RESUMEN
The article presents the case history of an 11-year-old girl with Goram-Stout disease, who debuted with unilateral subjective tinnitus. A review of the literature, cases with damage of the temporal bones and modern methods of treatment of this disease is made.
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Enfermedades Óseas , Acúfeno , Humanos , Femenino , Niño , Acúfeno/diagnóstico , Acúfeno/etiología , Hueso Temporal/diagnóstico por imagenRESUMEN
Extrarenal extracranial rhabdoid tumor (EERT) is a rare malignant pediatric tumor characterized by extremely aggressive behavior, rapid metastatic spread, low survival rates, and no targeted therapy. The morphological diagnosis of classical cases of EERT is not difficult and it is based on its characteristic histologic pattern and immunohistochemical findings in a relatively short time, which allows one to immediately initiate therapy. The paper describes two cases of ERRT in the complete absence of classical rhabdoid morphology, as revealed by light microscopy when the material was primarily assessed. The final diagnostic search could establish a diagnosis of EERT in both cases on the basis of immunohistochemical findings.
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Neoplasias de Cabeza y Cuello/patología , Neoplasias Hepáticas/patología , Neoplasias del Mediastino/patología , Tumor Rabdoide/patología , Niño , Femenino , Humanos , Inmunohistoquímica , Lactante , MasculinoRESUMEN
Non-ossifying fibroma (NOF) or metaphyseal fibrous defect (MFD) is benign fibroblast proliferation with the presence of osteoclast-like multinucleated giant cells. The most cases of NOF/MFD occur in the metaphysis of the long tubular bones of the lower extremities, more commonly in the metaphysis of the femur and in the proximal metaphysis of the tibia. This lesion has a characteristic X-ray pattern and requires no surgical intervention, except for cases of a pathologic fracture or a risk for the latter. The paper analyzes 35 NOF/MFD cases in children and adolescents. It has been found that one and all patients have undergone surgery, suggesting the low awareness of this abnormality among radiodiagnosticians, pathologists, and surgeons.
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Proliferación Celular , Neoplasias Femorales , Fibroblastos , Fibroma , Adolescente , Niño , Femenino , Neoplasias Femorales/diagnóstico por imagen , Neoplasias Femorales/metabolismo , Fibroblastos/metabolismo , Fibroblastos/patología , Fibroma/diagnóstico por imagen , Fibroma/metabolismo , Humanos , Masculino , RadiografíaRESUMEN
Osteochondroma is called a benign cartilage-forming tumor arising from an aberrant subperiosteal cartilage. Multiple osteochondromas syndrome (MOS) is an autosomal dominant disease, the basis for which is mutations in the EXT (EXT1 or EXT2) genes. Osteochondroma is one of the most common benign bone tumors. According to the WHO data, it is detectable in 35% of benign bone tumors and 8% of all surgically removed bone tumors. A total of 491 cases of bone tumors were analyzed in the children and adolescents diagnosed at the Department of Pathoanatomy, Russian Children's Clinical Hospital, Moscow, in 2009 to 2014. All the patients with osteochondroma were divided into 2 groups: 1) sporadic cases (n = 63) and 2) tumors included in MOS (n = 33). Both groups showed a preponderance of boys (39 boys and 24 girls in Group 1 and 21 boys and 12 girls in Group 2). Clinical, radiological, and morphological criteria for the diagnosis and differential diagnosis of osteochondromas in children and adolescents are given.
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Exostosis Múltiple Hereditaria/diagnóstico , Exostosis Múltiple Hereditaria/patología , Exostosis Múltiple Hereditaria/cirugía , Adolescente , Niño , Preescolar , Diagnóstico Diferencial , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Estudios RetrospectivosRESUMEN
Classical osteosarcoma is one of the most common primary malignant bone tumors in children and adolescents. It more frequently occurs in the areas of the highest growth plate proliferation: limb long bones particularly in the distal femur (30%), proximal tibia (15%), and proximal humerus (15%). In the long bones, the tumor is located usually in the metaphysis (90%), less frequently in the diaphysis (9%), and very rarely in the epiphysis. This paper considers the clinical, radiological, and histological diagnosis, and prognosis in this pathology.
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Neoplasias Óseas/fisiopatología , Huesos/fisiopatología , Fémur/fisiopatología , Osteosarcoma/fisiopatología , Adolescente , Neoplasias Óseas/clasificación , Neoplasias Óseas/diagnóstico , Niño , Diagnóstico Diferencial , Humanos , Osteosarcoma/clasificación , Osteosarcoma/diagnósticoRESUMEN
Sarcomatoid carcinomas are rare malignancies composed of epithelial (carcinomatous) and sarcomatous elements. High-grade carcinoma is difficult to diagnose by light optic and immunohistochemical studies. The authors give the data available in the literature on sarcomatoid carcinoma of the thymus and also describe their own observation. Its histological pattern is represented by a combination of carcinomatous and sarcomatous elements with extensive necrotic foci. Immunohistologically, the tumor cells expressed total cytokeratin (AE1/AE3), CD99, and focally epithelial membrane antigen. Some tumor cells were vimentin- and SMA-positive. Markers, such as chromogranin A, bcl-2, bcl-6, S-100 protein and myogenin, were negative.
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Biomarcadores de Tumor/metabolismo , Carcinoma , Proteínas de Neoplasias/metabolismo , Sarcoma , Neoplasias del Timo , Carcinoma/metabolismo , Carcinoma/patología , Humanos , Inmunoquímica , Necrosis , Sarcoma/metabolismo , Sarcoma/patología , Neoplasias del Timo/metabolismo , Neoplasias del Timo/patologíaRESUMEN
The propose of these examination was the study of antiradiation effects of vaccine Grippol (VG). It was determined, that subcutaneous injection VG mice (0.2 ml), hamsters (0.2 ml), dogs (0.5 ml) before 1-14 days of total gamma-irradiation (2.5-8.5 Gy) had positive effect of acute radiation disease. This effect was expressed in increase of survival the mice and hamsters on 30-60%, increase number cells in bone marrow and neutrophiles, erythrocytes, lymphocytes and hemoglobin in blood by comparison with control mice. VG stimulated increase of contents of leucocytes in blood of irradiated (2.5 Gy) dogs.
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Rayos gamma , Vacunas contra la Influenza/administración & dosificación , Traumatismos Experimentales por Radiación/prevención & control , Protectores contra Radiación/administración & dosificación , Animales , Médula Ósea/inmunología , Cricetinae , Perros , Inyecciones Subcutáneas , Recuento de Leucocitos , Linfocitos/inmunología , Ratones , Neutrófilos/inmunología , Traumatismos Experimentales por Radiación/sangre , Traumatismos Experimentales por Radiación/inmunologíaRESUMEN
The paper deals with the evaluation of pathomorphological and morphometrical changes in placenta with the single umbilical artery (SUA). The histological data on 52 placentas with SUA (group 1) were analyzed. A control group included 30 placentas from females with an uncomplicated obstetrical history. The significance of group differences was determined Student's test. In the placentas with SUA, their pathohistology shows a significantly marked isolated placental form of chronic placental insufficiency. In SUA, chorionic villous maturation and differentiation are impaired. Chorionic villous immaturity hampers the development of adequate compensatory adaptive changes that appear as compensatory angiomatosis of terminal villi and more pronounced cytotrophoblastic microcystic changes.