Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 25
Filtrar
Más filtros

Banco de datos
País/Región como asunto
Tipo del documento
Intervalo de año de publicación
1.
Anal Chem ; 95(47): 17273-17283, 2023 Nov 28.
Artículo en Inglés | MEDLINE | ID: mdl-37955847

RESUMEN

Graph neural networks (GNNs) have shown remarkable performance in predicting the retention time (RT) for small molecules. However, the training data set for a particular target chromatographic system tends to exhibit scarcity, which poses a challenge because the experimental process for measuring RT is costly. To address this challenge, transfer learning has been used to leverage an abundant training data set from a related source task. In this study, we present an improved transfer learning method to better predict the RT of molecules for a target chromatographic system by learning from a small training data set with a pretrained GNN. We use a graph isomorphism network as the architecture of the GNN. The GNN is pretrained on the METLIN-SMRT data set and is then fine-tuned on the target training data set for a fixed number of training iterations using the limited-memory Broyden-Fletcher-Goldfarb-Shanno optimizer with a learning rate decay. We demonstrate that the proposed method achieves superior predictive performance on various chromatographic systems compared with that of the existing transfer learning methods, especially when only a small training data set is available for use. A potential avenue for future research is to leverage multiple small training data sets from different chromatographic systems to further enhance the generalization performance.

2.
J Chem Inf Model ; 62(23): 5952-5960, 2022 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-36413480

RESUMEN

In synthesis planning, it is important to determine suitable reaction conditions such that a chemical reaction proceeds as intended. Recent research attempts based on machine learning have proven to be effective in recommending reaction elements for specific categories regarding critical chemical context and operating conditions. However, existing methods can only make a single prediction per reaction and do not directly provide a complete specification of the reaction elements as the prediction. Therefore, their achievable performance is limited. In this study, we propose a generative modeling approach to predict multiple different reaction conditions for a chemical reaction, each of which fully specifies critical reaction elements such that these elements can be directly used as a feasible reaction condition. We formulate the problem of predicting reaction conditions as sampling from a generative distribution. We model the distribution by introducing a variational autoencoder augmented with a graph neural network and learn it from a reaction dataset. For a query reaction, multiple predictions can be obtained by repeated sampling from the distribution. Through experimental investigation on the reaction datasets of four major types of cross-coupling reactions, we demonstrate that the proposed method significantly outperforms existing methods in retrieving ground-truth reaction conditions.


Asunto(s)
Aprendizaje Automático , Redes Neurales de la Computación
3.
Phys Chem Chem Phys ; 24(43): 26870-26878, 2022 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-36317530

RESUMEN

Graph neural networks (GNNs) have been proven effective in the fast and accurate prediction of nuclear magnetic resonance (NMR) chemical shifts of a molecule. Existing methods, despite their effectiveness, suffer from high space complexity and are therefore limited to relatively small molecules. In this work, we propose a scalable GNN for NMR chemical shift prediction. To reduce the space complexity, we sparsify the graph representation of a molecule by regarding only heavy atoms as nodes and their chemical bonds as edges. To better learn from the sparsified graph representation, we improve the message passing and readout functions in the GNN. For the message passing function, we adapt the attention mechanism and residual connection to better capture local information around each node. For the readout function, we use both node-level and graph-level embeddings as the local and global information to better predict node-level chemical shifts. Through the experimental investigation using 13C and 1H NMR datasets, we demonstrate that the proposed method yields higher prediction accuracy and is more scalable to large molecules having many heavy atoms.


Asunto(s)
Imagen por Resonancia Magnética , Redes Neurales de la Computación , Espectroscopía de Resonancia Magnética
4.
Int J Urol ; 29(9): 1002-1009, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35613922

RESUMEN

OBJECTIVES: To report the perioperative outcomes of robot-assisted radical cystectomy and elucidate their risk factors. METHODS: A review of the Asian Robot-Assisted Radical Cystectomy Consortium database from 2007 to 2020 was performed. The perioperative outcomes studied included complication rates, time to solid food intake, estimated blood loss, length of hospital stay, and 30-day readmission rates. RESULTS: Of 568 patients, the overall complication rate was 49.2%, comprising major complications in 15.6%. Preoperative hydronephrosis was associated with an increased risk of major complications (odds ratio 3.27, 95% confidence interval 1.48-7.26, P = 0.004) while neoadjuvant chemotherapy was protective (odds ratio 0.46, 95% confidence interval 0.25-0.84, P = 0.012). The median time to solid food intake was 4 days (interquartile range 3-7) and smoking was a risk factor (odds ratio 4.28, 95% confidence interval 2.36-7.79, P < 0.001) for prolonged time to solid food intake. Median length of hospital stay was 13 days (interquartile range 9-19), and diabetes mellitus (odds ratio 1.66, 95% confidence interval 1.08-2.56, P = 0.021), neoadjuvant chemotherapy (odds ratio 2.21, 95% confidence interval 1.46-3.33, P < 0.001), and orthotopic bladder substitute creation (odds ratio 2.82, 95% confidence interval 1.90-4.18, P < 0.001) were independent risk factors for prolonged length of hospital stay. The 30-day readmission rate was 23.4% and higher in those with bilateral hydronephrosis (odds ratio 4.58, 95% confidence interval 1.97-10.65, P < 0.001) and orthotopic bladder substitute creation (odds ratio 1.87, 95% confidence interval 1.16-3.02, P = 0.010). CONCLUSIONS: There are preoperative conditions which are significant risk factors for adverse perioperative outcomes in robot-assisted radical cystectomy. Most are potentially modifiable and can direct strategies to reduce surgical morbidity related to this major oncological procedure.


Asunto(s)
Hidronefrosis , Procedimientos Quirúrgicos Robotizados , Robótica , Neoplasias de la Vejiga Urinaria , Cistectomía/efectos adversos , Cistectomía/métodos , Humanos , Hidronefrosis/etiología , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/cirugía , Estudios Retrospectivos , Procedimientos Quirúrgicos Robotizados/efectos adversos , Procedimientos Quirúrgicos Robotizados/métodos , Resultado del Tratamiento , Vejiga Urinaria/cirugía , Neoplasias de la Vejiga Urinaria/complicaciones
5.
Ann Surg Oncol ; 28(13): 9209-9215, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34152523

RESUMEN

PURPOSE: This study was designed to investigate and compare the perioperative outcomes of intracorporeal urinary diversion (ICUD) versus extracorporeal urinary diversion (ECUD) following robotic-assisted radical cystectomy (RARC) in patients with localized bladder cancer from the Asian Robot-Assisted Radical Cystectomy (RARC) Consortium. METHODS: The Asian RARC registry was a multicenter registry involving nine centers in Asia. Consecutive patients who underwent RARC were included. Patient and disease characteristics, intraoperative details, and perioperative outcomes were reviewed and compared between the ICUD and ECUD groups. Postoperative complications were the primary outcomes, whereas secondary outcomes were the estimated blood loss and the duration of hospitalization. Multivariate regression analyses were performed to adjust potential confounders. RESULTS: From 2007 to 2020, 556 patients underwent RARC; 55.2% and 44.8% had ICUD and ECUD, respectively. ICUD group had less estimated blood loss (423.1 ± 361.1 vs. 541.3 ± 474.3 mL, p = 0.002) and a shorter hospital stay (15.7 ± 12.3 vs 17.8 ± 11.6 days, p = 0.042) than the ECUD group. Overall complication rates were similar between the two groups. Upon multivariate analysis, ICUD was associated with less estimated blood loss (Regression coefficient: - 143.06, 95% confidence interval [CI]: - 229.60 to - 56.52, p = 0.001) and a shorter hospital stay (Regression coefficient: - 2.37, 95% CI: - 4.69 to - 0.05, p = 0.046). In addition, ICUD was not associated with any increased risks of minor, major, and overall complications. CONCLUSIONS: RARC with ICUD was safe and technically feasible with similar postoperative complication rates as ECUD, with additional benefits of reduced blood loss and a shorter hospitalization.


Asunto(s)
Procedimientos Quirúrgicos Robotizados , Robótica , Neoplasias de la Vejiga Urinaria , Derivación Urinaria , Cistectomía , Humanos , Complicaciones Posoperatorias/etiología , Procedimientos Quirúrgicos Robotizados/efectos adversos , Resultado del Tratamiento , Neoplasias de la Vejiga Urinaria/cirugía
6.
J Chem Inf Model ; 60(8): 3765-3769, 2020 08 24.
Artículo en Inglés | MEDLINE | ID: mdl-32692561

RESUMEN

Recently, machine learning has been successfully applied to the prediction of nuclear magnetic resonance (NMR) chemical shifts. To build a prediction model, the existing methods require a training data set that comprises molecules whose NMR-active atoms are annotated with their chemical shifts. However, the laborious task of atomic-level annotation must be manually conducted by chemists. Thus, it becomes difficult to perform large-scale annotation. To address this issue, we propose a weakly supervised learning method to enable the predictive modeling of NMR chemical shifts without requiring explicit atomic-level annotations in the training data set. For the training data set, the proposed method only requires the annotation of chemical shifts at the molecular level. As a prediction model, we build a message passing neural network (MPNN) that predicts the chemical shifts of individual NMR-active atoms in a molecule. Using a loss function that is invariant to the permutation of atoms in a molecule, the model is trained in a weakly supervised manner to minimize the molecular-level difference between a set of predicted chemical shifts and the corresponding set of actual chemical shifts across the training data set. Accordingly, during the training, the chemical shifts predicted by the model are approximately aligned with the actual chemical shifts in a data-driven fashion. The proposed method performs comparably to the existing fully supervised methods in terms of predicting the chemical shifts of 1H and 13C NMR spectra for small molecules.


Asunto(s)
Imagen por Resonancia Magnética , Redes Neurales de la Computación , Espectroscopía de Resonancia Magnética
7.
J Chem Inf Model ; 60(4): 2024-2030, 2020 04 27.
Artículo en Inglés | MEDLINE | ID: mdl-32250618

RESUMEN

Fast and accurate prediction of NMR spectra enables automatic structure validation and elucidation of molecules on a large scale. In this Article, we propose an improved method of learning from an NMR database to predict the chemical shifts of NMR-active atoms of a new molecule. For this purpose, we use a message passing neural network that operates on the graph representation of a molecule. The compactness and informativeness of the graph representation are enhanced by treating hydrogen atoms implicitly and incorporating various node and edge features. Experimental investigation demonstrates that the proposed method achieves higher prediction performance for the chemical shifts in the 1H NMR and 13C NMR spectra of small molecules. We apply this method to determine the correct molecular structure for a new NMR spectrum by searching from a set of candidate molecules.


Asunto(s)
Imagen por Resonancia Magnética , Redes Neurales de la Computación , Bases de Datos Factuales , Espectroscopía de Resonancia Magnética , Estructura Molecular
8.
J Chem Inf Model ; 59(1): 43-52, 2019 01 28.
Artículo en Inglés | MEDLINE | ID: mdl-30016587

RESUMEN

Although machine learning has been successfully used to propose novel molecules that satisfy desired properties, it is still challenging to explore a large chemical space efficiently. In this paper, we present a conditional molecular design method that facilitates generating new molecules with desired properties. The proposed model, which simultaneously performs both property prediction and molecule generation, is built as a semisupervised variational autoencoder trained on a set of existing molecules with only a partial annotation. We generate new molecules with desired properties by sampling from the generative distribution estimated by the model. We demonstrate the effectiveness of the proposed model by evaluating it on drug-like molecules. The model improves the performance of property prediction by exploiting unlabeled molecules and efficiently generates novel molecules fulfilling various target conditions.


Asunto(s)
Diseño de Fármacos , Aprendizaje Automático , Modelos Moleculares , Simulación por Computador
9.
BMC Urol ; 17(1): 44, 2017 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-28619091

RESUMEN

BACKGROUND: The aim of this study was to evaluate the role of flexible cystoscopy in preventing malpositioning of the ureteral stent after laparoscopic ureterolithotomy in male patients. METHODS: From April 2009 to June 2015, 97 male patients with stones >1.8 cm in the upper ureter underwent intracorporeal double-J stenting of the ureter after laparoscopic ureterolithotomy performed by four different surgeons. In the last 50 patients who underwent laparoscopic ureterolithotomy flexible cystoscopy was performed through the urethral route to confirm the position of the double-J stent, while in the first 47 correct positioning of the stent was confirmed through postoperative KUB. The demographic data and perioperative outcomes were reviewed retrospectively. Penalized logistic regression analysis was used to evaluate the effects of flexible cystoscopy. RESULTS: Upward malpositioning of the ureteral stent was found in 9 of the 47 (19.1%) patients who underwent surgery without flexible cystoscopy. Among the 50 most recent patients who underwent surgery with flexible cystoscopy through the urethral route, upward malpositioning was observed in 10 (20%) patients. The factors preventing upward malpositioning of the double-J catheter in multivariate analysis were surgeon (p = 0.039) and use of flexible cystoscopy (p = 0.008). CONCLUSION: Flexible cystoscopy is a simple, safe, quick, and effective method to identify and correct malpositioning of double-J stents, especially in male patients. TRIAL REGISTRATION: This study was registered with ClinicalTrials.gov Registry on May 11, 2017 (retrospective registration) with a trial registration number of NCT03150446 .


Asunto(s)
Cistoscopía/métodos , Hidronefrosis/cirugía , Laparoscopía/métodos , Stents , Ureteroscopía/métodos , Cálculos Urinarios/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Cistoscopía/instrumentación , Humanos , Hidronefrosis/diagnóstico por imagen , Complicaciones Intraoperatorias/diagnóstico por imagen , Complicaciones Intraoperatorias/prevención & control , Laparoscopía/instrumentación , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Ureteroscopía/instrumentación , Cálculos Urinarios/diagnóstico por imagen , Adulto Joven
10.
J Cheminform ; 16(1): 25, 2024 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-38429787

RESUMEN

Graph neural networks (GNNs) have proven to be effective in the prediction of chemical reaction yields. However, their performance tends to deteriorate when they are trained using an insufficient training dataset in terms of quantity or diversity. A promising solution to alleviate this issue is to pre-train a GNN on a large-scale molecular database. In this study, we investigate the effectiveness of GNN pre-training in chemical reaction yield prediction. We present a novel GNN pre-training method for performance improvement.Given a molecular database consisting of a large number of molecules, we calculate molecular descriptors for each molecule and reduce the dimensionality of these descriptors by applying principal component analysis. We define a pre-text task by assigning a vector of principal component scores as the pseudo-label to each molecule in the database. A GNN is then pre-trained to perform the pre-text task of predicting the pseudo-label for the input molecule. For chemical reaction yield prediction, a prediction model is initialized using the pre-trained GNN and then fine-tuned with the training dataset containing chemical reactions and their yields. We demonstrate the effectiveness of the proposed method through experimental evaluation on benchmark datasets.

11.
Sci Rep ; 14(1): 5953, 2024 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-38467736

RESUMEN

Removal of volatile organic compounds (VOCs) from the air has been an important issue in many industrial fields. Traditionally, the operation of VOCs removal systems has relied on fixed operating conditions determined by domain experts based on their expertise and intuition. In practice, this manual operation cannot respond immediately to changes in the system environment. To facilitate the autonomous operation of the system, the operating conditions should be optimized properly in real time to adapt to the changes in the system environment. Recently, optimization frameworks have been widely applied to real-world industrial systems across various domains using different approaches. The primary motivation for this study is the effective implementation of an optimization framework targeting a VOCs removal system. In this paper, we present a data-driven autonomous operation method for optimizing the operating conditions of a VOCs removal system to enhance the overall performance. An optimization problem is formulated with the decision variables denoting the parameters associated with the operating condition, the environmental variables representing the measurements for the system environment, the constraints specifying the control ranges of the parameters, and the objective function representing the system performance as determined by the operating conditions and environment. Using the previous operation data from the system, a neural network is trained to model the system performance as a function of the decision and environmental variables to approximate the objective function. For the current state of the system environment, the optimal operating condition is derived by solving the optimization problem. A case study of a targeted VOCs removal system demonstrates that the proposed method effectively optimizes the operating conditions for improved system performance without intervention from domain experts.

12.
Heliyon ; 10(17): e36472, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-39296098

RESUMEN

In the food industry, meeting food quality demands is challenging. The quality of wheat flour, one of the most commonly used ingredients, depends on the extent of debranning done to remove the aleurone layer before milling. Therefore, the end product management can be simplified by predicting the properties of wheat flour during the debranning stage. Therefore, the chemical and rheological properties of grains were analyzed at different debranning durations (0, 30, 60 s). Then the images of wheat grain were taken to develop a regression model for predicting the chemical quality (i.e., ash, starch, fat, and protein contents) of the wheat flour. The resulting regression model comprises a convolutional neural network and is evaluated using the coefficient of determination (R 2), root-mean-square error, and mean absolute error as metrics. The results demonstrated that wheat flour contained more fat and protein and less ash with increasing debranning time. The model proved reliable in terms of root-mean-square error, mean absolute error, and R 2 for predicting ash content but not starch, fat, or protein contents, which can be attributed to the lack of features in the collected images of wheat kernels during debranning. In addition, the selected method, debranning, was beneficial to the rheological characteristics of wheat flour. The proportion of fine particles increased with the debranning time. The study experimentally revealed that the end product diversity for wheat flour can be controlled to provide selectable ingredients to customers.

13.
J Cheminform ; 14(1): 2, 2022 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-35012654

RESUMEN

In this paper, we present a data-driven method for the uncertainty-aware prediction of chemical reaction yields. The reactants and products in a chemical reaction are represented as a set of molecular graphs. The predictive distribution of the yield is modeled as a graph neural network that directly processes a set of graphs with permutation invariance. Uncertainty-aware learning and inference are applied to the model to make accurate predictions and to evaluate their uncertainty. We demonstrate the effectiveness of the proposed method on benchmark datasets with various settings. Compared to the existing methods, the proposed method improves the prediction and uncertainty quantification performance in most settings.

14.
Sci Rep ; 11(1): 17304, 2021 08 27.
Artículo en Inglés | MEDLINE | ID: mdl-34453086

RESUMEN

Evolutionary design has gained significant attention as a useful tool to accelerate the design process by automatically modifying molecular structures to obtain molecules with the target properties. However, its methodology presents a practical challenge-devising a way in which to rapidly evolve molecules while maintaining their chemical validity. In this study, we address this limitation by developing an evolutionary design method. The method employs deep learning models to extract the inherent knowledge from a database of materials and is used to effectively guide the evolutionary design. In the proposed method, the Morgan fingerprint vectors of seed molecules are evolved using the techniques of mutation and crossover within the genetic algorithm. Then, a recurrent neural network is used to reconstruct the final fingerprints into actual molecular structures while maintaining their chemical validity. The use of deep neural network models to predict the properties of these molecules enabled more versatile and efficient molecular evaluations to be conducted by using the proposed method repeatedly. Four design tasks were performed to modify the light-absorbing wavelengths of organic molecules from the PubChem library.

15.
Sci Rep ; 11(1): 20998, 2021 Oct 25.
Artículo en Inglés | MEDLINE | ID: mdl-34697368

RESUMEN

Inferring molecular structures from experimentally measured nuclear magnetic resonance (NMR) spectra is an important task in many chemistry applications. Herein, we present a novel method implementing an automated molecular search by NMR spectrum. Given a query spectrum and a pool of candidate molecules, the matching score of each candidate molecule with respect to the query spectrum is evaluated by introducing a molecule-to-spectrum estimation procedure. The candidate molecule with the highest matching score is selected. This procedure does not require any prior knowledge of the corresponding molecular structure nor laborious manual efforts by chemists. We demonstrate the effectiveness of the proposed method on molecular search using 13C NMR spectra.

16.
J Cheminform ; 12(1): 58, 2020 Sep 23.
Artículo en Inglés | MEDLINE | ID: mdl-33431050

RESUMEN

Recently, deep learning has been successfully applied to molecular graph generation. Nevertheless, mitigating the computational complexity, which increases with the number of nodes in a graph, has been a major challenge. This has hindered the application of deep learning-based molecular graph generation to large molecules with many heavy atoms. In this study, we present a molecular graph compression method to alleviate the complexity while maintaining the capability of generating chemically valid and diverse molecular graphs. We designate six small substructural patterns that are prevalent between two atoms in real-world molecules. These relevant substructures in a molecular graph are then converted to edges by regarding them as additional edge features along with the bond types. This reduces the number of nodes significantly without any information loss. Consequently, a generative model can be constructed in a more efficient and scalable manner with large molecules on a compressed graph representation. We demonstrate the effectiveness of the proposed method for molecules with up to 88 heavy atoms using the GuacaMol benchmark.

17.
Sci Rep ; 9(1): 20381, 2019 12 31.
Artículo en Inglés | MEDLINE | ID: mdl-31892716

RESUMEN

A molecule's geometry, also known as conformation, is one of a molecule's most important properties, determining the reactions it participates in, the bonds it forms, and the interactions it has with other molecules. Conventional conformation generation methods minimize hand-designed molecular force field energy functions that are often not well correlated with the true energy function of a molecule observed in nature. They generate geometrically diverse sets of conformations, some of which are very similar to the lowest-energy conformations and others of which are very different. In this paper, we propose a conditional deep generative graph neural network that learns an energy function by directly learning to generate molecular conformations that are energetically favorable and more likely to be observed experimentally in data-driven manner. On three large-scale datasets containing small molecules, we show that our method generates a set of conformations that on average is far more likely to be close to the corresponding reference conformations than are those obtained from conventional force field methods. Our method maintains geometrical diversity by generating conformations that are not too similar to each other, and is also computationally faster. We also show that our method can be used to provide initial coordinates for conventional force field methods. On one of the evaluated datasets we show that this combination allows us to combine the best of both methods, yielding generated conformations that are on average close to reference conformations with some very similar to reference conformations.

18.
J Cheminform ; 11(1): 70, 2019 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-33430985

RESUMEN

With the advancements in deep learning, deep generative models combined with graph neural networks have been successfully employed for data-driven molecular graph generation. Early methods based on the non-autoregressive approach have been effective in generating molecular graphs quickly and efficiently but have suffered from low performance. In this paper, we present an improved learning method involving a graph variational autoencoder for efficient molecular graph generation in a non-autoregressive manner. We introduce three additional learning objectives and incorporate them into the training of the model: approximate graph matching, reinforcement learning, and auxiliary property prediction. We demonstrate the effectiveness of the proposed method by evaluating it for molecular graph generation tasks using QM9 and ZINC datasets. The model generates molecular graphs with high chemical validity and diversity compared with existing non-autoregressive methods. It can also conditionally generate molecular graphs satisfying various target conditions.

19.
Artif Intell Med ; 85: 1-6, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-29482961

RESUMEN

Patients with type 2 diabetes mellitus are generally under continuous long-term medical treatment based on anti-diabetic drugs to achieve the desired glucose level. Thus, each patient is associated with a sequence of multiple records for prescriptions and their efficacies. Sequential dependencies are embedded in these records as personal factors so that previous records affect the efficacy of the current prescription for each patient. In this study, we present a patient-level sequential modeling approach utilizing the sequential dependencies to render a personalized prediction of the prescription efficacy. The prediction models are implemented using recurrent neural networks that use the sequence of all the previous records as inputs to predict the prescription efficacy at the time the current prescription is provided for each patient. Through this approach, each patient's historical records are effectively incorporated into the prediction. The experimental results of both the regression and classification analyses on real-world data demonstrate improved prediction accuracy, particularly for those patients having multiple previous records.


Asunto(s)
Glucemia/efectos de los fármacos , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Registros Electrónicos de Salud , Hipoglucemiantes/uso terapéutico , Redes Neurales de la Computación , Biomarcadores/sangre , Glucemia/metabolismo , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/diagnóstico , Prescripciones de Medicamentos , Hemoglobina Glucada/metabolismo , Humanos , Factores de Tiempo , Resultado del Tratamiento
20.
Asian J Androl ; 9(2): 275-9, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17334596

RESUMEN

We describe an unusual case of extragastrointestinal stromal tumor (EGIST) presenting as a scrotal mass. A 71-year-old man presented with a gradually enlarging scrotal mass with a 20-year duration. Physical examination revealed a huge (as large as volleyball), round, nontender mass occupying the whole scrotum, which was resected completely. Clinical and radiological findings did not comply with any other primary site disease. Under histological examination, the tumor showed a spindle cell pattern with low cellularity, absence of necrotic and mitotic features. immunohistochemical analysis revealed the tumor reactive for CD117 and CD34, while negative for smooth muscle actin, desmin and S-100 protein. To our knowledge, this is the first reported case of an EGIST involving the scrotum.


Asunto(s)
Escroto/patología , Tumores de los Cordones Sexuales y Estroma de las Gónadas/patología , Anciano , Antígenos CD34/análisis , Tumores del Estroma Gastrointestinal/diagnóstico , Humanos , Inmunohistoquímica , Masculino , Proteínas Proto-Oncogénicas c-kit/análisis , Tumores de los Cordones Sexuales y Estroma de las Gónadas/química
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA