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Biosynthesized silver nanoparticles (AgNPs) are widely used in varied applications, which are morphology dependent. Consequently, a morphology-controlled synthesis is mandatory. Although there are several studies focused on the plant extract-based biosynthesis of metallic nanoparticles, the use of extracts obtained from agro-wastes is scant. Furthermore, information regarding morphology modification through the use of additional agents is even more scarce. Thus, in this study, AgNPs were synthesized using a malt extract (ME) obtained from an artisanal beer brewing process residue. Additionally, sodium chloride (NaCl), gum arabic (GA), and talc (T) were used in an attempt to modify the morphology of AgNPs. XRD, DLS, SEM, and TEM results demonstrate that stable AgNPs of different sizes and shapes were synthesized. FTIR, HPLC analysis, and the quantification of total proteins, free amino acids, reducing sugars, and total polyphenols before and after AgNPs synthesis showed that ME biomolecules allowed them to act as a source of reducing and stabilizing agents. Therefore, this study provides evidence that ME can be successfully used to biosynthesize AgNPs. Additionally, the antibacterial activity of AgNPs against Gram-negative and Gram-positive bacteria was evaluated. Results indicate that AgNPs show a higher antibacterial activity against Gram-positive bacteria.
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Acacia , Nanopartículas Metálicas , Cerveja , Prata , Antibacterianos/farmacologia , Cloreto de SódioRESUMO
Syphilis can mimic, clinically and microscopically, many other diseases. By microscopy, typically syphilis presents with plasma cell infiltration, admixed with lymphocytes and macrophages, in lichenoid and/or perivascular/perineural distribution pattern. When exuberant, this inflammatory infiltrate can mimic a lymphoproliferative disorder (LPD), notably plasma cell neoplasia or lymphoma. To date, about 12 cases of secondary syphilis, all but one in extraoral location, suggesting initially a LPD, have been published. Here, to our knowledge, we report an unusual case of intraoral primary syphilis initially suggesting LPD, notably lymphoid hyperplasia (pseudolymphoma); however, mucosa-associated lymphoid tissue (MALT) lymphoma and follicular lymphoma could not be disregarded. Polyclonality of plasma cells on immunohistochemistry, in strict clinical correlation, was essential to arrive at the correct diagnosis.
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Linfoma de Zona Marginal Tipo Células B , Transtornos Linfoproliferativos , Sífilis , Humanos , Sífilis/diagnóstico , Sífilis/patologia , Transtornos Linfoproliferativos/diagnóstico , Transtornos Linfoproliferativos/patologia , Linfoma de Zona Marginal Tipo Células B/patologia , Linfócitos/patologia , Diagnóstico DiferencialRESUMO
The Gram-positive bacteria lactic acid bacteria (LAB) are used in the food industry but are also known for inhibiting certain food spoilage microorganisms, especially fungi. Sources of nitrogen (N) for culture media are generally organic and expensive. Many attempts have been made to formulate economical culture media with alternative N sources obtained from agricultural and industrial byproducts. This study describes the design and optimization of an inexpensive culture medium for Lactiplantibacillus plantarum (formerly Lactobacillus plantarum) MZ809351 strain B31. The culture medium was optimized using statistical experimental designs to identify the factors with the most significant effects on biomass concentration to reduce the overall cost, aiming to obtain a biomass concentration similar to that obtained with the reference LAB culture medium (de Man, Rogosa and Sharpe; MRS). Sodium acetate and magnesium sulfate were the most significant factors (p < 0.005), and their contents were reduced by 22 % and 40 %, respectively, without affecting biomass concentration. Malt germ extract (MGE) was used as an alternative nitrogen source to replace meat extract (ME) and proteose peptone (PP). Through these experiments, the composition of a culture medium that is less expensive than MRS broth was defined, which produced a biomass concentration (3.8 g/L) similar to that obtained with MRS medium. The inhibitory effects of two LAB strains isolated from the Ivory Coast and Mexico on the growth and production of ochratoxin A (OTA) in an ochratoxigenic fungus was tested. The minimum cellular concentration of the LAB to prevent the development of Aspergillus carbonarius Ac 089 and the production of OTA was determined in a model assay in Petri dishes. The conditions to inhibit the germination of A. carbonarius Ac 089 and the production of OTA were found. Using the optimized medium and a ratio of 2 × 104 LAB/spore (1 × 108 CFU/mL) strain B7 (L. plantarum MZ809351) and 2 × 103 LAB/spore (1 × 107 CFU/mL) strain B31 (L. plantarum MN922335) completely inhibited the growth of the fungus. A ratio of 2 × 105 LAB/spore (1 × 109 CFU/mL) was required to inhibit OTA production with strains B7 and B31. This study indicates the potential of cultivating LAB in an optimized and inexpensive culture medium for use as a biological control agent against ochratoxigenic fungi in food.
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Lactobacillales , Ocratoxinas , Humanos , Meios de Cultura , Nitrogênio/farmacologia , Extratos VegetaisRESUMO
BACKGROUND: Lymphomas affecting the sublingual glands are extremely rare and very few case reports are currently available. Therefore, the aim of the current study is to describe the clinicopathological features of a series of lymphomas involving the sublingual glands. METHODS: Cases diagnosed in four pathology services were assessed and the formalin-fixed paraffin-embedded tissue blocks were retrieved for diagnosis confirmation. Clinical data were obtained from patients' medical files. RESULTS: We obtained seven cases of lymphomas in the sublingual glands, representing two follicular lymphomas, two diffuse large B cell lymphomas not otherwise specified (DLBCL NOS), two extranodal marginal zone B cell lymphoma of mucosa-associated lymphoid tissue (MALT lymphomas) and one mantle cell lymphoma (MCL). In all cases the tumor cells infiltrated the glandular parenchyma, although in two of them the neoplastic cells were located more superficially and permeated the glandular acini and ducts. Clinically, the tumors presented as asymptomatic nodules and two patients (affected by DLBCL NOS and MCL) died, while the other five patients remained alive at last follow-up. CONCLUSION: Lymphomas affecting the sublingual glands are usually of the mature B cell lineage, often represent low-grade subtypes and may clinically resemble other more common lesions in the floor of the mouth like salivary gland tumors.
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Linfoma de Zona Marginal Tipo Células B , Linfoma Folicular , Linfoma Difuso de Grandes Células B , Linfoma de Célula do Manto , Neoplasias das Glândulas Salivares , Adulto , Humanos , Glândula Sublingual/patologia , Linfoma de Zona Marginal Tipo Células B/patologia , Linfoma Difuso de Grandes Células B/patologia , Neoplasias das Glândulas Salivares/patologiaRESUMO
In this study, CuFe2O4 ferrite was supported on biochar produced from malt biomass residues as a photocatalyst for degradation of methylene blue (MB), methyl orange (MO), and tartrazine (TZ) dyes. XRD, FT-IR, and FE-SEM were used to characterize the crystallinity and morphology of the samples. The characterization showed that the ferrite was uniformly supported on the surface of the biochar, confirming the formation of the composite. Degradation tests showed that CuFe2O4 degraded approximately 50, 47, and 62% of MB, MO, and TZ dyes, respectively, after 60 min of reaction. On the other hand, the CuFe2O4/biochar composite showed a significant increase in dye degradation, ~ 100%, for all three dyes. This increase in degradation efficiency may be due to less agglomeration of supported particles and due to decreased recombination of electron/hole pairs. Thus, results showed that the photocatalyst composite produced in this study is an effective alternative for removing dyes from wastewater.
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Azul de Metileno , Poluentes Químicos da Água , Compostos Azo , Carvão Vegetal , Corantes/química , Monitoramento Ambiental , Compostos Férricos , Azul de Metileno/química , Espectroscopia de Infravermelho com Transformada de Fourier , Tartrazina , Águas Residuárias , Poluentes Químicos da Água/análiseRESUMO
OBJECTIVE: To characterize 414 patients with primary SS who developed haematological malignancies and to analyse how the main SS- and lymphoma-related features can modify the presentation patterns and outcomes. METHODS: By January 2021, the Big Data Sjögren Project Consortium database included 11 966 patients fulfilling the 2002/2016 classification criteria. Haematological malignancies diagnosed according to the World Health Organization (WHO) classification were retrospectively identified. RESULTS: There were 414 patients (355 women, mean age 57 years) with haematological malignancies (in 43, malignancy preceded at least one year the SS diagnosis). A total of 376 (91%) patients had mature B-cell malignancy, nearly half had extranodal marginal zone lymphoma (MZL) of mucosa-associated lymphoid tissue (MALT lymphoma) (n = 197), followed by diffuse large B-cell lymphoma (DLBCL) (n = 67), nodal MZL lymphoma (n = 29), chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) (n = 19) and follicular lymphoma (FL) (n = 17). Rates of complete response, relapses and death were 80%, 34% and 13%, respectively, with a 5-year survival rate of 86.5% after a mean follow-up of 8 years. There were significant differences in age at diagnosis (younger in MALT, older in CLL/SLL), predominant clinical presentation (glandular enlargement in MALT lymphoma, peripheral lymphadenopathy in nodal MZL and FL, constitutional symptoms in DLBCL, incidental diagnosis in CLL/SLL), therapeutic response (higher in MALT lymphoma, lower in DLBCL) and survival (better in MALT, nodal MZL and FL, worse in DLBCL). CONCLUSION: In the largest reported study of haematological malignancies complicating primary SS, we confirm the overwhelming predominance of B-cell lymphomas, especially MALT, with the salivary glands being the primary site of involvement. This highly-specific histopathological scenario is linked with the overall good prognosis with a 5-year survival rate of nearly 90%.
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Neoplasias Hematológicas , Leucemia Linfocítica Crônica de Células B , Linfoma de Zona Marginal Tipo Células B , Linfoma Folicular , Linfoma Difuso de Grandes Células B , Humanos , Feminino , Pessoa de Meia-Idade , Leucemia Linfocítica Crônica de Células B/epidemiologia , Estudos Retrospectivos , Linfoma Folicular/patologia , Organização Mundial da SaúdeRESUMO
BACKGROUND: Although uncommon, mature small B-cell lymphomas may arise in the oral/maxillofacial area and oral pathologists must be aware of the key characteristics of these neoplasms to perform an accurate diagnosis. In this manuscript, we attempted to integrate the currently available data on the clinicopathological features of follicular lymphoma (FL), mantle cell lymphoma (MCL), extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT-L), and chronic lymphocytic leukemia/ small lymphocytic lymphoma (CLL/SLL) affecting these anatomical regions. METHODS: An updated descriptive literature review was carried out and a detailed electronic search was done in multiple databases to gather all cases affecting the oral/maxillofacial region and palatine tonsils. RESULTS: We observed that MALT-L was the most frequently reported subtype, followed by FL, MCL, and CLL/SLL. The palate was affected in a high proportion of cases and the most usual clinical presentation was an asymptomatic swelling. MALT-L and CLL/SLL neoplastic cells were strongly associated with small salivary glands. FL showed no gender preference, while MCL and CLL/SLL were more prevalent in males and MALT-L in females. Overall, cases were more common in elderly individuals. Patients' treatment and outcome varied, with MCL being the most aggressive neoplasm with a dismal prognosis in comparison to FL and MALT-L. CONCLUSION: Despite the poor documentation in many of the cases available, especially regarding the microscopic and molecular features of tumors, this review demonstrated that the oral mature small B-cell lymphomas investigated share similar clinical presentation, but carry different prognostic significance, demanding an accurate diagnosis.
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Leucemia Linfocítica Crônica de Células B , Linfoma de Zona Marginal Tipo Células B , Linfoma Folicular , Linfoma de Célula do Manto , Adulto , Idoso , Feminino , Humanos , Leucemia Linfocítica Crônica de Células B/diagnóstico , Linfoma de Zona Marginal Tipo Células B/diagnóstico , Linfoma Folicular/diagnóstico , Linfoma de Célula do Manto/diagnóstico , Masculino , BocaRESUMO
Primary MALT lymphoma arising at the dura is a rare circumstance with no categorical therapeutic plan in literature. There are few reports available with different treatment courses. Here, we report two cases with a long-term follow-up after the same pattern of management and review the literature.
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Primary esophageal lymphoma is extremely rare, with fewer than 30 cases reported in the literature. Presentation is nonspecific with multiple radiological and endoscopic appearances, posing its diagnosis a challenge. We report a case of a primary esophageal lymphoma diagnosed by endoscopic ultrasound-fine needle aspiration in a 68-year-old woman referred to our hospital for evaluation of a submucosal tumor spreading all over the esophageal wall. We describe its clinical and imaging features and stand out the importance of having a specific preoperatory diagnosis in order to avoid a major surgery.
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A multiclass analytical method to determine pesticides and mycotoxins in beer-related matrices based on the dilute and shoot approach was optimized and validated according to the European guidelines SANTE/12682/2019 and EC/401/2006. Extraction used acidified acetonitrile at 1% (v/v) acetic acid, followed by horizontal shaking homogenization, centrifugation, freeze-out step for cleanup, another centrifugation, and injection into a high-performance liquid chromatography-tandem mass spectrometry system. Linearity, detection and quantification limits, accuracy, and measurement uncertainty were evaluated, and 201, 184, and 176 analytes were validated for malt, beer, and brewers' spent grain, respectively. The limits of quantification ranged between 1 and 200 µg kg-1 and between 5 and 1000 µg kg-1 for beer and malt, respectively, and expanded uncertainties ranged between 9.7 and 50%, meeting the legislation requirements. A total of 40 samples have been analyzed thus far, and 36 of them exhibited the presence of some of the analyzed substances. The validated method is reliable and easy to apply for mycotoxin and pesticide determination in complex matrices.
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Micotoxinas , Praguicidas , Cerveja/análise , Cromatografia Líquida de Alta Pressão , Micotoxinas/análise , Espectrometria de Massas em TandemRESUMO
Introducción: Los linfomas no Hodgkin tienen su origen generalmente en el sistema linfoide, existe una gran diversidad de ellos, que hace difícil su clasificación y diagnóstico anatomopatológico definitivo. También hay localizaciones extranodales, como en el cerebro, lo que la hace aún más interesante. Objetivo: Presentar un caso con linfoma marginal cerebral, de diagnóstico muy infrecuente. Caso clínico: Paciente femenina de 67 años de edad con antecedentes patológicos personales de hipertensión arterial y epilepsia, que comenzó a sentirse rígida, con movimientos involuntarios generalizados en el cuerpo, hasta perder la conciencia. Al recuperarse se encontraba somnolienta y con cefalea de moderada intensidad. Se diagnostica un linfoma no Hodgkin tipo MALT cerebral; se realiza tratamiento con el que se revierten los síntomas y se controla la enfermedad. Conclusiones: Es necesario un diagnóstico histopatológico oportuno y certero, con la utilización de los estudios inmunohistoquímicos. Esto permite aplicar un tratamiento precoz y el control de la enfermedad(AU)
Introduction: Non-Hodgkin's lymphomas generally have their origin in the lymphoid system, there is a great diversity of them, which makes their classification and definitive pathological diagnosis difficult. There are also extranodal locations, such as in the brain, which makes it even more interesting. Objective: To present a patient with marginal cerebral lymphoma, of a very infrequent diagnosis. Clinical case: A 67-year-old female patient with a personal pathological history of arterial hypertension and epilepsy, who began to feel rigid, with involuntary movements that generalized to the whole body, until she lost consciousness, when she recovered she was drowsy and with headache of moderate intensity. Brain MALT non-Hodgkin lymphoma is diagnosed, treatment is performed to reverse symptoms, and the disease is controlled. Conclusions: A timely and accurate histopathological diagnosis is necessary, with the use of immunohistochemical studies. This allows for early treatment and disease control(AU)
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Humanos , Feminino , Idoso , Linfoma não Hodgkin/diagnóstico por imagem , Epilepsia , Cérebro/cirurgia , Estado de ConsciênciaRESUMO
The combination of QuEChERS-LC-QTOFMS and matrix-matched calibration (MMC) to simultaneously determinate legislated and emerging mycotoxins in malt and beer was evaluated for the first time. The method performance was satisfactory displaying suitable linearity (R2 >0.99) and recovery (71-102%). The lowest values (in µg kg-1) of LOD (0.01) and LOQ (0.05) were found for enniatins, while the highest LOD (15) and LOQ (50) were reported for fumonisin B1. Precision and sensitivity (RSD <10%) were in accordance with the different guidelines of method validation. MMC was important to avoid inaccurate quantification of all mycotoxins due to signal enhancement or suppression. Another advantage was the enhanced throughput, requiring 1.2 min of analysis per analyte. The detection of legislated (aflatoxins, ochratoxin A, deoxynivalenol, fumonisin B1, zearalanone, T-2 and HT-2 toxin) and emerging mycotoxins (enniatins, beauvericin, moniliformin and sterigmatocystin) allowed verifying compliance with legislation and generating data to support the establishment of limits for emerging mycotoxins.
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Cerveja/análise , Análise de Alimentos/métodos , Contaminação de Alimentos/análise , Hordeum/química , Micotoxinas/análise , Espectrometria de Massas em Tandem/métodos , Calibragem , Cromatografia Líquida de Alta Pressão/métodosRESUMO
Malt is the mature fruit of Hordeum vulgare L. after germination and drying and has been applied for treatment female abnormal galactorrhea. Previous studies have showed total alkaloids in malt have anti-HPRL effect. However, total alkaloids of malt change with the growth cycle, and the specified levels of total alkaloids in different bud length of malt have not been decided. To determine the definitive level of total alkaloids in different buds of malt and the most suitable bud length for clinical application by comparing effects on hyperprolactinemia rat. During the budding of malt, the content of total alkaloids first increased and then decreased, and it peaked at a bud length of 0.75 cm. Treated the HPRL model rats with different buds of malt, the PRL level was decreased, the number of PRLpositive cells and the mRNA expression level in the pituitary were significantly declined, and the number of dopamine D1 and D2 receptors in the hypothalamus was increased. The above changes were most significant in 0.75 cm bud. These results suggest that in terms of the content of effective substance and the effects on HPRL model rats, a malt bud length of 0.75 cm is optimal for clinical application.
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Animais , Feminino , Ratos , Hordeum/classificação , Benchmarking/métodos , Plântula/efeitos adversos , Hiperprolactinemia/classificação , Dopamina , Germinação , Alcaloides/efeitos adversos , Sistema Endócrino/anormalidades , FrutasRESUMO
Mucosa-associated lymphoid tissue lymphoma (MALT) is a neoplasm of B cells from the extranodal marginal zone and a non-Hodgkin lymphoma subtype. We report a case of MALT lymphoma in the hard palate in a 74-year-old woman with the previous diagnosis of lymphoid hyperplasia. The intetion about this letter is to show the appropriate clinical conduct and the diagnostic challenge about this pathlogy in oral cavity, stressing the importance to incisional biopsy and immunohistochemical analysis to guide the right diagnostic of this rare lesion.
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Imuno-Histoquímica/métodos , Linfoma de Zona Marginal Tipo Células B/diagnóstico , Boca/patologia , Idoso , Feminino , HumanosRESUMO
Pyrolysis of malt bagasse was carried out to obtain simultaneously a mesoporous biochar and an oil fraction rich in palmitic acid. The best result for biochar production was at 500 °C with holding time of 10 min. The yields of biochar and pyrolytic oil in this condition were, 29.7 and 33.9 wt%, respectively. The pyrolysis temperature and holding time influenced the yields of the products. An increase in pyrolysis temperature (from 500 to 700 °C) and holding time (from 10 to 50 min) caused a decrease in biochar yield, a reduction in the volatile matter content and an increase in the amount of ash. Additionally, in the range studied in this work, the increase of the pyrolysis temperature caused a decrease in the specific surface area and total pore volume of the biochar. Meanwhile, the biochar presented interesting functional groups and a mesoporous character, which can be a precursor to obtain adsorbents, or even, be used as adsorbent. The pyrolytic oil was composed of oxygenated aromatic compounds, the main fraction being palmitic acid (27.3%), which can be used in a number of applications, including biodiesel production. This work demonstrated that an available and problematic waste, malt bagasse, can be converted simultaneously into a mesoporous biochar and, into a pyrolytic oil rich in palmitic acid. Biochar and pyrolytic oil, in turn, are products of great value and can be applied in several fields.
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Resíduos Industriais , Pirólise , Carvão Vegetal , Temperatura Alta , Ácido PalmíticoRESUMO
Resumen Los linfomas de las glándulas salivales son una entidad e incidencia rara. La localización más frecuente es la glándula parótida, seguida de las glándulas submandibular y sublingual. La mayoría de los linfomas parótidos son linfomas no Hodgkin y se consideran derivados de tejido linfoide asociado a la mucosa (MALT). De manera poco frecuente, estos casos se han notificado y con frecuencia se diagnostican de manera inadecuada, ya que su presentación es relativamente benigna, comportamiento localizado, crecimiento lento y varios años de evolución.
Abstract Lymphomas of the salivary glands are a rare entity with a rare incidence. They are more commonly found on the parotid gland, followed by the submandibular and sublingual glands. The majority of parotid lymphomas are non-Hodgkin's lymphomas and are considered to be derived from mucosal-associated lymphoid tissue (MALT). Reports of these cases are scarce and often misdiagnosed since: their manifestation is relatively benign, they have a localized behavior, a slow growth and the evolution takes several years.
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Laccases (E.C. 1.10.3.2) are multicopper oxidases of great importance in the industry due to their non-specificity and high oxidative potential. Laccases are useful to bleach synthetic dyes, oxidize phenolic compounds and degrade pesticides, among others. Hence, the objective of this work was to optimize low cost culture media for recombinant (rPOXA 1B) laccase production from Pleurotus ostreatus in Pichia pastoris. To this end, low cost nitrogen sources were studied, such as malt extract, isolated soy protein and milk serum. Following, two central composite designs (CCD) were performed. In CCD-1 different concentrations of glucose USP (0-13.35 gL-1), protein isolated soy protein (5-25 gL-1), malt extract (3.5-17.5 gL-1) and (NH4)2SO4 (1.3-6.5 gL-1) were evaluated. In CCD-2 only different concentrations of glucose USP (7.9-22 gL-1) and isolated soy protein (15.9-44.9 gL-1) were evaluated. CCD-2 results led to a One Factor Experimental design (OFED) to evaluate higher isolated soy protein (20-80 gL-1) concentrations. In all designs, (CCD-1, CCD-2 and OFED) CuSO4 (0.16 gL-1) and chloramphenicol (0.1 gL-1) concentrations remained unchanged. For the OFED after sequential statistical optimization, an enzyme activity of 12,877.3 ± 481.2 UL-1 at 168 h was observed. rPOXA 1B activity increased 30.54 % in comparison with CCD-2 results. Final composition of optimized media was: 20 gL-1 glucose USP, 50 gL-1 isolated soy protein 90 % (w/w), 11.74 gL-1 malt extract, and 4.91 gL-1 (NH4)2SO4. With this culture media, it was possible to reduce culture media costs by 89.84 % in comparison with improved culture media previously described by our group.
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O Linfoma da Zona Marginal Extra-Nodal do estômago (Linfoma "MALT" gástrico, do inglês "Mucosa-associated Lymphoid Tissue"), está intimamente associado à infecção pelo Helicobacter pylori (H. pylori). A avaliação de resposta após o tratamento para erradicação do H. pylori requer um seguimento prolongado, com realização de biópsias gástricas de controle. Infiltrados linfoides residuais podem persistir por longos períodos após o tratamento de erradicação, e a avaliação histopatológica quanto à caracterização da presença ou ausência de doença residual pode apresentar dificuldades de interpretação. Em 2003, o Groupe d'Etude des Lymphomas de l'Adulte (GELA) estabeleceu um sistema de graduação histológica (escore "GELA") para avaliação de biópsias pós-tratamento de pacientes com linfoma do tipo "MALT" gástrico. O propósito do nosso estudo foi o de validar o uso deste escore em uma coorte brasileira de 24 pacientes tratados por linfoma MALT gástrico. Observamos uma concordância inter-observador moderada (k = 0,409), com concordância entre todos os avaliadores em apenas 41,6% dos casos. Observou-se que as divergências de avaliação ocorrem nos 3 parâmetros morfológicos utilizados para a definição do escore "GELA" final. Agrupando-se as categorias "Resposta Completa" e "Provável Doença Residual Mínima", foi atingida uma concordância substancial entre os avaliadores (0,743). Conclui-se que o sistema "GELA" possui potencial para uso na prática clínica, uniformizando a linguagem entre patologistas, endoscopistas e clínicos, devendo, entretanto, ter maior penetração e treinamento entre a comunidade de patologistas (AU)
Gastric Marginal Zone Lymphoma (or gastric MALT lymphoma) is an indolent B-cell neoplasm closely associated with Helicobacter pylori (H. pylori) infection. Evaluation of response after treatment for H. pylori eradication requires prolonged follow-up with control biopsies. Residual lymphoid infiltrates may persist for long periods, and histopathological evaluation for the characterization of the presence or absence of residual disease may present interpretation difficulties. In 2003, the Groupe d'Etude des Lymphomas de l'Adulte (GELA) established a histological grading system ("GELA" score) for evaluation of follow-up biopsies of gastric MALT lymphoma. The purpose of our study was to independently validate the use of this histological grading score in a Brazilian cohort of 24 patients treated for gastric MALT lymphoma. We observed moderate interobserver agreement (k = 0.409), with agreement among all evaluators in only 41.6% of cases. We observed that the divergences occur in the 3 morphological parameters used to define the final "GELA" score. When we grouped the categories of "Complete Remission" and "Probable Minimal Residual Disease", we achieved substantial agreement between the observers (k = 0.743). We conclude that the "GELA" system has potential for use in clinical practice, standardizing language among pathologists, endoscopists and clinicians, but should have greater penetration and training among the pathologist community (AU)
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Humanos , Masculino , Feminino , Adulto , Neoplasias Gástricas , Biópsia , Linfoma de Zona Marginal Tipo Células B , Gradação de TumoresRESUMO
The lymphomas of mucosa-associated lymphoid tissue (MALT), are uncommon entities, of low grade of malignancy with very infrequent or no lymph node involvement. They represent about 80% of the primary pulmonary lymphomas. The synchronous appearance with lung adenocarcinoma is an extremely rare finding. We present the case of an ex-smoker 68-year-old man, in whom, in the follow-up of a pulmonary nodule, a second pulmonary nodule was found. The surgical biopsy confirmed the diagnosis of both neoplasms.
Los linfomas derivados del tejido linfoide asociado a las mucosas (MALT) son entidades poco frecuentes, de bajo grado de malignidad con escaso o nulo compromiso ganglionar y representan cerca del 80% de los linfomas primarios pulmonares. La aparición sincrónica con adenocarcinoma de pulmón es un hallazgo extremadamente infrecuente. Presentamos el caso de un hombre de 68 años, ex-tabaquista, en quien durante el seguimiento de un nódulo pulmonar se identificó un segundo nódulo y la biopsia quirúrgica confirmó el diagnóstico de ambas neoplasias.
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Adenocarcinoma de Pulmão/diagnóstico , Adenocarcinoma/diagnóstico , Neoplasias Pulmonares/diagnóstico , Linfoma de Zona Marginal Tipo Células B/diagnóstico , Neoplasias Primárias Múltiplas/diagnóstico , Adenocarcinoma/diagnóstico por imagem , Adenocarcinoma/patologia , Adenocarcinoma/cirurgia , Adenocarcinoma de Pulmão/diagnóstico por imagem , Adenocarcinoma de Pulmão/patologia , Adenocarcinoma de Pulmão/cirurgia , Idoso , Humanos , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/cirurgia , Linfoma de Zona Marginal Tipo Células B/diagnóstico por imagem , Linfoma de Zona Marginal Tipo Células B/patologia , Linfoma de Zona Marginal Tipo Células B/cirurgia , Masculino , Neoplasias Primárias Múltiplas/diagnóstico por imagem , Neoplasias Primárias Múltiplas/patologia , Neoplasias Primárias Múltiplas/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Resumen El linfoma MALT es una forma poco frecuente de linfoma no Hodking de células B de bajo grado, que se desarrolla a expensas del tejido linfoide de las membranas mucosas. La localización más frecuente a nivel gastrointestinal es el estómago relacionando con la infección por Helicobacter pylori. El linfoma MALT colónico es una entidad extremadamente rara y cuya incidencia no supera el 5% de los casos en países asiáticos, con series porcentualmente menores al 2,5%, siendo la ubicación de este tipo de linfoma la más inusual de todo el tracto digestivo en comparación con otras neoplasias malignas que afectan al colon. Los autores exponen el caso infrecuente de presentación de linfoma tipo MALT de localización colónica en un paciente varón de 51 años, describiendo la clínica, los resultados de pruebas complementarias y el tratamiento recibido por el paciente.
Abstract MALT lymphoma is a rare form of low-grade non-Hodking B-cell lymphoma, which develops at the expense of lymphoid tissue of the mucous membranes. The most frequent location at the gastrointestinal level is the stomach related to the infection by Helicobacter pylori. Colonic MALT lymphoma is an extremely rare entity and the incidence of which does not exceed 5% of cases in Asian countries, with a series of less than 2.5%, with the location of this type of lymphoma being the most unusual of the entire digestive tract compared to other malignant neoplasms that affect the colon. The authors present the infrequent case of presentation of MALT-type lymphoma of colonic location in a 51-year-old male patient, describing the clinic, the results of complementary tests and the treatment received by the patient.