The prognostic significance of E-cadherin expression in laryngeal squamous-cell carcinoma: a systematic review.

The aim of this study was to systematically review publications that investigated the prognostic role of E-cadherin immunostaining in patients affected by laryngeal squamous cell carcinoma. An appropriate string was run on PubMed to retrieve articles dealing with this topic. A double cross-check was performed on citations and full-text articles by two authors independently to analyse all manuscripts and perform a comprehensive quality assessment. Among 89 abstracts identified, 13 articles were included. These studies reported on 1,121 patients with histologically confirmed diagnosis of laryngeal squamous cell carcinoma. Overall, there were 10 studies that showed a significant correlation between E-cadherin immunohistochemical expression and at least one of the clinical and histopathological parameters considered by the authors. In particular E-cadherin expression was significantly associated with N stage (five studies), grading (four studies) and disease-free survival/disease-specific survival (six studies). In conclusion, the findings of our review appear similar to the results published by other authors on the putative role of E-cadherin in progression of malignancy. In fact, for laryngeal squamous cell carcinoma it seems that lower levels of E-cadherin correlate with increased tumoural aggressiveness and worse prognosis. Nevertheless, further high-quality prospective studies should be carried out to clarify if E-cadherin expression may be considered as an independent prognostic factor for patients affected by laryngeal cancer.

Voluminous laryngeal schwannoma excision with a mini-invasive external approach: a case report.

Laryngeal schwannomas are extremely uncommon. We present a case of bulky supraglottic schwannoma with involvement of the preepiglottic and superior paraglottic spaces. Clinical findings, computed tomography and magnetic resonance images are presented. These characteristics are typical, however not specific to schwannomas. For definitive diagnosis, histology and immunohistochemistry are necessary. We present an external mini-invasive approach that allowed us to both obtain diagnosis and provide definitive treatment for this kind of voluminous laryngeal tumour.

Lung abscess in a child secondary to Mycoplasma pneumoniae infection.

We present a case of a lung abscess in a child 6-year-old admitted with a history of right hemithorax pain lasting for 15 days and the onset of mild fever in the last two days. Etiological research showed positivity of IgM antibodies to Mycoplasma pneumoniae after seven days of admission. The child has been successfully treated with antibiotic therapy, without the use of macrolides, for a duration of 4 weeks. Our study suggests that the Mycoplasma pneumoniae infection may predispose to severe infections, such as lung abscess, caused by typical respiratory pathogens. The reported case of lung abscess is one of the few reported in the literature in the modern antibiotic era and is the first preceded by Mycoplasma pneumoniae infection.

Relationships among morphology, clinging performance and habitat use in Liolaemini lizards.

The central tenet of ecomorphological theory holds that different ecological requirements lead to different organismal designs (morphology). Here, we studied the relationships between performance (interlocking grasping) and forelimb morphological traits in species of lizards that exploit different structural habitats in a phylogenetic context. The performance (measured by the maximum force of clinging to substrate) was measured on different substrate types. After phylogenetically informed analyses, we found that arboreal and saxicolous species showed stronger resistance to mechanical traction in all substrates when compared to generalists and sand dweller lizards. These species showed a positive relationship between forelimb dimensions (humerus length and length of claw of toe 5) and maximum force exerted, on the contrary, hand width, claw height (CH) of digits III and IV and claw length of toe 4 showed a negative relationship. In addition, we observed a partial positive correlation between CH and maximal cling force on rough surfaces, but not on smooth surfaces.

The interplay between claw morphology and microhabitat use in neotropical iguanian lizards.

Traditionally, it has been suggested that variation in locomotor mode should be correlated with variation in the anatomy of the structures responsible for locomotion. Indeed, organisms can expand their ecological niche by using specialized traits of the locomotor system including hooks, claws, adhesive pads, etc. Despite the fact that claws are the most common biological mechanism of clinging in vertebrates, little is known about their function or evolutionary relationship to habitat use. The present study focuses on claw morphology in 57 species of iguanian lizards occupying different microhabitats. Qualitative differences in claw shape were explored by means of digital photographs, and quantitative measurements of the length, height and curvature of the claws of both fingers and toes were taken and correlated to information on microhabitat use obtained from the literature. Our analyses showed a strong phylogenetic component that obscured relationships between morphology and ecology. Our results also show differences in claw morphology between species that appear to be related to microhabitat use (climbing versus terrestrial species), with the best ecological descriptors being claw length and height. Performance measures and biomechanical analyses of claw function may consequently be better suited to explain the evolution of claw shape in relation to habitat use in this group.

[Obstructive syndrome caused by trichobezoars: historical disease or disease still current? Description of a case in adolescence]. / Sindrome ostruttiva da tricobezoari: malattia storica o patologia ancora attuale? Descrizione di un caso in adolescente.

Trichobezoars are masses of entangled material, found in the stomach and intestines, composed of hair ingested by the patient. When the mass grows, symptoms of intestinal occlusion can appear. Trichobezoars in pediatrics are usually found in adolescent females presenting personality disorders and trichophagia. This work describes a case of trichobezoar diagnosed in a 13 year-old girl, wearing a brace for serious scoliosis but absolutely normal from the emotional and psychical point of view, with normal scholastic and familiar situation. Already hospitalized three months before for pneumonia from mycoplasma, the girl comes to our observation for the appearance of vomiting and constipation. The clinical examination reveal an epigastric mass as big as an orange. General conditions and hematochemical tests are good. Lab tests are performed (abdomen echography and upper abdomen MNR) but is the oesophago-gastroscopy which allows the diagnosis. A big trichobezoar is then surgically removed and the gastroenteric symptoms completely disappear.

Tc-99m MAG3 renography in renal vein thrombosis secondary to Finnish-type congenital nephrotic syndrome.

Scintigraphic findings in renal vein thrombosis (RVT) have been well described on studies performed with Tc-99m DPTA, Tc-99m glucoheptonate, and I-131 orthoiodohippurate. The authors could find no reports of RVT findings on Tc-99m mercaptoacetyltriglycine (MAG3) imaging. Tc-99m MAG3 renal scintigraphy in an infant with RVT because of Finnish-type congenital nephrotic syndrome is described. Correlative ultrasound and inferior vena cava venogram findings are presented.