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Unselected Series (unselected + series)

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Medical Sciences	100%

Selected Abstracts

Histopathology of Pleomorphic Adenoma in the Parotid Gland: A Prospective Unselected Series of 100 Cases,

THE LARYNGOSCOPE, Issue 12 2001
Eberhard Stennert MD
Abstract Objectives/Hypothesis Histopathological characteristics of pleomorphic adenomas, especially of capsular alterations such as thin capsule areas, capsule-free regions, capsule penetration, satellite nodules, and pseudopodia in the different subtypes, are described. Study Design Prospective unselected series of 100 consecutive cases from 1997 to 2000. Methods Light microscopic examination and semiquantitative analysis of the pleomorphic adenomas. Results Fifty-one (51%) pleomorphic adenomas were classified as myxoid (stroma-rich) type, 35 (35%) specimens as cellular type, and 14 (14%) as classic subtype. Ninety-seven percent of all tumors showed areas with thin (<20 ,m) capsule independent of the tumor subtype. Tumors of myxoid subtype showed the absolute greatest regions of a thin capsule. Especially, tumors of myxoid type (71%) often had a distinct focal absence of encapsulation with tumor merging into normal parotid gland tissue; 11% of the cellular subtype and 43% of the classic subtype presented capsule-free areas. Thirty-three percent of the myxoid pleomorphic adenomas, 23% of the cellular subtype, and 21% of the classic subtype had satellite nodules or pseudopodia. Conclusions Almost all pleomorphic adenomas have focally thin capsules. One-fourth of all pleomorphic adenomas contain abnormalities such as satellite nodules or pseudopodia. More than two-thirds of pleomorphic adenomas of the myxoid (stroma-rich) subtype and at least half of all tumors show a focal absence of the capsule. Therefore, enucleation or local dissection of the pleomorphic adenoma is not a sufficient surgical treatment of this special tumor entity. We recommend, depending on the location of the tumor, a lateral or total parotidectomy as the treatment of choice. [source]

Mutations of the PTPN11 gene in therapy-related MDS and AML with rare balanced chromosome translocations

GENES, CHROMOSOMES AND CANCER, Issue 6 2007
Debes H. Christiansen
Activating mutations of the PTPN11 gene encoding the SHP2 tyrosine phosphatase is the most common genetic abnormality in juvenile myelomonocytic leukemia and is sporadically observed in myelodysplasia (MDS) and acute myeloid leukemia (AML). An unselected series of 140 patients with therapy-related MDS or AML were investigated for mutations of PTPN11 in Exons 3, 4, 8, and 13. Four cases had mutations of the gene; three of these had deletions or loss of chromosome arm 7q. Two cases had rare balanced translocations to chromosome band 21q22 with rearrangement of the RUNX1 gene and the other two patients had rare balanced translocations to chromosome band 3q26 with rearrangement of the EVI1 gene. The findings support cooperation between so called Class I and Class II mutations in leukemogenesis. © 2007 Wiley-Liss, Inc. [source]

Histopathology of Pleomorphic Adenoma in the Parotid Gland: A Prospective Unselected Series of 100 Cases,

Surgical management of colorectal cancer in south-western Sydney 1997,2001: a prospective series of 1293 unselected cases from six public hospitals

ANZ JOURNAL OF SURGERY, Issue 9 2005
S. K. Cyril Wong
Background: The aim of the present study is to provide local data for the management of colorectal cancers in the south-western Sydney health area from 1997 to 2001. Methods: The data were collected prospectively. Follow up was conducted in late 2001 and early 2002. Data were cross-validated with hospital and area databases and with data from the New South Wales Registry of Births, Deaths and Marriages. Results: This was an unselected series of 1293 patients from 36 surgeons; 16.5% of patients presented as emergencies. Only 3% presented as a result of bowel cancer screening. Of the 1293 patients, 1270 received an operation. There were 598 elective colonic resections with the mortality rate of 1.2%, reoperation rate of 2.7% and anastomotic leak rate of 0.8%. For the 410 elective rectal resections, the rates were 2.9%, 2.7% and 1.2%, respectively. For the 290 emergency operations, the rates were much worse at 7.7%, 6.6% and 4.8%, respectively. The corrected overall 3-year survival rate was 64%. For Dukes' A, B, C and D, the figures were 94%, 87%, 61% and 7%, respectively. Conclusions: Colorectal cancer is a major cause of mortality and morbidity in our community. Very few bowel cancers were discovered at the asymptomatic stage. This paper strongly supports community bowel cancer screening and early diagnosis. The local database has provided a rich source of information to benchmark management and outcomes of bowel cancer patients treated in the South Western Sydney Area Health Service. An area-wide computer network with online data input facilities at individual workplaces will improve data integrity and data collection efficiency. [source]

Eye shape and peripheral visual field recording in high myopia at approximately 54 years of age, as based on ultrasonography and Goldmann kinetic perimetry

ACTA OPHTHALMOLOGICA, Issue 5 2010
Hans C. Fledelius
Abstract. Purpose:, This study describes the posterior pole contour and visual field (VF) findings in an unselected series of adults (aged approximately 54 years) with high myopia. Methods:, In 1962, 39 14-year-old teenagers with myopia of , 6 D, in one or both eyes, were identified in a 1948 Copenhagen birth cohort (n = 9243). At a follow-up in 2002, 61 eyes (52 with high myopia and nine fellow eyes; n = 31 subjects) were examined by ultrasound B-scan, to allow: (a) measurement of the axial vitreous length supplementary to the customary axial A-scan, and (b) assessment of the posterior pole contour of the eye. Further, the large-object (V, 4e) kinetic Goldmann perimetry isoptre was recorded to outline the ambulatory VF. Results:, An irregular posterior pole contour was observed in 15 eyes, unilaterally in 11 eyes and bilaterally in four (two subjects). Nasal fundus ectasia was suggested in six and other deviations from the sphere in seven subjects. Kinetic Goldmann perimetry showed marginal restriction in 14 eyes (12 subjects). Larger defects were found in four eyes (three subjects); the corresponding axial lengths exceeded 32 mm in the two subjects with unilateral defects, and symmetrical inferior binasal defects, probably unrelated to the myopia, were found in the bilateral subject. Conclusions:, Unselected adult-age high myopia mainly presented with a regular eye shape that was close to spherical. An irregular shape suggesting posterior staphyloma was seen in 13 of the 32 subjects under study, mainly unilaterally. No subjects were restricted in everyday activities by VF defects. Marginal Goldmann perimetry restrictions were described in 12 and significant defects in three subjects. Generally, longer eyes more often tended to show irregular posterior eye contours and/or VF defects. [source]