristics. At currents well above [Formula: see text], the moving vortex state exhibits a multimodal velocity distribution which is characteristic of vortex flow instabilities in the NDR regime. However at lower currents which are just above [Formula: see text], the velocity distribution is non-Gaussian with a tail extending to significant negative velocity values. These unusual negative velocity events correspond to vortices drifting opposite to the driving force direction. We show that this distribution obeys the Gallavotti-Cohen Non-Equilibrium Fluctuation Relation (GC-NEFR). Just above [Formula: see text], we also find a high vortex density fluctuating driven state not obeying the conventional GC-NEFR. The GC-NEFR analysis provides a measure of an effective energy scale (E eff ) associated with the driven vortex state. The E eff corresponds to the average energy dissipated by the fluctuating vortex state above [Formula: see text]. We propose the high E eff value corresponds to the onset of high energy dynamic instabilities in this driven vortex state just above [Formula: see text].

11.
Int J Surg Pathol ; 13(3): 281-4, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16086086

RESUMO

We report 2 cases of partially regressed malignant melanoma in which the brisk lymphocytic response closely resembled mycosis fungoides in 1 case and nodular sclerosing Hodgkin lymphoma in the other. Striking epidermotropism was present in both cases. The lymphocytes were predominantly of T8 cytotoxic subtype, and oligoclonal T-cell expansion was detected in 1 of the cases. The scanty residual melanoma cells were highlighted with HMB45 and S100 protein. We highlight the features of regression in melanoma that may lead to an erroneous diagnosis of lymphoma and discuss the finding of oligoclonal T-cell expansion in regressed melanocytic lesions.


Assuntos
Erros de Diagnóstico , Doença de Hodgkin/diagnóstico , Melanoma/diagnóstico , Micose Fungoide/diagnóstico , Neoplasias Cutâneas/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Biomarcadores Tumorais/metabolismo , Células Clonais , DNA de Neoplasias/análise , Diagnóstico Diferencial , Feminino , Humanos , Melanoma/genética , Melanoma/metabolismo , Pessoa de Meia-Idade , Regressão Neoplásica Espontânea , Neoplasias Cutâneas/genética , Neoplasias Cutâneas/metabolismo , Subpopulações de Linfócitos T/metabolismo , Subpopulações de Linfócitos T/patologia
12.
J Submicrosc Cytol Pathol ; 37(1): 1-11, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16136724

RESUMO

The term FEAM (foci of extracellular amorphous matrix) has been used for discretely outlined areas of moderately dense material having a filamentous/granular substructure located in the extracellular matrix of tumours. In spite of being widespread in mesenchymal tumours especially, and often abundant, they have received little attention in terms of structure, composition and origin. Mostly, they have been regarded as a variant or a product of lamina ('basement membrane material'). However, they also appear in tumours whose cells should and do lack a lamina, such as giant-cell fibroblastoma and solitary fibrous tumour. This paper describes their fine structure in a variety of predominantly mesenchymal tumours, and documents their composition using light microscope immunostaining and immunogold labelling. Small amounts of type IV collagen and laminin were found focally and inconsistently among the five tumours by light microscope immunostaining, but fibronectin was strongly and consistently identified. Strong fibronectin staining was also identified by immuno-electronmicroscopy. These data suggest that FEAM represent a fibronectin-rich matrix constituent, which might be a common final product of either lamina or the external component of the subplasmalemmal linear density (focal adhesion). There is little support light microscopically for a relationship to immune-complexes or cryoglobulins.


Assuntos
Biomarcadores Tumorais/metabolismo , Matriz Extracelular/metabolismo , Fibronectinas/metabolismo , Imuno-Histoquímica/métodos , Microscopia Imunoeletrônica/métodos , Neoplasias/metabolismo , Matriz Extracelular/ultraestrutura , Humanos , Mesoderma/metabolismo , Mesoderma/ultraestrutura , Neoplasias/diagnóstico , Neoplasias/ultraestrutura
13.
Int J Radiat Oncol Biol Phys ; 22(5): 929-33, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1555984

RESUMO

A retrospective analysis of 70 patients with primary malignant lymphoma of the thyroid treated at this institute between 1965-1983 has been conducted. The clinicopathological features and prognostic factors have been studied. The mean age was 67.5 years and there was a marked female:male ratio of 8:1. A total of 32 (45.7%) Stage IE and 38 (54.3%) Stage IIE patients were identified. In 64 cases histological material was reviewed and classified employing the Kiel classification. All the tumors were of B cell lineage and the majority were follicle center cell type. A biopsy only was performed in 27 patients, lobectomy in 11 patients, subtotal thyroidectomy in 27 and macroscopic thyroidectomy in 5 patients. All patients were treated with radiotherapy. The overall 5-year survival was 42%, with 63% for Stage IE and 27% for Stage IIE. The corrected overall 5-year survival was 49% with 68% for Stage IE and 36% for Stage IIE. The corresponding overall relapse free survival was 42% with 60% for Stage IE, and 31% for Stage IIE. Factors of prognostic significance for relapse and survival were stage, radiotherapy dose, stridor, retrosternal extension and fixation.


Assuntos
Linfoma de Células B/radioterapia , Neoplasias da Glândula Tireoide/radioterapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Terapia Combinada , Inglaterra/epidemiologia , Feminino , Humanos , Linfoma de Células B/epidemiologia , Linfoma de Células B/cirurgia , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Taxa de Sobrevida , Neoplasias da Glândula Tireoide/epidemiologia , Neoplasias da Glândula Tireoide/cirurgia
14.
Am J Surg Pathol ; 23(5): 582-8, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10328091

RESUMO

We report a case of metastatic malignant melanoma in an inguinal lymph node, expressing ganglioneuroblastic differentiation. This was characterized by the presence of discrete nests and islands of large ganglion cells with abundant cytoplasm and eccentric nuclei with prominent nucleoli admixed with smaller primitive neuroblasts. The cells were separated by pale pink fibrillar material representing neuritic cell processes. These foci of ganglioneuroblastoma were seen over a background of an otherwise typical metastatic epithelioid, focally melanotic, malignant melanoma. Immunohistochemistry showed positivity for neurofilament, synaptophysin, chromogranin, vasoactive intestinal peptide, and glial fibrillary acidic protein in the areas with ganglioneuroblastic differentiation, but not in the melanocytic component. Conversely, HMB45 positivity was expressed by the melanocytic cells only. S-100 protein and Melan-A, a putative melanocytic marker, showed positivity in both melanocytic and ganglioneuroblastic components. Ultrastructurally, neuritic cell processes and dense core neurosecretory granules were identified in the ganglionic and neuroblastic cells. A subsequent nodal metastasis in the same region showed focal neuroblastic differentiation without the ganglionic element. No evidence of neuronal or ganglionic differentiation was seen in the primary skin melanoma.


Assuntos
Ganglioneuroblastoma/patologia , Melanoma/patologia , Neoplasias Cutâneas/patologia , Adulto , Feminino , Humanos , Imuno-Histoquímica , Metástase Linfática , Melanoma/secundário , Melanoma/cirurgia , Microscopia Eletrônica , Neoplasias Cutâneas/cirurgia
15.
Am J Surg Pathol ; 22(5): 615-9, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9591732

RESUMO

Inhibin is a peptide hormone produced by ovarian granulosa cells and testicular Sertoli cells. Ovarian granulosa cell and other sex cord-stromal tumors usually exhibit positive immunohistochemical staining with antiinhibin antibodies, and this may be valuable in differentiating these neoplasms from histologic mimics. In the present study, we investigated the immunohistochemical staining of testicular sex cord-stromal tumors using antiinhibin. Immunostaining with CAM5.2, vimentin, S-100 protein, desmin, epithelial membrane antigen (EMA), carcinoembryonic antigen (CEA), and placental alkaline phosphatase (PLAP) also was performed because few studies have investigated in detail the immunophenotype of testicular sex cord-stromal tumors. Fifteen of 16 Leydig cell tumors exhibited strong positive staining with antiinhibin. A proportion of Leydig cell tumors also stained positively with CAM5.2 (7 of 16), vimentin (14 of 16), S-100 protein (10 of 16), desmin (2 of 16) and epithelial membrane antigen (4 of 16). Four of six testicular sex cord-stromal tumors with varying degrees of Sertoli or granulosa cell differentiation were positive with antiinhibin, as were two of three sex cord-stromal tumors that were unclassified. Some of these tumors were positive with CAM 5.2, vimentin, S-100 protein, desmin, and epithelial membrane antigen. All tumors were negative with carcinoembryonic antigen and placental alkaline phosphatase. The immunohistochemical findings show that, analogous to their ovarian counterparts, most testicular sex cord-stromal tumors are immunoreactive with antiinhibin. Immunohistochemistry using this antibody as part of a panel may be valuable in confirming a diagnosis of testicular sex cord-stromal tumor and in differentiating these neoplasms from others that may mimic them.


Assuntos
Inibinas/análise , Tumores do Estroma Gonadal e dos Cordões Sexuais/química , Neoplasias Testiculares/química , Anticorpos Monoclonais , Biomarcadores Tumorais/análise , Humanos , Imuno-Histoquímica , Inibinas/imunologia , Tumor de Células de Leydig/química , Masculino , Tumor de Células de Sertoli/química
16.
Am J Surg Pathol ; 24(2): 285-94, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10680897

RESUMO

Deciduoid mesotheliomas are rare with only four previously reported cases, all affecting the peritoneum of young females. We describe another six cases (three men and three women; age range 52-65 yrs, median 55 yrs; five peritoneal and one pleural). Three patients had an occupational history of asbestos exposure. The deciduoid appearance predominated in four cases, whereas in two it represented a minor component within conventional tubulopapillary epithelioid mesothelioma. All tumors were strongly cytokeratin-positive (including CK5/6) and all showed at least focal staining for thrombomodulin, HBME-1, and calretinin. All were negative for epithelial mucin (D/PAS), CEA, BerEP4, LeuM1 (CD15), CD21, CD35, and S100 protein. Five of six cases (83%) were vimentin-positive and two (33%) were focally positive for alpha-smooth muscle actin. A differential diagnosis of gastrointestinal autonomic nerve tumor (GANT) had been initially considered from the morphology of one case, and we found positivity for some of the "neuronal" markers described in GANTs. This prompted us to apply such a panel to the other five tumors, accepting that the cytokeratin positivity encountered in all of our cases would exclude GANT. All cases of deciduoid mesothelioma (100%) were positive for PGP 9.5 and NSE and four of six (66%) were positive for NKI/C3. Weak focal staining (<5% cells) for synaptophysin was seen in two of six tumors. All cases were chromogranin-negative. All cases examined by electron microscopy showed desmosomes and smooth microvilli without rootlets but no neuroendocrine granules. In conclusion, a deciduoid morphology appears to be part of the histopathologic spectrum encountered in epithelioid mesothelioma. This variant is not confined to female patients and occurs over a wider age range than previously recognized. The overlapping immunophenotype with GANTs illustrates that caution should be exercised when interpreting positivity for "neuronal" markers in this context. An immunohistochemical panel that includes cytokeratins should always be used.


Assuntos
Decídua/patologia , Mesotelioma/patologia , Neoplasias Peritoneais/patologia , Neoplasias Pleurais/patologia , Idoso , Biomarcadores Tumorais/análise , Decídua/química , Feminino , Humanos , Técnicas Imunoenzimáticas , Masculino , Mesotelioma/química , Microvilosidades/ultraestrutura , Pessoa de Meia-Idade , Neoplasias Peritoneais/química , Neoplasias Pleurais/química
17.
Am J Surg Pathol ; 27(12): 1523-9, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14657711

RESUMO

Adenoid cystic/basal cell carcinoma (ACBCC) of the prostate has been considered to have indolent biologic potential. However, outcome data are scant, with only one documented metastasis and death. We describe clinicopathologic features of ACBCC in 19 patients and document outcome in 15. Patients ranged in age from 43 to 83 years. All but one presented with urinary obstruction. ACBCC was diagnosed by transurethral resection in 15 cases, by needle biopsy in 3 cases, and unexpected in 1 case. Four patients had concurrent acinar adenocarcinoma. Histologically, cribriform or adenoid cystic patterns predominated in 12 cases and basal cell carcinoma pattern in 7. Five cases had prominent perineural invasion. ACBCC was immunoreactive for p63 and cytokeratins 7 and 34 beta E12 but not cytokeratin 20. After diagnosis, 5 patients underwent radical prostatectomy, 2 underwent pelvic exenteration, and the rest had no treatment. ACBCC showed extraprostatic extension in 5 cases and involved the bladder margin in 3. Metastases developed in 4 (21%) patients: liver (2), lung (2), bowel (1), and corpus cavernosum (1). In 15 cases with follow-up (0.3-11.8 years), two patients died of cancer (at 1.5 and 3 years after diagnosis), 3 remain alive with cancer, and 10 have no evidence of cancer. Thus, ACBCC of the prostate is a potentially aggressive neoplasm requiring ablative therapy.


Assuntos
Carcinoma Adenoide Cístico/patologia , Carcinoma Basocelular/patologia , Neoplasias da Próstata/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma Adenoide Cístico/fisiopatologia , Carcinoma Adenoide Cístico/terapia , Carcinoma Basocelular/fisiopatologia , Carcinoma Basocelular/terapia , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Lesões Pré-Cancerosas/patologia , Neoplasias da Próstata/fisiopatologia , Neoplasias da Próstata/terapia , Estudos Retrospectivos , Resultado do Tratamento , Obstrução Uretral/etiologia
18.
Radiother Oncol ; 39(3): 223-7, 1996 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8783398

RESUMO

Prognostic factors predicting for breast recurrence following breast conserving surgery and radiotherapy have been identified in a prospective randomised trial comparing two different radiotherapy techniques. The first used megavoltage radiation to encompass the whole breast and regional nodes (WF group). The second used an electron field directed to the tumour bed only (LF group). With a median follow up of 8 years survival in both groups was the same (72%). There was an increased rate of breast recurrence in the LF group: 25%, compared to the WF group: 13% (P = 0.00008), expressed in actuarial terms at 8 years. In a multivariate analysis of factors predicting for breast recurrence, once the difference in treatment technique is allowed for, only two factors were found to be significant: histological grade (P = 0.013) and lymphovascular invasion in the histological specimen (P = 0.037).


Assuntos
Neoplasias da Mama/radioterapia , Recidiva Local de Neoplasia , Neoplasias da Mama/patologia , Neoplasias da Mama/cirurgia , Feminino , Humanos , Incidência , Mastectomia Segmentar , Pessoa de Meia-Idade , Análise Multivariada , Recidiva Local de Neoplasia/epidemiologia , Prognóstico , Estudos Prospectivos , Dosagem Radioterapêutica , Radioterapia Adjuvante , Radioterapia de Alta Energia/métodos , Taxa de Sobrevida
19.
J Clin Pathol ; 49(3): 205-7, 1996 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8675729

RESUMO

AIMS: To investigate the immunoreactivity of a range of melanocytic lesions, both benign and malignant, with the monoclonal antibody VS38. This was recently described as a marker of reactive/neoplastic plasma cells and, therefore, is useful in the diagnosis of plasmacytoma/myeloma and lymphomas with plasmacytic differentiation. This study was prompted by the recent observation that a plasmacytoid melanoma arising in the nasal cavity was strongly immunoreactive with VS38, which was therefore a potential source of major diagnostic error. METHODS: The Streptavidin-peroxidase complex technique was used on paraffin wax embedded sections of 167 melanocytic lesions. Diaminobenzidine (DAB) was used as chromogen for non-pigmented or lightly pigmented lesions and nickel/DAB for more heavily pigmented lesions. RESULTS: Positive immunostaining for VS38 was seen in 14.5% (10/69) of benign naevi (including 40% (four of 10) of Spitz naevi), 10.5% (two of 19) of dysplastic naevi/in situ melanomas, 92% (35/38) of primary cutaneous melanomas, 100% (four of four) of primary mucosal melanomas, 91.7% (33/36) of recurrent/metastatic melanomas, and 100% (one of one) of clear cell sarcomas of soft tissues. CONCLUSIONS: VS38 immunostaining is frequently positive in primary and recurrent/metastatic malignant melanoma and is also reactive less commonly with benign naevi. These results should be borne in mind when this recently described marker of normal/neoplastic plasma cells is used to identify tumour lineage, particularly in tumours arising at unusual sites, such as in the nasal cavity. The possibility of malignant melanoma should be actively considered and excluded in any undifferentiated tumour which shows VS38 immunoreactivity.


Assuntos
Anticorpos Monoclonais , Biomarcadores Tumorais/análise , Melanoma/patologia , Nevo/patologia , Plasmocitoma/patologia , Neoplasias Cutâneas/patologia , Idoso , Criança , Diagnóstico Diferencial , Humanos , Imuno-Histoquímica , Masculino , Melanoma/química , Pessoa de Meia-Idade , Cavidade Nasal , Neoplasias Nasais/patologia , Plasmocitoma/química , Neoplasias Cutâneas/química
20.
J Clin Pathol ; 45(9): 806-11, 1992 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1401213

RESUMO

AIMS: To study the pathological features of fungal infections affecting the lower intestinal tract (duodenum, small and large bowels). METHODS: Between mid-1981 and mid-1991, 14 cases of deep mycotic infections affecting the lower intestinal tract were found among 890 consecutive necropsies on patients with malignant disease treated in a regional cancer centre (incidence 1.6%). These 14 cases accounted for 54% of all gastrointestinal fungal infection detected. The relevant clinical, necropsy, histological and microbiological data were reviewed. RESULTS: Candida spp and Aspergillus spp accounted for all infections. The macroscopic appearances included ulcers of varying configuration, mucosal flecks, sloughed mucous membranes, polypoid masses and segmental lesions. Either organism could produce this range of lesions, but Candida tended to have a mucosal location and Aspergillus was associated with transmural invasion. Combined infections showed Candida in the surface mucosa and Aspergillus hyphae in submucosal vessels with spread into the bowel wall in a radiating pattern. During the final illness, gastrointestinal symptoms and signs were often slight and microbiological investigations were unhelpful. CONCLUSIONS: Variable gross appearances are relevant for endoscopists, particularly lesions which resemble pseudomembranous colitis. Endoscopic biopsy specimens may have a role in antemortem diagnosis. Failure to diagnose these infections during life emphasises the importance of necropsy in the clinicopathological audit of deaths in this group of patients.


Assuntos
Aspergilose/patologia , Candidíase/patologia , Duodenopatias/patologia , Enteropatias/patologia , Intestino Grosso/patologia , Intestino Delgado/patologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
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