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Malignant Fibrous Histiocytoma in the Infratemporal Fossa  

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Malignant fibrous histiocytoma is one of the most common soft tissue sarcomas in late adult life, but its incidence in oral and maxillofacial region is extremely rare. We report a case of malignant fibrous histiocytoma which occurred in the infratemporal fossa. Conventional radiograph of this case showed an ill-defined radiolucent lesion in the alveolar bone of the right maxillary first molar area, the lateral wall of the maxillary sinus, and the ascending ramus of mandible. MRI demonstrated well defined mass of intermediate signal intensity in T1 weighted images but T2 weighted images showed two distinctive regions of different characteristics. Infratemporal portion of the lesion was of hyperintense signal but under that region, the signal intensity decreased clearly, which might mean this case composed of two different subtypes, though it couldn't be confirmed by histopathological examination. Biopsy was taken in the only soft tissue of the maxillary posterior alveolar region and confirmed the lesion as the storiform-pleomorphic type of malignant fibrous histiocytoma. Histopathological subtype was well consistent with the relatively aggressive imaging findings of that region. We expect more detailed analysis of the nature of malignant fibrous histiocytoma with improvement of the imaging modality and the identification of the relationship between diagnostic imaging and histopathologic findings.

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Malignant fibrous histiocytoma of the bone (radiodiagnosis)  

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Clinical and X-ray signs of malignant fibrous histiocytoma of the bone were described on the basis of a literature analysis and 12 observations. From the roentgenological view-point various tumor symptoms can fall into 2 types and 2 variants

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Hepatic malignant fibrous histiocytoma of imaging characteristics  

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Objective: To enhance the understanding of imaging characteristics of hepatic malignant fibrous histiocytoma. Methods: Four cases of hepatic malignant fibrous histiocytoma proven by pathology were examined by means of CT (n=4), MRI (n=2), and angiography (n=1). Results: All tumors of the four patients were located in the right lobe of the liver. The marginal contours were irregular. The tumors extended to the liver capsule in three patients. On CT, all tumors were hypodense (28-36 HU) on plain scan compared with surrounding liver parenchyma. Plaque-like slight hyper dentisites were seen in two patients. After contrast injection, the solid portion of the mass showed mild enhancement (52-70 HU) in arterial phase, and moderate enhancement in venous phase (75-98 HU). Obvious nonenhanced necrotic areas were seen in all cases. On MR images, the main signal intensity of the mass was hypointense on T1-weighted imaging compared with the adjacent liver. Plaque-like hyper intensities were seen in one patients. The intensity of the masses were higher than that of the liver on T2-weighted images. Angiography of one patient showed displacement of hepatic vasculature by the mass on arterial phase and irregular tumor staining was seen on parenchyma phase. Conclusion: The primary imaging character of hepatic malignant fibrous histiocytoma is apparently invasive with unclear border and massive necrosis in the central part, and intratumoral bleeding is common. (authors)

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Postirradiation sarcoma (malignant fibrous histiocytoma) following cervix cancer  

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A case of postirradiation sarcoma is described. The tumor, a malignant fibrous histiocytoma, occurred in the radiation field 11 years following postoperative external beam radiation therapy (7,000 rad) for carcinoma of the cervix. Reports of postirradiation malignant fibrous histiocytoma are rare, and the occurrence of this neoplasm following treatment for cervix cancer has not previously been described. The literature concerning postirradiation bone and soft tissue sarcomas is briefly reviewed, with special attention to malignant fibrous histiocytomas. (author)

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Radiation-induced malignant fibrous histiocytoma  

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Among adult malignant tumors of soft tissue, malignant fibrous histiocytoma (MFH) is the most common type. Its prognosis is poor. We have encountered a case of radiation-induced MFH occurring 8 years after radiotherapy (4500 rad to total pelvis, radium needle: 10 mCiX 2 to intra-vagina) for uterine cervical cancer (IIb). Tumor was located in the retroperitoneum of the right fossa iliaca and resected with a part of musculus iliopsoas. Microscopically, two cell pattern contained a greater number of large, bizarre histiocytic cells and plumper fibroblastic cells. Specimen did not show storiform pattern clearly, but was positive for {alpha}1-antichymotrypsin, {alpha}1-antitrypsin and vimentin by immunofluorescence staining. Electron microscopy revealed multinucleated giant cells with a moderate amount of rough endoplasmic reticulum in the cytoplasm. This case had a history of radiation therapy, occurence of second tumor in the radiation field, second tumor occurring over the 2 years latent periods after radiation, and second tumor with different histological findings. This case represents radiation induced malignant fibrous histiocytoma. (author).

Takahashi, Tsukasa; Hasumi, Kenichiro (Hijirigaoka Hospital, Kochi (Japan)); Kosaki, Kouichi; Fujii, Yuzo

1991-07-01

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Radiation-induced malignant fibrous histiocytoma  

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Among adult malignant tumors of soft tissue, malignant fibrous histiocytoma (MFH) is the most common type. Its prognosis is poor. We have encountered a case of radiation-induced MFH occurring 8 years after radiotherapy (4500 rad to total pelvis, radium needle: 10 mCiX 2 to intra-vagina) for uterine cervical cancer (IIb). Tumor was located in the retroperitoneum of the right fossa iliaca and resected with a part of musculus iliopsoas. Microscopically, two cell pattern contained a greater number of large, bizarre histiocytic cells and plumper fibroblastic cells. Specimen did not show storiform pattern clearly, but was positive for ?1-antichymotrypsin, ?1-antitrypsin and vimentin by immunofluorescence staining. Electron microscopy revealed multinucleated giant cells with a moderate amount of rough endoplasmic reticulum in the cytoplasm. This case had a history of radiation therapy, occurence of second tumor in the radiation field, second tumor occurring over the 2 years latent periods after radiation, and second tumor with different histological findings. This case represents radiation induced malignant fibrous histiocytoma. (author)

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The gallium scan in malignant fibrous histiocytoma  

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Soft tissue sarcoma is a relatively uncommon malignancy. Of its various histological types, malignant fibrous histiocytoma is most common and usually is seen in late adult life affecting primarily extremities and trunk with or without bony involvement. Before undertaking potentially toxic treatments with chemotherapeutic agents, tumor aggressiveness must be estimated. The authors use /sup 67/Ga citrate to supplement other imaging modalities to measure size, location and extent prior to and during treatment. In all, 22 consecutive patients were studied, with 13 males and 9 females. The median age was 43 (range 15 to 68) with majority of patients in 4th to 6th decades. Extremity lesions were present in 18, pelvic in 1, thoracic in 2, and abdominal in 1. Eighteen patients were studied shortly after the diagnosis and 4 during their recurrences. In the 18 patients with primary tumor, 12 showed marked increased uptake in the region of tumor, or increased uptake in soft tissues with a distribution different from the changes noted in the MDP bone scan. In 4 patients with extremity lesions, abnormalities were seen in Ga but were not definite in MDP bone scans. Four patients had tumor recurrences following surgery, radiation therapy or chemotherapy. High Ga uptake was found in the regions of recurrent tumor in 2 and in the lung metastases of another. Interval changes were more easily appreciated in the Ga scan than in the MDP bone scan. Information obtained from Ga images provides additional clues in determining extent of soft tissue involvement and assists in monitoring therapeutic responses

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Myxoid malignant fibrous histiocytoma of the ovary: a case report.  

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A 46-year-old woman presented with whole abdominal discomfort, and imaging revealed a 3-cm-sized ill-defined ovarian mass with extensive peritoneal carcinomatosis. Histologic examination showed malignant fibrous histiocytoma of ovary with predominant myxoid stroma. Microscopic examination showed a highly cellular neoplasm composed of fibroblast-like cells with a predominant myxoid stroma and high pleomorphism and mitotic activity. Immunohistochemically, the tumor was negative for smooth muscle actin, desmin, S-100, pancytokeratin, c-kit, epithelial membrane antigen, and calretinin. Malignant fibrous histiocytoma of ovary is extremely rare, with only six previously reported cases. To the best of our knowledge, the myxoid type of malignant fibrous histiocytoma of ovary has not been previously reported in the English literature except for a case arising in a dermoid cyst of ovary. We present the case and briefly discuss the differential diagnosis. PMID:21210172

Choi, Seung-Yeon; Kim, Tae-Hyun; Park, Hwang-Shin; Sung, Chang-Ohk; Lee, Jeong-Won; Song, Sang Yong; Kim, Byoung-Gie; Bae, Duk-Soo

2011-10-01

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Retroperitoneal Malignant Fibrous Histiocytoma Can Mimic a Hydatid Cyst  

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Malignant fibrous histiocytoma is the second most common soft-tissue sarcoma in adults. After the extremities, the retroperitoneal space is the second most common site of this tumor. A 50-year-old man presented with a right retroperitoneal, thick-walled, cystic multilocular mass measuring 10?×?10?cm that was thought to be a type CE 5 hydatid cyst preoperatively. However, the postoperative histopathology did not agree with the radiological findings and instead showed a malignant fibrous...

Skan, Kenan Cal Amp X.; Emine Tuba Canpolat; Zafer Koc; Serife Ulusan; Gurcan Erbay

2011-01-01

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Malignant fibrous histiocytoma following radiation therapy of fibrous dysplasia: case report  

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Malignant fibrous histiocytoma commonly occurs spontaneously. In some cases it follows previous therapeutic or incidental irradiation, or miscellaneous pre-existing osseous conditions. Recently, it has been associated with total hip arthroplasty. We report a case of malignant fibrous histocytoma following radiation therapy of fibrous dysplasia and review literature. (author).

Amin, R.; Ling, R. [Royal Devon and Exeter Hospital (United Kingdom)

1995-10-01

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Primary osseous inflammatory malignant fibrous histiocytoma masquerading as chronic osteomyelitis.  

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Inflammatory malignant fibrous histiocytoma, in addition to a mass lesion, may present with fever and other constitutional symptoms, mimicking an infectious process. This article presents an extremely rare and unique case of primary osseous inflammatory malignant fibrous histiocytoma, highlighting retrospectively the subtle clinical, radiologic, and pathologic features that can suggest this diagnosis. A 63-year-old woman with a history of nephrectomy for right kidney tuberculosis 20 years ago presented with slowly increasing left hip pain for 6 months. The relatively benign-appearing radiograph and biopsy report of chronic inflammation resulted in curettage and nailing of the lesion. The pathologic diagnosis was chronic osteomyelitis, but culture findings for bacteria and tuberculosis were negative. The patient remained well until 4 months later, when left thigh pain returned with fever and leukocytosis (white blood cell count as high as 20.7×10(9)/L, 80% neutrophils). No source of infection was localized. The patient showed no response to broad-spectrum antibiotics and antituberculous drugs. Radiographs showed substantial enlargement of the femoral lesion and extraosseous extension; biopsy results and review of previous histopathologic findings led to a diagnosis of inflammatory malignant fibrous histiocytoma. The fever gradually resolved and the white blood cell count returned to normal within a few days after segmental resection of the proximal femur tumor and its soft tissue extension. However, deep venous thrombosis developed, resulting in left foot ischemia and toe gangrene, necessitating left below-the-knee amputation. Disseminated metastasis occurred 3 months after tumor resection. The patient declined further aggressive treatment and died 13 months after initial presentation. PMID:25275985

Chow, Louis Tsun Cheung; Wong, Simon Kwok Chuen

2014-09-01

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Malignant fibrous histiocytoma of the pulmonary artery -a case report-  

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We recently experienced a case of primary malignant fibrous histiocytoma of the left pulmonary artery occurred in a 27-year-old man who had 5 months history of intermittent hemoptysis. Chest X-ray revealed multilobulated mass density (about 4x5cm in size) in left hilar area, and another small lobulated nodular density (about 1x1.5cm in size) in left upper lung field, which was intrapulmonary metastatic deposit. CT scan, pulmonary arteriography, and selective left bronchial arteriography after partial resection of the left hilar mass and left upper lobectomy revealed the mass to have the characteristic feature

13

Malignant fibrous histiocytoma developing in irradiated sacral chordoma  

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Malignant fibrous histiocytoma (MFH), arising at the site of a sacral chordoma 8 years after massive radiotherapy, is described. Initially, the patient received 7000 rad to the sacral area and, on recurrence, 5 years later, an additional 4000 rad. Two years later, a sacral mass was noted again. Biopsy then revealed MFH; chest x-ray showed multiple lung metastases. A combination chemotherapy, consisting of cyclophosphamide, vincristine, adriamycin (doxorubicin), and DTIC, resulted in a 6 month partial response. Subsequently, the patient died because of progressive metastatic disease. At autopsy, 8 years after diagnosis, both the sacral lesion and the lung metastases proved to be MFH, and no residual chordoma was found

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Malignant fibrous histiocytoma developing in irradiated sacral chordoma  

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Malignant fibrous histiocytoma (MFH), arising at the site of a sacral chordoma 8 years after massive radiotherapy, is described. Initially, the patient received 7000 rad to the sacral area and, on recurrence, 5 years later, an additional 4000 rad. Two years later, a sacral mass was noted again. Biopsy then revealed MFH; chest x-ray showed multiple lung metastases. A combination chemotherapy, consisting of cyclophosphamide, vincristine, adriamycin (doxorubicin), and DTIC, resulted in a 6 month partial response. Subsequently, the patient died because of progressive metastatic disease. At autopsy, 8 years after diagnosis, both the sacral lesion and the lung metastases proved to be MFH, and no residual chordoma was found.

Halpern, J.; Kopolovic, J.; Catane, R.

1984-06-15

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[Malignant fibrous histiocytoma of the breast: report of two cases].  

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Two cases of malignant fibrous histiocytoma (MFH) of the breast are presented. The first case was a 63-year-old patient with MFH of myxoid type, the second case was a 79-year-old patient with MFH of pleiomorphic type. MFH is one of the most common tumors of the soft tissues, but its primary occurrence in the breast is rare. Immunohistochemical detection of antigens in the cytoplasm of histiocytes by antibdy LN 5 (Anti-Macrophage, BioGenex) can be helpful in rendering of the right diagnosis. PMID:16506601

Pavlovský, Z; Jandáková, E; Stratil, D; Hotárková, S

2006-01-01

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Malignant fibrous histiocytoma of the face: report of a case  

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Full Text Available Abstract Background Soft tissue sarcomas in the head and neck region are rare and often present a difficult differential diagnosis. The aim of our presentation is to point out the complexity of the diagnosis, treatment and follow up. Case presentation An eighty-seven year old female patient was referred to our unit with a fast growing brownish lump on the face. Four months beforehand, a benign fibrous histiocytoma (BFH had been removed from the same location by excision biopsy with wide tumour-free resection margins. Excision biopsy of the recurrent lesion revealed a malignant fibrous histiocytoma (MFH. Radical tumour resection was completed by extended parotidectomy and neck dissection; the skin defect was covered by a regional bi-lobed flap. No adjuvant radio- or chemotherapy was administered. Full functional and cosmetic recovery was achieved; follow-up has been uneventful more than two years postoperatively. Discussion Malignant transformation of BFH is extremely rare and if so, extended radical surgery may give a fair chance for a favourable outcome even in patients with advanced age.

Bánkfalvi Ágnes

2007-10-01

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Malignant fibrous histiocytoma of the lower lip: A case report  

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Full Text Available Malignant fibrous histiocytoma (MFH represents the diagnosis that is still commonly used by both patients and physicians although in 2002., the World Health Organization (WHO declassified MFH as a formal diagnostic entity, renaming it as an undifferentiated pleomorphic sarcoma not specifying it further. MFH is extremely rare in the oral cavity. The aim of this article was to describe a newly diagnosed case of primary MFH in a 78-year-old male presented after 4-months history of rapidly increasing swelling of lower lip. Histopathology of the lesion showed highly malignant cell infiltration with epithelioid/spindle cell type morphology. Immunohistochemical study was positive for vimentin (++, S-100 protein (++ and negative for desmin and cytokeratin. The authors discussed the possibilities of immunohistochemical study and necessity of individual treatment plan in patients with MFH, comparing their point of view with other studies.

Pechalova Petia F

2012-01-01

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Adult paratesticular malignant fibrous histiocytoma treated with surgery, systemic chemotherapy and postoperative adjuvant radiotherapy  

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Full Text Available Paratesticular malignant fibrous histiocytoma is an extremely rare malignancy of the scrotum. This malignancy has rarely been described in the literature and scant information exists on the optimal management of this cancer. We present here a case of a 57-year-old man with a diagnosis of high-grade malignant fibrous histiocytoma of the left intrascrotal region who underwent radical orchiectomy, systemic chemotherapy and postoperative radiotherapy.

Schmitz Matthew

2006-01-01

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Malignant fibrous histiocytoma: mesenchymal tumor of ubiquitous orgin  

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The malignant form of fibrous histiocytoma (MFH) has attracted significant interest for several reasons: its relative frequency, especially in soft tissues, where it is the most common sarcoma in the adult; its ubiquity, since due to its mesenchymal origin it can be present in numerous locations; and its generally dim prognosis. Despite the interest and controversy that MFH has generated in the oncologic and pathologic disciplines, its radiologic characteristics have not been specifically described. Thirty-nine cases of MFH seen from 1975 to 1983 are presented. Clinical data were obtained in all of the cases and radiologic information was available in 29 cases including conventional radiography in 27, nuclear medicine in 10, sonography in two, computed tomography (CT) in nine, and angiography in four

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Malignant fibrous histiocytoma of the spine causing spinal neural foramen widening.  

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A case with a clinical picture of a chronic low back pain radiating to both lumbar regions caused by malignant fibrous histiocytoma is reported. Radiological, surgical and histopathological findings and treatment of this rare case are discussed. PMID:10940610

Karantanas, A H; Hytiroglou, P; Zibis, A H; Markonis, A; Papadimitriou, C S

2000-01-01

 
 
 
 
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Histiocitoma fibroso maligno / Histiocytome fibreux malin / Malignant fibrous histiocytoma  

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Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish Introducción: los sarcomas son tumores malignos de partes blandas que representan 0,7 % de los tumores malignos en general, con una tasa de 3 por cada 100 000. El histiocitoma fibroso maligno resulta un tumor de alto grado incluido en el grupo de los sarcomas de partes blandas. Objetivo: exponer las [...] características citohistológicas, el tratamiento y la evolución de este tumor en un caso estudiado y tratado en el Hospital General Provincial Docente "Roberto Rodríguez Fernández" de Ciego de Ávila. Descripción: se presentó el caso de un varón de 60 años con una gran masa de partes blandas en el muslo izquierdo, de crecimiento progresivo. La masa se trató quirúrgicamente con exéresis en bloque, previos estudios analíticos, arteriografía femoral y ecografía. Conclusiones: el diagnóstico anatomopatológico fue de histiocitoma fibroso maligno variedad pleomórfica; fue remitido al servicio de oncología donde lo trataron con radioterapia. A los 6 meses se encontraba libre de la enfermedad. Se realizó una revisión de la literatura y se analizó su presentación clínica, también los hallazgos histológicos, las pruebas diagnósticas de imagen y el procedimiento terapéutico. Abstract in english Introduction: the sarcomas are soft tissue malignant tumors accounting for the 0.7 % of malignant tumors in general with a rate of 3 by 100 000. The malignant fibrous histiocytoma is a high grade tumor included in the group of soft tissue tumors. Objective: to expose the cytohistologic features, tre [...] atment and course of this tumor in study case and treated in "Roberto Rodríguez Fernández" Teaching Provincial Hospital of Ciego de Avila municipality. Description: this is the case of a male patient aged 60 presenting with an increasing large soft tissue mass in the left thigh. The mass was operated on with block exeresis, analytical previous studies, femoral arteriography and echography. Conclusions: the anatomic and pathologic diagnosis was a malignant fibrous histiocytoma pleomorphous type; the patient was referred to Oncology service where was treated with radiotherapy. At 6 months he was free of disease. A review of literature was performed analyzing its clinical presentation also, its histological findings, the imaging diagnostic test and the therapeutical procedure.

Hiralio, Collazo Álvarez; Dewar, Torrecilla Silverio; Jorge Luis, Morales Florat; Stephens Yecc, Collazo Marín.

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Stromal sarcoma with features of giant cell malignant fibrous histiocytoma.  

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We report a case of primary giant cell malignant fibrous histiocytoma (GCMFH) of the breast. A 56-year-old Japanese woman presented with a firm mass in the right breast. Mammography and ultrasonography revealed a well-circumscribed and lobulated mass in the upper outer quadrant of the right breast, indicative of a benign breast tumor or mucinous carcinoma. Magnetic resonance imaging revealed a restricted breast tumor without intraductal spread. Computed tomography and bone scintigraphy found no sites of distant metastases. Fine needle aspiration biopsy showed several clusters of atypical cells associated with numerous multinucleated giant cells. Breast-conserving surgery with axillary lymph nodes dissection was performed. Histological examination showed primary GCMFH of the breast. No metastases were identified in any of the 15 left axillary lymph nodes resected and surgical margins were free from tumor cells. The tumor was negative for both estrogen and progesterone receptor. Neither adjuvant chemoendocrine therapy nor postoperative radiotherapy was given, and the patient has remained disease free for 30 months postoperatively. To our knowledge, only 30 cases of primary MFH of the breast have been reported in the literature. PMID:17485912

Kijima, Yuko; Umekita, Yoshihisa; Yoshinaka, Heiji; Taguchi, Shuhei; Owaki, Tetsuhiro; Funasako, Yawara; Sakamoto, Akihiko; Yoshida, Hiroki; Aikou, Takashi

2007-01-01

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Malignant fibrous histiocytoma originating from the mesorectum: a case report  

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Full Text Available Abstract Background Malignant fibrous histiocytoma (MFH is a common sarcoma affecting soft tissues of the body, especially of the extremities or trunk. Prognosis of the abdominal MFH is usually poor. Case presentation A 52-year-old female presented to our surgical outpatient clinic with a lower abdominal tumor that had been gradually increasing in size. Clinical examination revealed a firm, irregularly surfaced, fixed, painless, child-head-sized tumor located in her lower abdomen. Computed tomography (CT and magnetic resonance imaging (MRI of the abdomen revealed a polycystic tumor at the lower abdomen which was 15 × 13 × 11 cm in diameter and encased the colorectum to the left back side. A barium enema and a colonoscopy showed direct invasion to the rectum. In 2001, the tumor had been excised along with a low anterior resection of the rectum because of direct invasion. The origin of this tumor was the mesorectum. The weight of the excised tumor was 1,500 g, including 800 ml of a brown fluid. A histopathological diagnosis revealed a common type of MFH, in which mitotic figures are frequently seen. Conclusion This patient has survived without recurrence, for approximately 8 years since the completed tumor resection. It is important to obtain a complete resection during the MFH treatment.

Torigoe Takayuki

2011-02-01

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An adolescent presenting with malignant fibrous histiocytoma of the testis: a case report  

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Full Text Available Abstract Introduction Malignant fibrous histiocytoma is a very common subtype of soft-tissue sarcoma in middle and late adulthood. However, malignant fibrous histiocytoma of the testis is very rare in adolescents. Case presentation We report here the case of a 14-year-old Han Chinese boy, who presented with left scrotal mass lasting for 20 days along with distending pain for 5 days. A physical examination revealed a chicken egg-sized, firm, well-defined mass and unclear epididymis. A B-scan ultrasonography of the left scrotum displayed a 9.0×5.2×4.5cm medium- or low-echoic lobulated mass, which suggested a left testicular neoplasm. A fine needle aspiration cytology examination revealed that the cells obtained from the patient’s testicular neoplasm were composed of myxoid spindle, and ovoid cells with nuclear atypia and mitotic activity, and arranged in a whirlpool or storiform pattern. Under histological examination, the tumor cells were arranged in a storiform pattern, which displayed mucoid matrix degeneration, and grew invasively. Consequently, a histopathological diagnosis suggested myxofibrosarcoma (or myxoid malignant fibrous histiocytoma. Conclusions An ultrasonic examination combined with fine needle aspiration cytology should be helpful for the initial differential diagnosis of testicular malignant fibrous histiocytoma. However, the final confirmation relies on histopathological examination. To the best of our knowledge, this is the first reported case of malignant fibrous histiocytoma of the testis in an adolescent.

Wang Lian-Li

2013-01-01

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Postirradiation malignant fibrous histiocytoma expressing cytokeratin. Implications for the immunodiagnosis of sarcomas  

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A malignant fibrous histiocytoma of the sacrum complicating the course of radiation therapy for endometrial carcinoma is presented. Although the tumor fulfilled the clinical, radiologic, and histologic criteria for a postirradiation malignant fibrous histiocytoma of bone, it also expressed cytokeratin. That this immunoreactivity reflected keratin synthesis by the tumor and not an unusual pattern of cross-reactivity with another intermediate filament such as vimentin is strongly suggested by the reproducibility of the immunoreactivity utilizing both polyclonal and monoclonal antibodies and extinction of the immunoreactivity following absorption of the primary antiserum with keratin proteins. This is the first reported instance of keratin expression by a malignant fibrous histiocytoma; it indicates that sarcomas apart from synovial sarcoma and epithelioid sarcoma may sometimes express this protein

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Malignant fibrous histiocytoma of soft tissue with metaplastic bone and cartilage formation  

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The presence of bone and cartilage in some cases of malignant fibrous histiocytoma of the soft tissue as a microscopic finding has been reported previously but little note has been taken of the radiologic manifestations of these tumor elements. A series of five such cases with sufficient metaplastic osseous and cartilaginous elements to produce roentgenographic evidence of their presence is reported here. An additional two cases showed only histologic evidence of bone or cartilage formation. The reactive ossification tends to be peripheral in location, involving the pseudocapsule of the sarcoma or its fibrous septa. In three there was a zoning pattern with peripheral or polar orientation, strongly suggesting the diagnosis of myositis ossificans. The latter was the diagnosis considered radiologically in four of the five cases. Malignant fibrous histiocytoma with reactive bone and cartilage must be considered in the differential diagnosis of soft tissue masses with calcific densities, particularly when these occur in tumors of the extremities.

Dorfman, H.D.; Bhagavan, B.S.

1982-05-01

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Fibrosarcoma and malignant fibrous histiocytoma of long bones: Radiographic features and grading  

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The salient radiological features of 102 cases of fibrosarcoma and of so-called malignant fibrous histiocytoma (MFH) of the long bones are presented. All cases registered with the Netherlands Committee on Bone Tumours in the period 1953-1976, were originally classified as fibrosarcoma. In a recent review of the pathological material approximately half of these tumours were reinterpreted as malignant fibrous histiocytoma. As the two neoplasms demonstrate no difference in their clinical picture, radiological appearance, and survival statistics, we did not study both groups separately. Favourable radiographic signs which suggest a longer survival rate included: a geographic type of bone destruction, eccentric location, and cortical destruction involving no more than two quadrants of the bone circumference. Based on these findings a grading system is presented which differs from that proposed by Lodwick et al. (orig.)

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Primary malignant fibrous histiocytoma of the renal pelvis: a 78-month follow-up case report  

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Full Text Available YueBing Chen,1 Dapang Rao,2 Haibo Zhu,2 Haifeng Yu,2 ShiKun Yang21Department of Urology, Affiliated Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, 2Department of Urology, 2nd Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, People's Republic of ChinaAbstract: Primary malignant fibrous histiocytoma of the renal pelvis is extremely rare. This article reports a pathologically confirmed case. Surgery is the main treatment for this disease. Chemotherapy and radiotherapy have been reported to be ineffective. It is difficult to differentiate it from urothelial tumor of the renal pelvis and renal cell carcinoma by preoperative laboratory and radiological evaluation. Immunohistochemical study is helpful in confirming the diagnosis of the disease. This report discusses the clinical manifestations, pathohistological characteristics, treatment, and prognosis of the case reported.Keywords: primary malignant fibrous histiocytoma, tumor, urothelium, and renal cell carcinoma

Chen YB

2013-12-01

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Primary Giant Cell Malignant Fibrous Histiocytoma of the Kidney with Staghorn Calculi  

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Full Text Available Malignant fibrous histiocytomas (MFH as primary renal tumours are rare, with less than 50 cases described in the literature. We report a case of primary renal MFH of giant cell type in a 56-year-old man, who presented with bilateral dull flank pain, intermittent gross haematuria and body weight loss (6 kg in 3 months. Intravenous urography, computerized tomography (CT and magnetic resonance image (MRI showed right ureteral stones with mild hydronephrosis, and a solid mass at the lower pole of the left kidney associated with staghorn calculi, as well as tumour thrombi in the left renal vein and inferior vena cava. Left radical nephrectomy and evacuation of tumour thrombi from the left renal vein and inferior vena cava were performed. Histopathologic examination revealed malignant fibrous histiocytoma (MFH of giant cell type. To the best of our knowledge, this is the first report of primary renal MFH associated with staghorn calculi.

Chen C

2003-01-01

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A case of malignant fibrous histiocytoma arising in the irradiated maxilla  

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A malignant fibrous histiocytoma (MFH) arising in the irradiated maxilla is reported. The patient was a 59-year-old Japanese female who was referred to us for a relatively well defined and lobulated tumor extending from the right buccal mucosa to left hard palate. Her past medical history revealed that she had had a squamous cell carcinoma of the right buccal mucosa treated by 145 Gy of radiotherapy 3 years previously. Although the patient underwent a bilateral partial maxillectomy, she died due to extensive local recurrence 14 months postoperatively. Histopathologically, proliferation of atypical tumor cells of non-epithelial origin, i.e., spindle-shaped fibroblastic cells, histiocytic cells and bizarre multinucleated giant cells, were noted. Furthermore, a storiform pattern was also seen in part of the lesion. These features suggested that this care was a postirradiation malignant fibrous histiocytoma. (author)

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Primary Malignant Fibrous Histiocytoma of the Kidney: Report of a Case  

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Full Text Available Primary renal malignant fibrous histiocytoma is extremely rare. The prognosis is generally poor because of the high rate of local recurrence even if radical surgery is performed. We report a case of primary renal malignant fibrous histiocytoma in a 43-year-old woman.A well-defined renal mass (10x9x7cm with lobulated contour was revealed by abdominal ultrasonography and computerized tomography in our patient who presented with left-flank pain. The contralateral kidney and renal functions were normal. No other primary tumor focus was detected by screening performed to exclude a metastasis to the kidney. However, a nodule consistent with metastasis was identified in the liver. The patient underwent left radical nephrectomy. A huge, yellowish-white, partly necrotic neoplasm infiltrating the renal parenchyma, perirenal fat and adrenal tissue was revealed by gross examination. Microscopically, the tumor was composed of pleomorphic spindle to polygonal cells arranged in fascicles and storiform structures with extensive necrosis. Twelve mitotic figures were noted in 10 high power fields. Immunohistochemical staining for vimentin and CD68 were positive whereas pan-cytokeratin, smooth muscle actin, S-100, HMB-45 and desmin were negative. “A pleomorphic type of malignant fibrous histiocytoma” was diagnosed based on both the microscopic and immunohistochemical findings. The patient presented with multiple bilateral lung metastasis three years after nephrectomy.Histopathological examination is essential since malignant fibrous histiocytoma cannot be differentiated clinically and radiologically from other lesions with kidney involvement. The overall prognosis is unfavorable with a recurrence rate of more than 50% and the 5-yearsurvival rate is only 14%.

Nilay ?EN TÜRK

2010-05-01

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Primary malignant fibrous histiocytoma of the renal pelvis: a 78-month follow-up case report  

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YueBing Chen,1 Dapang Rao,2 Haibo Zhu,2 Haifeng Yu,2 ShiKun Yang21Department of Urology, Affiliated Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, 2Department of Urology, 2nd Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, People's Republic of ChinaAbstract: Primary malignant fibrous histiocytoma of the renal pelvis is extremely rare. This article reports a pathologically confirmed case. Surgery is the main treatment for this disease. Chemotherapy and radio...

Yb, Chen; Rao D; Zhu H; Yu H.; Sk, Yang

2013-01-01

33

MRI of malignant fibrous histiocytoma of soft tissue: analysis of 13 cases with pathologic correlation  

International Nuclear Information System (INIS)

We reviewed the magnetic resonance (MR) appearances of 13 malignant fibrous histiocytomas (MFH) of soft tissue and correlated each with the respective lesion's histopathology. The MR images were evaluated for signal intensity on T1- and T2-weighted spin echo sequences, homogeneity of the lesion, presence of internal low signal septations, and margin definition. Histologic subtypes of MFH included storiform-pleomorphic, giant cell, myxoid, and inflammatory. We could not establish a correlation between MR appearance and histopathology. Instead, our series exhibited general features suggestive of malignant soft tissue neoplasms, namely poor margin definition, internal low signal septation, and heterogeneous high signal intensity on T2-weighted images. (orig.)

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Myxofibrosarcoma of the breast as an unusual variant of malignant fibrous histiocytoma: report of a case.  

Science.gov (United States)

Soft tissue sarcomas of the breast account for less than 1% of all malignant breast tumors. The majority of these lesions have an epithelial component and are thus classified as "cystosarcoma phyllodes." All other types of sarcomas are categorized according to the existing histological soft tissue classification. It is difficult to determine the relative frequency of the different types of breast sarcoma because there are wide variations among the reported series. We report a case of myxofibrosarcoma, a variant of malignant fibrous histiocytoma, in a 58-year-old woman. PMID:15338347

Hocevar, Marko; Marinsek, Ziva Pohar; Zidar, Andreja

2004-01-01

35

Bone and gallium scan findings in malignant fibrous histiocytoma. Case report with radiographic and pathologic correlation  

International Nuclear Information System (INIS)

Malignant fibrous histiocytoma (MFH) is the most common soft tissue malignancy in adults. The Ga-67 citrate scan findings of an extremity-located MFH, the most common location of this neoplasm, have never been published in English language journals to the best of the authors' knowledge. Ga-67 citrate and Tc-99m MDP scans of the thigh mass accurately depicted the tumor's local extent, including the presence of central ischemic necrosis within the tumor, and the absence of adjacent osseous involvement and distant metastases, as correlated with computed tomography, angiography, and pathologic examinations

36

Imaging Findings of Malignant Fibrous Histiocytoma of the Breast: A Case Report  

International Nuclear Information System (INIS)

A malignant fibrous histiocytoma (MFH) is the most common soft tissue sarcoma encountered during adulthood, but the breast is not a common site of involvement for MFH. Several investigators have reported the histopathological and biological features of a MFH involving the breast, but only a few reports have focused on the imaging findings of breast MFHs. To emphasize the importance of arriving at a preoperative diagnosis for the treatment implications, we report here the imaging findings, including the mammography, US and MRI findings, for a MFH of the breast of a 53-year-old woman who presented with a rapid growing huge mass in the right breast

37

Malignant fibrous histiocytoma of the trunk metastatic to the liver: treatment with transcatheter intrahepatic chemoembolization.  

Science.gov (United States)

We report a patient with symptomatic liver metastases as the sole site of recurrence of a previously resected malignant fibrous histiocytoma of the trunk. We treated the patient with two sessions of transcatheter chemoembolization. Tumor regression was achieved, and the patient remained free of symptoms 23 months after the diagnosis of liver involvement, when he died of acute myocardial infarction. To our knowledge, this is the only case of transcatheter chemoembolization of liver metastases from soft-tissue sarcoma reported in the literature. Although it is a single case, it shows that this method may be a promising therapy for this grave disease. PMID:11474264

Brountzos, E N; Panagiotou, I E; Bafaloukos, D; Magoulas, D; Kelekis, D A

2001-08-01

38

Myxoid Type of Malignant Fibrous Histiocytoma of the Maxillary Sinus: A Case Report  

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Introduction: Myxofibrosarcoma was originally described as the myxoid variant of Malignant Fibrous Histiocytoma (MFH), a high-grade and aggressive sarcoma, which is very uncommon in the head and neck region, with about 100 cases reported up to now. MFH occurring in the maxillary sinus is so rare that only 23 cases have been reported. We hereby report a case of myxofibrosarcoma in the maxillary sinus. Case Report: The case was a 54-year-old male with symptoms of toothache in the right posterio...

Amir Hossein Jafarian; Abbas Ali Omidi; Mohammad Mehdi Ghasemi; Bahareh Joushan

2011-01-01

39

MRI of angiomatoid fibrous histiocytoma  

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Angiomatoid fibrous histiocytoma is a rare soft tissue tumor of low-grade malignancy. We present the case of a 32-year-old man who complained of soreness and numbness over his left arm and hand over the previous 2 months and of having a palpable mass over his left upper back for 4 years. Magnetic resonance imaging (MRI) showed an intramuscular soft tissue mass in the left scapular region. The tumor mass was seen to have multiple cystic components with fluid-fluid levels. Histological examination showed multiple cystic spaces filled with blood lakes and hemosiderin deposits in the solid part of the tumor. After the initial surgery, the patient had local recurrences over 2.5 years. The immunohistochemical study at the second surgery showed that the recurrent tumor was strongly positive for the histiocytic marker CD68, and the myoid trait desmin. Histological diagnosis was compatible with angiomatoid fibrous histiocytoma. (orig.)

Li, Chao-Shiang; Chen, Wei-Tsung; Chen, Ran-Chou; Tu, Hsing-Yang [Taipei Municipal Jen-Ai Hospital, Department of Radiology, Taipei (Taiwan); Chan, Wing P. [Taipei Medical University, Department of Radiology, School of Medicine, Taipei (Taiwan); Taipei Municipal Wan-Fang Hospital, Department of Radiology, Taipei (Taiwan); Chang, Chih-Peng [Taipei Municipal Jen-Ai Hospital, Department of Orthopedic Surgery, Taipei (Taiwan); Shih, Li-Sun [Taipei Municipal Jen-Ai Hospital, Department of Pathology, Taipei (Taiwan)

2004-10-01

40

MRI of angiomatoid fibrous histiocytoma  

International Nuclear Information System (INIS)

Angiomatoid fibrous histiocytoma is a rare soft tissue tumor of low-grade malignancy. We present the case of a 32-year-old man who complained of soreness and numbness over his left arm and hand over the previous 2 months and of having a palpable mass over his left upper back for 4 years. Magnetic resonance imaging (MRI) showed an intramuscular soft tissue mass in the left scapular region. The tumor mass was seen to have multiple cystic components with fluid-fluid levels. Histological examination showed multiple cystic spaces filled with blood lakes and hemosiderin deposits in the solid part of the tumor. After the initial surgery, the patient had local recurrences over 2.5 years. The immunohistochemical study at the second surgery showed that the recurrent tumor was strongly positive for the histiocytic marker CD68, and the myoid trait desmin. Histological diagnosis was compatible with angiomatoid fibrous histiocytoma. (orig.)

 
 
 
 
41

Malignant fibrous histiocytoma: outcome and prognostic factors following conservation surgery and radiotherapy  

International Nuclear Information System (INIS)

Purpose: Malignant fibrous histiocytoma is the most common type of soft tissue sarcoma. This communication presents an analysis of outcome and prognostic factors based on a retrospective review of patients with this disease treated by conservation surgery and radiotherapy. Methods and Materials: From 1966 to 1991, 271 consecutive patients with malignant fibrous histiocytoma were treated with conservation surgery and radiotherapy. The outcome with local control, metastatic relapse, and survival as end points was evaluated by univariate and multivariate statistics to delineate independently significant prognostic factors. Results: Postoperative radiation at a mean dose of 62.8 Gy was used in 195 patients and preoperative radiation at a mean dose of 50 Gy was used in 76 patients. At a median follow-up of 7.3 years, 123 patients (45%) developed disease relapse at some site. Fifty-seven (21%) developed local recurrence leading to an actuarial local relapse rate of 26% at 10 years, 83 (31%) developed metastatic relapse for a 10-year actuarial metastatic rate of 33%, and the 5-, 10-, and 15-year survival rates were 68, 60, and 46%, respectively. For local control, prior local recurrence (in 53 patients) was identified as an adverse factor, yielding a 10-year recurrence rate of 42% compared to 22% for 218 patients without prior disease (p 5 cm), and histology (myxoid vs. nonmyxoid) were not significant determinants of local outcome. For metastatic relapse, the major determinants of outcome were histology (myxoid vs. nonmyxoid) and tumor size. Myxoid tumors (59 patients) had a low metastatic propensity (13% 10-year metastatic rate) compared to nonmyxoid tumors (212 patients) (40% 10-year metastatic rate) (p 5 cm) were the only independent determinants of outcome. Conclusion: Malignant fibrous histiocytoma is a heterogeneous disease and its myxoid variant must be recognized as a distinct entity. Both variants are locally aggressive and require equally aggressive local therapy. Conservation surgery striving for negative margins with radiation therapy provides acceptable local control and is the treatment of choice for this disease. Patients with myxoid tumors do not require systemic therapy; patients with nonmyxoid disease exceeding 5 cm are at significant risk for metastases and the development of effective adjuvant treatment is an important research goal

42

Myxoid Type of Malignant Fibrous Histiocytoma of the Maxillary Sinus: A Case Report  

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Full Text Available Introduction: Myxofibrosarcoma was originally described as the myxoid variant of Malignant Fibrous Histiocytoma (MFH, a high-grade and aggressive sarcoma, which is very uncommon in the head and neck region, with about 100 cases reported up to now. MFH occurring in the maxillary sinus is so rare that only 23 cases have been reported. We hereby report a case of myxofibrosarcoma in the maxillary sinus. Case Report: The case was a 54-year-old male with symptoms of toothache in the right posterior maxillary teeth, a swelling adjacent to maxillary molar region and symptoms of chronic maxillary sinusitis. In clinical examination, the teeth were sensitive to percussion and palpation, but no caries and restoration was detected on his molar teeth. He was suffering from local pain and tenderness over his midface and mild fever, fatigue and some nonspecific vague pain. CT scan showed a mass lesion involving right nasal cavity, maxillary and ethmoidal sinuses. A low-grade malignancy arising from the right maxillary sinus was highly suspected. A surgery was done to remove the mass. The histological and immunohistochemical studies proved the diagnosis of myxoid variant of Malignant Fibrous Histiocytoma. Therefore radiotherapy and chemotherapy was started for the patient but six months later the symptoms returned and CT scan showed a right maxillary and ethmoidal mass that extended to base of the skull. Maxillectomy and ethmoidectomy were performed for the patient, but 2 months later he died because of the extension of the tumor, which confirmed the necessity of early diagnosis. Conclusion: Amplified radical surgery is the first choice of treatment. The second surgery has special value to the recurrent patients. Radiotherapy alone or chemotherapy alone is not effective to MFH of head and neck region

Amir Hossein Jafarian

2011-04-01

43

Radiologic evaluation of malignant histiocytoma  

International Nuclear Information System (INIS)

Malignant fibrous histiocytoma is a new malignant tumor entity of histiocytic origin which arises as a primary tumor of the bone as well as the soft tissue. Radiologic features of 12 cases of pathologically proven intra-and extraosseous malignant fibrous histiocytoma were analyzed. The results were as follows : 1. Seven cases were of soft tissue origin and 5 cases were of primary bone origin. 2. Seven were male and 5 were female: Eight cases were beyond 5th decades. 3. The clinical presentations of malignant fibrous histiocytoma of the soft tissue origin were a mass with rapid growth or high rate of local recurrence. The roentgen evidence of soft tissue density mass was demonstrated in 7 cases and scintigraphic evidence of cortical invasion was suggested in 2 cases. 4. Malignant fibrous histiocytoma arising from bones had ill defined moth-eaten osteolytic lesion with cortical destruction, periosteal reaction and soft tissue extension. 5. Among 12 cases, there were 2 cases of pulmonary metastases and 2 cases of osseous metastases. 6. In the presence of soft tissue mass with locally aggressive behavior and/or nonspecific roentgen features of malignant bone tumor, one should consider the possibility of malignant fibrous histiocytoma

44

Primary pulmonary malignant fibrous histiocytoma mimics pulmonary artery aneurysm with partial thrombosis: various radiologic evaluations  

International Nuclear Information System (INIS)

Primary pulmonary malignant fibrous histiocytoma (MFH) is very rare, so only a few imaging features have been reported. We report one case of rapidly growing primary pulmonary MFH mimicking a partially thrombosed pulmonary artery aneurysm and its radiologic findings, including multidetector row computed tomography (MDCT), conventional angiography, and fluorodeoxyglucose-positron emission tomography CT ([18F] FDG-PET/CT). On multi-phasic MDCT, this mass mimicked a pulmonary artery aneurysm with partial thrombosis. However, pulmonary artery aneurysm was excluded and suggested as a hypervascular parenchymal mass by subsequent conventional angiography. On [18F] FDG-PET/CT, it was a highly metabolic mass, showing a maximal standard uptake value (SUV) 12.1. Although primary pulmonary MFH is very rare and has no specific imaging findings, our experience might be helpful to differentiate a hypervascular pulmonary mass. (orig.)

45

Malignant fibrous histiocytoma of the breast. A case report and review of the literature  

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The clinicopathologic features of a malignant fibrous histiocytoma arising in a female breast are presented. Seven cases have been previously reported. These may be divided into three subgroups based on history and pathologic findings. Three of the seven occurred in women without a history of other tumors or previous irradiation. One appeared with a cystosarcoma phyllodes, and three arose following radiation for carcinoma of the breast. The patient in this study had received no radiation. Treatment has been based on surgical resection; the roles of chemotherapy and radiation are uncertain. Although resection alone in the first subgroup has lead to no reported mortality, the small number of cases and the relatively short follow-up does not allow a meaningful assessment of the prognosis in this disease.

Langham, M.R. Jr.; Mills, A.S.; DeMay, R.M.; O' Dowd, G.J.; Grathwohl, M.A.; Horsley, J.S.

1984-08-01

46

Malignant fibrous histiocytoma of the breast. A case report and review of the literature  

International Nuclear Information System (INIS)

The clinicopathologic features of a malignant fibrous histiocytoma arising in a female breast are presented. Seven cases have been previously reported. These may be divided into three subgroups based on history and pathologic findings. Three of the seven occurred in women without a history of other tumors or previous irradiation. One appeared with a cystosarcoma phyllodes, and three arose following radiation for carcinoma of the breast. The patient in this study had received no radiation. Treatment has been based on surgical resection; the roles of chemotherapy and radiation are uncertain. Although resection alone in the first subgroup has lead to no reported mortality, the small number of cases and the relatively short follow-up does not allow a meaningful assessment of the prognosis in this disease

47

Malignant fibrous histiocytoma of the head and neck. A report of 12 cases.  

Science.gov (United States)

The clinical and pathologic features of 12 cases of malignant fibrous histiocytoma of the head and neck were studied. These tumors occurred in seven men and five women ranging in age from 21 to 75 years (average, 55 years). The sinonasal tract was the most common site (four cases), followed by the parotid area (two cases), oral cavity (two cases), soft tissues of the neck (two cases), mandible (one case), and larynx (one case). Pathologically, 11 of the tumors were subclassified as storiform-pleomorphic and one as inflammatory. All were treated initially with surgery with or without postoperative irradiation. Five (42%) of the patients experienced local recurrences, three (25%) developed distant metastases (especially to the lungs), and five (42%) died of their disease, all of the latter occurring within two years of diagnosis. No patient developed bona fide cervical lymph node metastasis, although one did have a positive paraparotid node as a result of direct extension from an adjacent tumor. PMID:2843204

Barnes, L; Kanbour, A

1988-10-01

48

Usefulness of bone scintigraphy on diagnosis of malignant fibrous histiocytoma of bone  

International Nuclear Information System (INIS)

We examined the roentgenographical features of 5 patients who were diagnosed histopathologically as malignant fibrous histiocytoma (MFH) of bone, especially on the imaging of bone scintigraphy. Two patients had multiple lesions on the initial examination, and two of 3 patients who showed solitary lesion on the first examination could be detected more pathological sites by bone scintigraphy which was studied within two months of the first investigation. On bone scintigraphy, the mixture of hot and cold lesions which was coincident with the osteolytic change on plain X-P could be noticed, and with the progression of osteolysis it had a tendency to increase the area of cold lesions. These features are similar to metastatic bone tumor which is the most questionable disease on diagnosis, and we conclude that bone scintigraphy will be absolutely necessary when MFH of bone is highly suspected in the clinical course. (author)

49

BENIGN FIBROUS HISTIOCYTOMA OF SUBMANDIBULAR SPACE  

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Full Text Available Benign fibrous histiocytoma is a benign tumor composed of a mixture of fibroblastic and histiocytic cells. Based on the location of these tumors are usually divided into cutaneous types and those involving deep tissues. Non-cutaneous benign FH represents approximately 1% of all benign FH lesions. The diagnosis of benign fibrous histiocytoma located in the deeper tissues is clinically difficult and is confirmed histopathologically after excision. The most important diagnostic distinction is the separation of this tumor from aggressive forms of fibrohistiocytic neoplasms like dermatofibrosarcoma protuberans and malignant fibrous histiocytoma. A 45 -year-old male presented to us with a firm, painless swelling in the right submandibular area. After detailed clinical and laboratory examinations, the lesion was excised in toto under general anesthesia,and histopathology revealed it to be a benign fibrous histiocytoma.

Pradipta Kumar Parida

2014-10-01

50

Injection-site Malignant Fibrous Histiocytomas in a Pegvisomant Carcinogenicity Study in SD Rats.  

Science.gov (United States)

In a 2-year rat carcinogenicity study, pegvisomant injected subcutaneously on a daily basis at doses of 0, 2, 8, or 20 mg/kg/day produced malignant fibrous histiocytomas (MFHs) at the injection sites of 3 male rats (5%) given 8 mg/kg/day and 5 males (8%) given 20 mg/kg/day. MFH was characterized by unencapsulated dermal and subcutaneous sheets of fusiform and spindle-shaped cells sometimes with areas of round and/or irregular, pleomorphic cells and variable numbers of large multinucleated giant cells. Some regions of MFH had a fibroblastic appearance with streaming cells forming storiform patterns, while other areas consisted primarily of round to plump irregular cells with more giant cells. Pegvisomant did not increase the incidence of MFH in female rats and did not produce any other neoplastic responses in rats. In the dermis and subcutis at the injection sites of many males and females, pegvisomant produced dose-related increased incidences and severity of histiocytic infiltrates consisting of vacuolated macrophages with variable mature or immature fibrous tissue. Neoplasms at injection sites did not result in marketing restrictions or a label warning for human cancer risk, highlighting that injection-site neoplasms in rats have low relevance for human risk assessment. PMID:24487355

Bartholomew, Phillip M; Kreeger, John M; Morton, Daniel

2014-10-01

51

A radiation-induced malignant fibrous histiocytoma of the soft tissue after a carcinoma of the cervix  

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Presented are two cases of a radiation-induced malignant fibrous histiocytoma of the soft tissue following a carcinoma of the cervix. Case 1 is that of a 51-year-old female, who received postoperative radiotherapy of the pelvis, consisting of 60 Gy/25 fractions for 5 weeks. A large gluteal mass occurred 15 years later. Although this tumor responded to the radiotherapy and hyperthermia, the patient died of a recurrence 27 months later. Case 2 is that of a 62-year-old female, who underwent postoperative radiotherapy of 40 Gy/16 fractions for 4 weeks. A left gluteal tumor appeared 18 years later. After a resection of this tumor, she had repeated local recurrences. Three years after the operation, radio-hyperthermia was administered, and the patient has been doing well for a year. The histological diagnosis for both cases was a malignant fibrous histiocytoma of the ordinal type, which was considered to be a radiation-induced sarcoma. (author).

Nishimura, Tetsuo; Nozue, Masashi; Teshima, Takeshi; Suenaga, Ichiro; Furuhashi, Kyo; Kaneko, Masao; Okada, Masahito; Miura, Katsutoshi (Hamamatsu Univ., Shizuoka (Japan). School of Medicine)

1991-08-01

52

A radiation-induced malignant fibrous histiocytoma of the soft tissue after a carcinoma of the cervix  

International Nuclear Information System (INIS)

Presented are two cases of a radiation-induced malignant fibrous histiocytoma of the soft tissue following a carcinoma of the cervix. Case 1 is that of a 51-year-old female, who received postoperative radiotherapy of the pelvis, consisting of 60 Gy/25 fractions for 5 weeks. A large gluteal mass occurred 15 years later. Although this tumor responded to the radiotherapy and hyperthermia, the patient died of a recurrence 27 months later. Case 2 is that of a 62-year-old female, who underwent postoperative radiotherapy of 40 Gy/16 fractions for 4 weeks. A left gluteal tumor appeared 18 years later. After a resection of this tumor, she had repeated local recurrences. Three years after the operation, radio-hyperthermia was administered, and the patient has been doing well for a year. The histological diagnosis for both cases was a malignant fibrous histiocytoma of the ordinal type, which was considered to be a radiation-induced sarcoma. (author)

53

Radiation-induced malignant fibrous histiocytoma: a report of five cases including two occurring post whole brain irradiation  

International Nuclear Information System (INIS)

Five patients who were successfully treated with external radiation therapy for a variety of histologically unrelated tumors subsequently developed malignant fibrous histiocytoma (MFH) within the irradiated field. It is suggested that therapeutic irradiation was a causative factor in the development of these tumors with latent periods ranging between 3 and 17 years. A review of the pertinent literature is presented. It is apparent that postradiation MFH is being recognized with increasing frequency and at an earlier age than when it appears de novo

54

Simultaneous occurrence of malignant fibrous histiocytoma and hepatocellular carcinoma in cirrhotic liver: A case report  

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Full Text Available Primary hepatic malignant fibrous histiocytoma (MFH is rarely encountered. There have been no reports to date of hepatic MFH associated with liver cirrhosis. The presence of liver cirrhosis is considered an adjunctive feature favoring sarcomatoid hepatocellular carcinoma (HCC in the diagnosis of spindle cell tumors in liver. We describe here a 59-year-old man with liver cirrhosis due to hepatitis B virus infection 20 years ago. On abdominal computed tomography scanning, two distinct hepatic masses were identified in the background of cirrhosis, which had different radiological features from conventional HCC. He underwent segmentectomy for removal of the tumors. The pathological examination of surgically resected specimen revealed the large malignant spindle cell tumor and small conventional HCC. Additional tissue sampling and immunohistochemical stainings demonstrated that the spindle cell tumor was consistent with MFH. On the post-operative follow-up for 21 mo, a round mass showing similar radiological findings for the previous MFH was appeared on the surface of resection margin, suggesting the recurrence. Despite its rarity, hepatic MFH should be considered during differential diagnosis, even in cirrhotic patients, and extensive tissue sampling and immunohistochemical analyses are necessary in the diagnosis of hepatic spindle cell tumors.

Hee Sang Hwang

2011-01-01

55

Histiocitoma fibroso maligno retroperitoneal: A propósito de un caso / Retroperitoneal malignant fibrous histiocytoma: case report  

Scientific Electronic Library Online (English)

Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Objetivo: Presentar un caso de una tumoración retroperitoneal de gran tamaño con diagnóstico patológico de Histiocitoma fibroso maligno y revisar aspectos diagnósticos y terapéuticos de la literatura actual. Método: Presentamos el caso de un hombre de 75 años de edad que durante un ingreso en el ser [...] vicio de digestivo por clínica de astenia de meses de evolución y problemas gastrointestinales se realiza CT abdomino-pélvico, identificando gran masa de 20 x 22 x 12 cm que parece depender del riñón izquierdo junto a aneurisma de aorta abdominal de 8 cm de diámetro. Resultados: Se somete al paciente a intervención quirúrgica donde se realiza Nefrectomía radical izquierda más resección radical de masa retroperitoneal, que histológicamente corresponde a un Histiocitoma fibroso maligno, tipo estoriforme-pleomórfico con focos de degeneración hialina (Estadio pT2b). Conclusiones: Los sarcomas son neoplasias infrecuentes. Pueden adoptar una gran variedad de patrones morfológicos y distintos grados de diferenciación. El tratamiento quirúrgico continúa siendo la única terapia con posibilidades curativas. El tratamiento adyuvante radioterápico y/o quimioterápico es cuestionado. Abstract in english Objective: We present the case of a big retroperitoneal tumor that received the pathologic diagnosis of malignant fibrous histiocytoma. We also review the diagnostic and therapeutic features of this disease in the current literature. Methods: We present the case of a 75-year-old male who was admitte [...] d to the Gastrointestinal Disease Department with asthenia of several months of evolution and gastrointestinal problems. Abdominopelvic CT scan revealed a big mass of 20 x 22 x 12 cm, which seems to depend from the left kidney, together with an 8 cm diameter abdominal aortic aneurysm. Results: The patient underwent surgery and left radical nephrectomy together with radical resection of the retroperitoneal mass were performed. Pathology reportes malignant fibrous histiocytoma of the storiform-pleomorphic type, with hyaline degeneration foci (stadium pT2B). Conclusions: Sarcomas are rare neoplasias. They can adopt several different morphologic patterns, as well as many differentiation degrees. The surgical treatment is still the only therapy with healing possibilities. Adjuvant treatments through radiotherapy and/or chemotherapy are brought into question.

Pablo, Eguíluz Lumbreras; Alberto, Palacios Hernández; Oscar, Heredero Zorzo; Javier, García García; Florencio, Cañada de Arriba; Federico, Pérez Herrero; Ramón, Gómez Zancajo.

2010-08-01

56

Histiocitoma fibroso maligno retroperitoneal: A propósito de un caso / Retroperitoneal malignant fibrous histiocytoma: case report  

Scientific Electronic Library Online (English)

Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Objetivo: Presentar un caso de una tumoración retroperitoneal de gran tamaño con diagnóstico patológico de Histiocitoma fibroso maligno y revisar aspectos diagnósticos y terapéuticos de la literatura actual. Método: Presentamos el caso de un hombre de 75 años de edad que durante un ingreso en el ser [...] vicio de digestivo por clínica de astenia de meses de evolución y problemas gastrointestinales se realiza CT abdomino-pélvico, identificando gran masa de 20 x 22 x 12 cm que parece depender del riñón izquierdo junto a aneurisma de aorta abdominal de 8 cm de diámetro. Resultados: Se somete al paciente a intervención quirúrgica donde se realiza Nefrectomía radical izquierda más resección radical de masa retroperitoneal, que histológicamente corresponde a un Histiocitoma fibroso maligno, tipo estoriforme-pleomórfico con focos de degeneración hialina (Estadio pT2b). Conclusiones: Los sarcomas son neoplasias infrecuentes. Pueden adoptar una gran variedad de patrones morfológicos y distintos grados de diferenciación. El tratamiento quirúrgico continúa siendo la única terapia con posibilidades curativas. El tratamiento adyuvante radioterápico y/o quimioterápico es cuestionado. Abstract in english Objective: We present the case of a big retroperitoneal tumor that received the pathologic diagnosis of malignant fibrous histiocytoma. We also review the diagnostic and therapeutic features of this disease in the current literature. Methods: We present the case of a 75-year-old male who was admitte [...] d to the Gastrointestinal Disease Department with asthenia of several months of evolution and gastrointestinal problems. Abdominopelvic CT scan revealed a big mass of 20 x 22 x 12 cm, which seems to depend from the left kidney, together with an 8 cm diameter abdominal aortic aneurysm. Results: The patient underwent surgery and left radical nephrectomy together with radical resection of the retroperitoneal mass were performed. Pathology reportes malignant fibrous histiocytoma of the storiform-pleomorphic type, with hyaline degeneration foci (stadium pT2B). Conclusions: Sarcomas are rare neoplasias. They can adopt several different morphologic patterns, as well as many differentiation degrees. The surgical treatment is still the only therapy with healing possibilities. Adjuvant treatments through radiotherapy and/or chemotherapy are brought into question.

Pablo, Eguíluz Lumbreras; Alberto, Palacios Hernández; Oscar, Heredero Zorzo; Javier, García García; Florencio, Cañada de Arriba; Federico, Pérez Herrero; Ramón, Gómez Zancajo.

57

Chemically induced transplantable malignant fibrous histiocytoma of the rat. Analyses with immunohistochemistry, immunoelectron microscopy and [3H]thymidine autoradiography  

International Nuclear Information System (INIS)

Malignant fibrous histiocytoma was produced in rats by injection of 9,10-dimethyl-1,2-benzanthracene into their knee joints. The original tumors consisted mainly of fibroblast-like cells and histiocyte-like cells, often intermixed with bizarre giant cells, and they frequently showed the storiform-pleomorphic pattern. By immunohistochemistry, anti-rat macrophage monoclonal antibodies, TRPM-3, RM-1, and Ki-M2R, and anti-rat leukocyte common antigen reacted to the histiocyte-like cells but not to the fibroblast-like cells. By the single cell cloning method, we established six tumor cell lines, none of which reacted with the anti-rat macrophage monoclonal antibodies, possessed any Fc receptors, or conducted immune phagocytosis and Latex particle phagocytosis. The ultrastructure of the cloned tumor cells resembled that of long-term cultured dermal fibroblasts. Collagen production by the tumor cells was demonstrated immunohistochemically with a monoclonal antibody for type I collagen. Inoculation of the cloned tumor cells into rats produced tumors with the histology of malignant fibrous histiocytoma and induced prominent macrophage infiltration. In the rat tumors produced by the inoculation of [3H]thymidine labeled cells, no reactivity of tumor cells with the anti-rat macrophage monoclonal antibodies was observed. Transplantation of the cultured rat tumor cells into nude mice produced tumors similar in histology to the original rat malignant fibrous histiocytoma. Tumor cellmalignant fibrous histiocytoma. Tumor cells in nude mice induced marked macrophage infiltration as detected by immunohistochemistry with the anti-mouse macrophage monoclonal antibody F4/80. No differentiation of tumor cells into macrophages was detected, since no cells were stained with biotinylated anti-rat macrophage monoclonal antibody TRPM-3

58

18F-FDG PET imaging of malignant fibrous histiocytoma in hip  

International Nuclear Information System (INIS)

Objective: A 56-year-old woman presented with 5-year history of pain and swelling of right hip. Four operations had been performed on the patients. The pathological diagnosis was low-grade malignant fibrous histiocytoma (MFH) of soft tissue. In fasting state, the patient received 155 MBq (4.2 mCi) of 18F-FDG intravenously. A whole-body PET study was performed with image acquisition starting at 50 min after 18F-FDG injection. Emission and 137Cs-source transmission study were obtained. The attenuation corrected whole-body images were reconstructed by iteration. 18F-FDG PET images showed merging focuses of radiotracer accumulation in the right hip's soft tissue mass as well as the right iliac bone and the upper end of right femur. The maximal standard uptake value (SUVmax) was 7.3. Histological grading of soft tissue tumors is challenging because large heterogeneous tumor masses may cause sampling errors with underestimation of aggressiveness. The studies demonstrated increased uptakes of 18F-FDG in the patients with intermediate- and high-grade MFH. 18F-FDG PET imaging may be used to differentiate more aggressive MFHs from less aggressive ones and detect local recurrence and distant metastases

59

Simultaneous Occurrence of Malignant Fibrous Histiocytoma of the Ureter and Dioctophyma Renale Infection: A Case Report  

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A common soft-tissue tumor, malignant fibrous histiocytoma (MFH) occurs in mainly limbs, retroperitoneal and peritoneal space, and occurrence in kidneys or the ureter is very rare. Dioctophyma renale (D. renale) since first discovered in dog's kidney was found in the kidneys of animals such as mink, coyote and weasel, and human infection has only been reported in only approximately 20 cases worldwide. MFH of the ureter and D. renale infection very rarely occur in humans, and has not been reported in our country. Here, we described the case of an adult man in whom MFH of the ureter simultaneously occurred with D. renale infection. An initial CT scan showed a well-defined, persistent, enhancing polypoid mass-like lesion in the upper ureter. After 10 months, D. renale was excreted in the urine and a follow-up CT scan showed an increase in the size of that lesion and irregular thickening of the ureter wall. The diagnosis of MFH was pathologically verified.

Park, Hye Young; Seo, Jung Wook; Lee, Byung Hoon; Lee, Ji Young; Kim, Su Young; Cha, Soon Joo; Kim, Yong Hoon; Hwang, Yoon Joon; Kim, You Sung [Dept. of Radiology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang (Korea, Republic of)

2013-03-15

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Reclassification and subtyping of so-called malignant fibrous histiocytoma of bone: comparison with cytogenetic features  

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Full Text Available Abstract Background The diagnostic entity malignant fibrous histiocytoma (MFH of bone is, like its soft tissue counterpart, likely to be a misnomer, encompassing a variety of poorly differentiated sarcomas. When reviewing a series of 57 so-called MFH of bone within the framework of the EuroBoNeT consortium according to up-to-date criteria and ancillary immunohistochemistry, a fourth of all tumors were reclassified and subtyped. Methods In the present study, the cytogenetic data on 11 of these tumors (three myoepithelioma-like sarcomas, two leiomyosarcomas, one undifferentiated pleomorphic sarcoma with incomplete myogenic differentiation, two undifferentiated pleomorphic sarcomas, one osteosarcoma, one spindle cell sarcoma, and one unclassifiable biphasic sarcoma are presented. Results All tumors were high-grade lesions and showed very complex karyotypes. Neither the overall pattern (ploidy level, degree of complexity nor specific cytogenetic features distinguished any of the subtypes. The subgroup of myoepithelioma-like sarcomas was further investigated with regard to the status of the EWSR1 and FUS loci; however, no rearrangement was found. Nor was any particular aberration that could differentiate any of the subtypes from osteosarcomas detected. Conclusions chromosome banding analysis is unlikely to reveal potential genotype-phenotype correlations between morphologic subtypes among so-called MFH of bone.

Mertens Fredrik

2011-10-01

 
 
 
 
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Thermoradiotherapy in the treatment of soft-tissue malignant fibrous histiocytoma of the extremities  

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From 1982 through 1989, five patients with soft-tissue malignant fibrous histiocytoma (MFH) of the extremities were treated with thermoradiotherapy in Kyoto University Hospital. All patients were male, and their ages ranged from 66 to 84 years. All of the tumors were locally recurrent ones following initial treatments. The initial treatments included wide excision followed by chemotherapy in one tumor, local excision with postoperative radiotherapy (60 Gy/2 Gy) in one tumor, and one to three times of local excision in the remaining three tumors. Hyperthermia was administered by an 8 MHz RF capacitive heating device or a 430 MHz microwave hyperthermia system for a total of 3 to 12 sessions (mean: 7 sessions). The total radiation dose ranged from 25 Gy to 70 Gy. regarding the tumor response, two tumors showed complete regression (CR), two showed no response (NR; less than 50% regression), and one tumor was resected 4 months after the treatment, in which no malignant tumor cells were detected by histological examination. Thus, good tumor response was obtained in three tumors. In addition, none of these tumors have shown recurrence in the follow up period of 4 to 36 months (mean: 15 months). CT scans performed after thermoradiotherapy demonstrated remarkable intratumor low density area in effectively heated tumors, and this CT change was useful to evaluate the initial effects of thermoradiotherapy. No serious complications associated with the combined treatment were notedted with the combined treatment were noted in this study. These results suggest that hyperthermia is a useful adjuvant to radiotherapy in the treatment of soft-tissue MFH of the extremities. (author)

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[Prognostic significance of the clinical x-ray and morphological signs in malignant fibrous histiocytoma of bone].  

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Forty-four cases of malignant fibrous histiocytoma were studied. A new index for patients' survival prognosis was developed and defined as a tumor growth rate. It is a ratio of maximal tumor size and duration of disease. Eight clinical x-ray and morphological factors of prognosis were identified: duration of disease, clinical manifestations, size and roentgenologic type of tumor, pattern of tumor contours, status of the cortical layer in bone lesions, tumor growth rate and morphologic grade of malignancy. A multifactorial analysis was carried out and data were presented in tables. Values of each parameter were calculated. PMID:2827391

Petrovichev, N N; Khmelev, O N; Annamukhamedov, A; Dvorova, E K

1987-01-01

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Primary malignant fibrous histiocytoma of the abdominal cavity: CT findings and pathological correlation  

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Full Text Available AIM: To study computed tomography (CT features of abdominal malignant fibrous histiocytoma (MFH in various rare locations. METHODS: We retroprospectively identified cases of MFH involving the abdominal cavity. Particular attention was paid to details regarding imaging features and histological types. RESULTS: The study population consisted of seven men and one woman, with a mean age of 52.5 years. Seven patients had some physical symptoms, while one was incidentally detected. The sites of origin were liver (n = 3, greater omentum (n = 1, superior mesentery (n = 1, ileum (n = 1, right psoas muscle (n = 1 and right kidney (n = 1. With the exception of the ileum lesion, all were of huge size. The contour of the lesions was more or less clear. Foci of necrosis were present in six lesions (n = 6. On plain CT scan, all lesions were hypo to iso dense. The lesion in the greater omentum was cystic. One lesion (n = 1 showed significant enhancement and the cystic lesion showed mild peripheral enhancement. An abundance of blood vessels surrounding the mass was seen in two lesions (n = 2 and both were of the inflammatory variety. Pathological examination revealed storiform-pleomorphic variety (n = 4, inflammatory variety (n = 3 and myxoid variety (n = 1. Two of the patients with inflammatory MFH had a clinical presentation of fever and one was afebrile, however, blood investigations in all three showed leukocytosis. CONCLUSION: Primary MFHs of the abdominal viscera and gastrointestinal tract are generally huge soft tissue masses containing areas of low attenuation and mild to moderate contrast enhancement.

Bivek Karki

2012-01-01

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Chemically induced transplantable malignant fibrous histiocytoma of the rat. Analyses with immunohistochemistry, immunoelectron microscopy and (3H)thymidine autoradiography  

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Malignant fibrous histiocytoma was produced in rats by injection of 9,10-dimethyl-1,2-benzanthracene into their knee joints. The original tumors consisted mainly of fibroblast-like cells and histiocyte-like cells, often intermixed with bizarre giant cells, and they frequently showed the storiform-pleomorphic pattern. By immunohistochemistry, anti-rat macrophage monoclonal antibodies, TRPM-3, RM-1, and Ki-M2R, and anti-rat leukocyte common antigen reacted to the histiocyte-like cells but not to the fibroblast-like cells. By the single cell cloning method, we established six tumor cell lines, none of which reacted with the anti-rat macrophage monoclonal antibodies, possessed any Fc receptors, or conducted immune phagocytosis and Latex particle phagocytosis. The ultrastructure of the cloned tumor cells resembled that of long-term cultured dermal fibroblasts. Collagen production by the tumor cells was demonstrated immunohistochemically with a monoclonal antibody for type I collagen. Inoculation of the cloned tumor cells into rats produced tumors with the histology of malignant fibrous histiocytoma and induced prominent macrophage infiltration. In the rat tumors produced by the inoculation of (3H)thymidine labeled cells, no reactivity of tumor cells with the anti-rat macrophage monoclonal antibodies was observed. Transplantation of the cultured rat tumor cells into nude mice produced tumors similar in histology to the original rat malignant fibrous histiocytoma. Tumor cells in nude mice induced marked macrophage infiltration as detected by immunohistochemistry with the anti-mouse macrophage monoclonal antibody F4/80. No differentiation of tumor cells into macrophages was detected, since no cells were stained with biotinylated anti-rat macrophage monoclonal antibody TRPM-3.

Kato, T.; Takeya, M.; Takagi, K.; Takahashi, K. (Kumamoto Univ. Medical School (Japan))

1990-05-01

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Benign fibrous histiocytoma of the lumbar vertebrae  

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Benign fibrous histiocytoma is an extremely rare spinal tumor with ten reported cases in the literature. Benign fibrous histiocytoma constitutes a diagnostic challenge because it shares common clinical symptoms, radiological characteristics, and histological features with other benign lesions involving the spine. We present a case of benign fibrous histiocytoma of the lumbar spine and discuss its differential diagnosis and management. (orig.)

Demiralp, Bahtiyar; Oguz, Erbil; Sehirlioglu, Ali [Gulhane Military Medical Academy, Department of Orthopedics and Traumatology, Ankara (Turkey); Kose, Ozkan [Diyarbakir Education and Research Hospital, Department of Orthopedics and Traumatology, Diyarbakir (Turkey); Ataslar Serhat Evleri, Diclekent Bulvari, Diyarbakir (Turkey); Sanal, Tuba [Gulhane Military Medical Academy, Department of Radiology, Ankara (Turkey); Ozcan, Ayhan [Gulhane Military Medical Academy, Department of Pathology, Ankara (Turkey)

2009-02-15

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Histiocitoma fibroso maligno de vejiga: Revisión bibliográfica / Malignant fibrous histiocytoma of the bladder: A literature review  

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Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Objetivos: El histiocitoma fibroso maligno (HFM) es un tumor poco frecuente del tracto urinario. Pretendemos actualizar los criterios diagnósticos, las características anatomopatológicas e inmunohistoquímicas, la clasificación histológica, los factores pronóstico y las alternativas terapéuticas. Mat [...] erial y métodos: Revisión bibliográfica y estudio descriptivo de los casos de HFM de vejiga publicados en la literatura médica internacional. Resultados: Existen 29 casos publicados de HFM de vejiga y las variantes morfológicas más frecuentes son la estoriforme-fascicular (41%) y la inflamatoria (36%). Las variantes no mixoides comportan peor pronóstico. El 72% fue T3 en el momento del diagnóstico. La tasa de recurrencia local y a distancia del HFM de vejiga fue del 50 y del 25%, respectivamente, tras tratamiento exclusivamente quirúrgico. Conclusiones: El HFM de vejiga es un tumor con alta tasa de recurrencia local y a distancia, así como baja supervivencia, requiriendo un tratamiento precoz y agresivo. La cistectomía radical con linfadenectomía y radioterapia adyuvante, con eventual quimioterapia, se considera el tratamiento de elección. Abstract in english Objectives: Malignant fibrous histiocytoma (MFH) is an uncommon urinary tract tumor. This paper is intended to provide an update on its diagnostic criteria, pathological and immunohistochemical characteristics, histological classification, prognostic factors, and alternative treatments. Materials an [...] d methods: All published articles on MFH of the urinary bladder have been reviewed and a descriptive study has been done. Results: Twenty-nine cases of MFH of the bladder have been reported. The most common morphological variants are storiform-fascicular (41%) and inflammatory (36%) MFH. Non-myxoid variants have a poorer prognosis. Stage T3 MFH was found in 72% of cases at the time of diagnosis. MFH local recurrence and distant metastasis rates were 50% and 25% respectively after surgical treatment only. Conclusions: MFH of the bladder is a tumor with high local and distant recurrence rates and a low survival rate, and therefore requires early and aggressive treatment. Radical cystectomy with lymphadenectomy and adjuvant radiotherapy is considered to be the treatment of choice, eventually associated to chemotherapy.

I., Povo-Martín; D., Gallego-Vilar; M., Bosquet-Sanz; J., Miralles-Aguado; V., Gimeno-Argente; M., Rodrigo-Aliaga; J., Gallego-Gómez.

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A new complication of retained surgical gauze: development of malignant fibrous histiocytoma – report of a case with a literature review  

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Full Text Available Abstract Background Primary visceral malignant fibrous histiocytoma (MFH is a rare disease, and few cases have been reported in the English literature. However, retained foreign bodies in the abdomen after surgical procedures are important causes of intra-abdominal infections. For legal and ethical reasons, there are few publications in the literature. In this article, we describe for the first time a case of malign abdominal fibrous histiocytoma associated with a surgical sponge forgotten in the abdominal cavity a long time ago. Case presentation A 64-year-old male presented to our surgical department with cachexia, abdominal pain, distention and pyrexia of unknown origin. He had a medical history of abdominal surgery for peptic ulcer perforation 32?years ago. Clinical examination revealed fever with a distended and painful abdominal wall. Radiological imaging of the abdomen showed multiple heterogeneous masses in one large cystic cavityalmost completely filling the abdomen. The patient underwent a laparotomy, and interestingly, opening the cyst revealed retained surgical gauze (RSG. The origin of the tumor was the visceral peritoneum, and it was excised totally. Conclusions Primary intra-abdominal MFH can present as a complication of long-lasting RSG. Therefore, clinicians must remember this while establishing the differential diagnosis for patients with a history of previous abdominal surgery and presenting with symptoms associated with both the tumor and systemic inflammatory response.

Kaplan Mehmet

2012-07-01

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Malignant fibrous histiocytoma of the deep peri-articular tissue of the stifle in a dog : case report  

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Full Text Available A Belgian shepherd dog aged 4 years and 9 months was presented with acute onset of non-weight bearing lameness and stifle effusion of the left hind limb, caused by the deep form of a malignant fibrous histiocytoma originating in the deep musculature and fascia surrounding the stifle joint. The tumour progressed rapidly in the tissues along the femoral diaphysis with marked periosteal new bone formation. Cytology of a stifle joint aspirate revealed numerous large polygonal neoplastic cells with considerable anisocytosis and anisokaryosis. These cells were present in clusters, with cytoplasmic projections between the cells, but occasionally also occurred singly. Several cells contained multiple cytoplasmic vacuoles and occasional giant cells were also encountered. Adequate tumour-free margins were not possible with radical limb amputation and the dog was euthanased. Macroscopically the tumour appeared as an extensive pale tan, firm mass with scattered small haemorrhages and foci of yellow discolouration. Histologically the tumour consisted of dense neoplastic expanses or multiple nodules, composed of spindle-shaped fibroblastic cells, polygonal histiocytic cells or cell clusters and scattered giant cells with 2-3 nuclei. The polygonal neoplastic cells were frequently present around and invading lymphatics and blood vessels, causing neoplastic emboli. This is the 1st report of the clinical behaviour, radiography and cytology of the deep form of malignant fibrous histiocytoma in the dog.

M.J. Booth

2012-07-01

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Primary malignant fibrous histiocytoma (myxofibrosarcoma/pleomorphic sarcoma not otherwise specified) of the breast: clinicopathologic study of 19 cases.  

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We present 19 cases of primary breast malignant fibrous histiocytoma (MFH) or myxofibrosarcoma/pleomorphic sarcoma not otherwise specified, the largest series to date, and compare our results with those in the literature to better define MFH in this anatomical location. Twenty-seven cases (MFH, myxofibrosarcoma, or pleomorphic sarcoma not otherwise specified) were reviewed using World Health Organization and French Federation of Cancer Centers criteria. Inclusion required location within breast parenchyma without extensive chest wall involvement. Morphological features were recorded, and immunohistochemistry was applied. Clinical data were extracted from patients' medical records. Clinically, there was 1 male patient. Of 15 patients with follow-up, 5 (33% overall) died of disease within an average of 7 months after diagnosis. Distant metastases and older patient age were associated with poor survival. Storiform-pleomorphic subtype was most common (10/19) with myxofibrosarcoma (6/19) and giant cell subtype (1/19) also observed. Unique lymphocyte-rich (1/19) and pleomorphic hyalinizing angiectatic tumor-like (1/19) morphologies are presented. Immunohistochemistry demonstrated expression of CD68 (71%), focal smooth muscle actin (36%), with rare focal estrogen and progesterone receptor immunoreactivity. All cases were negative for CD34, S-100 protein, desmin 33, and keratins, including CK7, CK20, CK5/6, and CK18. Malignant fibrous histiocytoma occurs as a primary lesion in breast parenchyma. Attention to morphological detail and immunohistochemistry avoids misdiagnosis. Entrapped breast ductal epithelium should not be misinterpreted as the epithelial component of a biphasic tumor. A florid lymphoid response should not be confused with metaplastic carcinoma. Pleomorphic hyalinizing angiectatic tumor-like features may be observed in MFH. Our study confirms the presence of MFH in breast and presents unique morphological observations of primary breast MFH. PMID:21983422

Hartel, Paul H; Bratthauer, Gary; Hartel, James V; Fanburg-Smith, Julie C

2011-12-01

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Diaphyseal medullary stenosis (sclerosis) with bone malignancy (malignant fibrous histiocytoma): hardcastle syndrome  

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Hardcastle syndrome is a rare, autosomally dominant inherited skeletal dysplasia, characterized by diaphyseal sclerosis, medullary stenosis, pathological fractures, bony infarction, and malignant transformation. A 19-year-old proband is presented and discussed, adding a fourth family to the world literature. Radiographic screening of family members is suggested from puberty onward. Thallium scanning is proposed as a more tumor-sensitive screening agent in affected individuals. (orig.). With 2 figs.

Norton, K.I. [Department of Radiology, Box 1234, Mount Sinai Hospital and Mount Sinai School of Medicine, City University of New York, One Gustave L. Levy Place, New York, NY 10029-6574 (United States)]|[Department of Pediatrics, Mount Sinai Hospital, New York, New York (United States); Wagreich, J.M. [Department of Radiology, Box 1234, Mount Sinai Hospital and Mount Sinai School of Medicine, City University of New York, One Gustave L. Levy Place, New York, NY 10029-6574 (United States); Granowetter, L. [Division of Pediatric Hematology-Oncology, Mount Sinai Hospital New York, New York (United States); Martignetti, J.A. [Department of Pediatrics, Mount Sinai Hospital, New York, New York (United States)

1996-09-01

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Accumulation of MRI contrast agents in malignant fibrous histiocytoma for gadolinium neutron capture therapy  

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Neutron-capture therapy with gadolinium (Gd-NCT) has therapeutic potential, especially that gadolinium is generally used as a contrast medium in magnetic resonance imaging (MRI). The accumulation of gadolinium in a human sarcoma cell line, malignant fibrosis histiocytoma (MFH) Nara-H, was visualized by the MRI system. The commercially available MRI contrast medium Gd-DTPA (Magnevist, dimeglumine gadopentetate aqueous solution) and the biodegradable and highly gadopentetic acid (Gd-DTPA)-loaded chitosan nanoparticles (Gd-nanoCPs) were prepared as MRI contrast agents. The MFH cells were cultured and collected into three falcon tubes that were set into the 3-tesra MRI system to acquire signal intensities from each pellet by the spin echo method, and the longitudinal relaxation time (T1) was calculated. The amount of Gd in the sample was measured by inductively coupled plasma atomic emission spectrography (ICP-AES). The accumulation of gadolinium in cells treated with Gd-nanoCPs was larger than that in cells treated with Gd-DTPA. In contrast, and compared with the control, Gd-DTPA was more effective than Gd-nanoCPs in reducing T1, suggesting that the larger accumulation exerted the adverse effect of lowering the enhancement of MRI. Further studies are warranted to gain insight into the therapeutic potential of Gd-NCT.

Fujimoto, T. [Department of Orthopaedic Surgery, Hyogo Cancer Center, Akashi 673-0021 (Japan)], E-mail: fujitaku@hp.pref.hyogo.jp; Ichikawa, H. [Faculty of Pharmaceutical Sciences and Cooperative Research Center of Life Sciences, Kobe Gakuin University, Kobe 650-8586 (Japan); Akisue, T. [Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017 (Japan); Fujita, I. [Department of Orthopaedic Surgery, Hyogo Cancer Center, Akashi 673-0021 (Japan); Kishimoto, K.; Hara, H. [Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017 (Japan); Imabori, M. [Department of Orthopaedic Surgery, Hyogo Cancer Center, Akashi 673-0021 (Japan); Kawamitsu, H. [Department of Radiology, Kobe University Graduate School of Medicine, Kobe 650-0017 (Japan); Sharma, P.; Brown, S.C.; Moudgil, B.M. [Particle Engineering Research Center, University of Florida, Gainesville, FL32611 (United States); Fujii, M. [Department of Radiology, Kobe University Graduate School of Medicine, Kobe 650-0017 (Japan); Yamamoto, T. [Department of Orthopaedic Surgery, Kagawa University, Kagawa 761-0793 (Japan); Kurosaka, M. [Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017 (Japan); Fukumori, Y. [Faculty of Pharmaceutical Sciences and Cooperative Research Center of Life Sciences, Kobe Gakuin University, Kobe 650-8586 (Japan)

2009-07-15

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[Deep benign fibrous histiocytoma: a case report].  

Science.gov (United States)

Bening fibrous histiocytoma is one of the most frequent benign tumors. Most tumors are found in the skin, particularly on the limbs. Tumor size is usually small. According to the WHO, a deep location is found for less than 1% of all benign fibrous histiocytomas. Most deep tumors occur in the subcutaneous tissue. Deep locations in other organs have also been reported. We report a case and discuss the pathological and clinical aspects of this rare tumor. PMID:17245241

Hannachi Sassi, S; Trabelsi, M; Abid, L; Mrad, K; Abbess, I; Dhouib, R; Driss, M; Mbarek, M; Ben Romdhane, K

2006-12-01

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Subcutaneous benign fibrous histiocytoma of the cheek. Case report and review of the literature.  

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Fibrous histiocytoma is a benign tumour composed of a mixture of fibroblastic and histiocytic cells. Based on the location of this tumour, fibrous histiocytoma are usually divided into cutaneous types and those involving deep tissues. These lesions most often arise on the skin, but may rarely occur in soft deep tissues. The diagnosis of fibrous histiocytoma may be clinically difficult when the lesion is located in the deep tissues, and is frequently confirmed after local excision. The most important diagnostic distinction is the separation of this tumour from aggressive forms of fibrohistiocytic neoplasms, including dermatofibrosarcoma protuberans and malignant fibrous histiocytoma. A 19-year-old male presented with a painless swelling on the right cheek. Detailed clinical and laboratory examinations were performed. The lesion had been totally excised under local anaesthesia, and histopathology revealed a benign fibrous histiocytoma. The diagnosis, location, treatment and prognosis of fibrous histiocytoma are also discussed. PMID:17608138

Skoulakis, C E; Papadakis, C E; Datseris, G E; Drivas, E I; Kyrmizakis, D E; Bizakis, J G

2007-04-01

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Benign fibrous histiocytoma of the lower lip.  

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Benign fibrous histiocytoma (BFH) is one of the most common tumors of the superficial and deep soft tissues; it is commonly localized on the skin of the extremities and presents as a slow growing solitary nodule, made up of a mixture of fibroblastic and histiocytic cells. To our knowledge, involvement of the soft tissue of the oral cavity is rare. We present a case of BFH of the lower lip in a 61-year-old white woman who presented with a painless, slow-growing lump inside the lower lip. The lesion was surgically removed. Histologically, it was characterized by uniform spindle-shaped cells arranged in a prominent whorled or storiform pattern. Scattered xanthomatous cells, multinucleated giants cells, lymphocytes, and deposits of hemosiderin were noted throughout the lesion. This rare tumor should be considered in the differential diagnosis of the oral soft-tissue neoplasms. PMID:21119493

Migliario, Mario; Rimondini, Lia; Valente, Guido

2010-11-01

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Malignant fibrous histiocytoma and fibrosarcoma of bone: a re-assessment in the light of currently employed morphological, immunohistochemical and molecular approaches.  

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Malignant fibrous histiocytoma (MFH) and fibrosarcoma (FS) of bone are rare malignant tumours and contentious entities. Sixty seven cases labelled as bone MFH (57) and bone FS (10) were retrieved from five bone tumour referral centres and reviewed to determine whether recent advances allowed for reclassification and identification of histological subgroups with distinct clinical behaviour. A panel of immunostains was applied: smooth muscle actin, desmin, h-caldesmon, cytokeratin AE1-AE3, CD31, CD34, CD68, CD163, CD45, S100 and epithelial membrane antigen. Additional fluorescence in situ hybridisation and immunohistochemistry were performed whenever appropriate. All cases were reviewed by six bone and soft tissue pathologists and a consensus was reached. Follow-up for 43 patients (median 42 months, range 6-223 months) was available. Initial histological diagnosis was reformulated in 18 cases (26.8 %). Seven cases were reclassified as leiomyosarcoma, six as osteosarcoma, three as myxofibrosarcoma and one each as embryonal rhabdomyosarcoma and interdigitating dendritic cell sarcoma. One case showed a peculiar biphasic phenotype with epithelioid nests and myofibroblastic spindle cells. Among the remaining 48 cases, which met the WHO criteria for bone FS and bone MFH, we identified five subgroups. Seven cases were reclassified as undifferentiated pleomorphic sarcoma (UPS) and 11 as UPS with incomplete myogenic differentiation due to positivity for at least one myogenic marker. Six were reclassified as spindle cell sarcoma not otherwise specified. Among the remaining 24 cases, we identified a further two recurrent morphologic patterns: eight cases demonstrated a myoepithelioma-like phenotype and 16 cases a myofibroblastic phenotype. One of the myoepithelioma-like cases harboured a EWSR1-NFATC2 fusion. It appears that bone MFH and bone FS represent at best exclusion diagnoses. PMID:23001328

Romeo, Salvatore; Bovée, Judith V M G; Kroon, Herman M; Tirabosco, Roberto; Natali, Cristina; Zanatta, Lucia; Sciot, Raf; Mertens, Fredrik; Athanasou, Nick; Alberghini, Marco; Szuhai, Karoly; Hogendoorn, Pancras C W; Dei Tos, Angelo Paolo

2012-11-01

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Subcutaneous benign fibrous histiocytoma of the cheek. Case report and review of the literature  

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Fibrous histiocytoma is a benign tumour composed of a mixture of fibroblastic and histiocytic cells. Based on the location of this tumour, fibrous histiocytoma are usually divided into cutaneous types and those involving deep tissues. These lesions most often arise on the skin, but may rarely occur in soft deep tissues. The diagnosis of fibrous histiocytoma may be clinically difficult when the lesion is located in the deep tissues, and is frequently confirmed after local excision. The most im...

Skoulakis, Ce; Papadakis, Ce; Datseris, Ge; Drivas, Ei; Kyrmizakis, DE; Bizakis, Jg

2007-01-01

77

Benign fibrous histiocytoma of larynx: A rare cause of acute airway obstruction  

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Full Text Available Fibrous histiocytoma of larynx is a rare entity. We herein present a 35-year-old femaleof benign fibrous histiocytoma of larynx with severe airway obstruction that requiring urgent endotracheal intubation followed by tracheostomy. We also report the good long-term survival of this case after such a critical condition.

Gupta Shiv

2010-01-01

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Presentación de un caso de sarcoma maligno laríngeo, tratado mediante laringotomía transversa y revisión de la literatura / Transversal laryngotomy. Oncologic and functional results in laryngeal sarcoma.(Malignant fibrous histiocytoma). Case report and literature review.  

Scientific Electronic Library Online (English)

Full Text Available SciELO Venezuela | Language: Spanish Abstract in spanish Los sarcomas de la laringe son neoplasias que constituyen menos del 1% de los tumores malignos, y su tratamiento habitual es quirúrgico que incluye la laringectomía parcial o total y la cordectomía endoscópica con láser, con recurrencias de hasta 20%. Debido a experiencia positiva en nuestro país co [...] n la laringotomía transversa en casos de aritenoidectomía para tratar parálisis bilateral de las cuerdas vocales como consecuencia de tiroidectomía total, el propósito de este reporte fue el de informar el resultado obtenido con esta técnica de laringotomía transversa a un caso raro de sarcoma glótico en un médico de 47 años que tenía cuatro meses de disfonía moderada sin disnea, disfagia ni estridor y sin historia de radioterapia o quimioterapia previas. La lesión fue evaluada por endoscopia y tomografía laríngea que mostraron un tumor del lado derecho de la glotis de 3 a 4 cm de tamaño no ulcerado. El informe patológico fue de un fibrohistiocitoma maligno. Cinco años después el paciente está bien y sin evidencia de enfermedad. Abstract in english Sarcomas of the larynx are rare neoplasmas that consitute less than 1% of laryngeal malignancies, and their usual treatment is surgery including partial and total laryngectomy and endoscopic laser cordotomy with reported 20% recurrence. Due to previous positive experience from transversal laryngotom [...] y in patients who underwent aritenoidectomy to treat bilateral cord paralysis after total thyroidectomy, the purpose of this work was to report on the surgical treatment of this rare case with such technique. Thus, a 47 year-old physician who complained of hoarseness for four months without dyspnea, stridor, or dysphagia and with no history of irradiation or chemotherapy was operated after both endoscopic and tomographic studies showed a 3 to 4 cm glotic tumor in its right side, with no ulceration. The pathology proved to be malignant fibrous histiocytoma. Five years after surgery the patient is alive with no evidence of disease.

Ángel F, Pérez; Rafael, Muñoz; Josefa, Morales; Ennio, Fereira; José Colina, Chourio.

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Presentación de un caso de sarcoma maligno laríngeo, tratado mediante laringotomía transversa y revisión de la literatura / Transversal laryngotomy. Oncologic and functional results in laryngeal sarcoma.(Malignant fibrous histiocytoma). Case report and literature review.  

Scientific Electronic Library Online (English)

Full Text Available SciELO Venezuela | Language: Spanish Abstract in spanish Los sarcomas de la laringe son neoplasias que constituyen menos del 1% de los tumores malignos, y su tratamiento habitual es quirúrgico que incluye la laringectomía parcial o total y la cordectomía endoscópica con láser, con recurrencias de hasta 20%. Debido a experiencia positiva en nuestro país co [...] n la laringotomía transversa en casos de aritenoidectomía para tratar parálisis bilateral de las cuerdas vocales como consecuencia de tiroidectomía total, el propósito de este reporte fue el de informar el resultado obtenido con esta técnica de laringotomía transversa a un caso raro de sarcoma glótico en un médico de 47 años que tenía cuatro meses de disfonía moderada sin disnea, disfagia ni estridor y sin historia de radioterapia o quimioterapia previas. La lesión fue evaluada por endoscopia y tomografía laríngea que mostraron un tumor del lado derecho de la glotis de 3 a 4 cm de tamaño no ulcerado. El informe patológico fue de un fibrohistiocitoma maligno. Cinco años después el paciente está bien y sin evidencia de enfermedad. Abstract in english Sarcomas of the larynx are rare neoplasmas that consitute less than 1% of laryngeal malignancies, and their usual treatment is surgery including partial and total laryngectomy and endoscopic laser cordotomy with reported 20% recurrence. Due to previous positive experience from transversal laryngotom [...] y in patients who underwent aritenoidectomy to treat bilateral cord paralysis after total thyroidectomy, the purpose of this work was to report on the surgical treatment of this rare case with such technique. Thus, a 47 year-old physician who complained of hoarseness for four months without dyspnea, stridor, or dysphagia and with no history of irradiation or chemotherapy was operated after both endoscopic and tomographic studies showed a 3 to 4 cm glotic tumor in its right side, with no ulceration. The pathology proved to be malignant fibrous histiocytoma. Five years after surgery the patient is alive with no evidence of disease.

Ángel F, Pérez; Rafael, Muñoz; Josefa, Morales; Ennio, Fereira; José Colina, Chourio.

2008-03-01

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Phase II study of sunitinib malate, a multitargeted tyrosine kinase inhibitor in patients with relapsed or refractory soft tissue sarcomas. Focus on three prevalent histologies: leiomyosarcoma, liposarcoma and malignant fibrous histiocytoma.  

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Soft tissue sarcomas (STS) represent a diverse group of histologic subtypes with targetable molecular alterations, often treated as a single disease. Sunitinib malate is a multitargeted receptor tyrosine kinase inhibitor active in other solid tumors carrying similar alterations (i.e., imatinib mesylate-refractory gastrointestinal stromal tumors). This single-institution phase II study investigated the safety and efficacy of sunitinib malate in three common STS subtypes. Patients with documented unresectable or metastatic STS (liposarcoma, leiomyosarcoma and malignant fibrous histiocytoma [MFH]), measurable disease, and 3 or less prior lines of therapy were eligible. Treatment consisted of sunitinib malate, 50 mg daily, for 4 weeks every 6 weeks. Forty-eight patients were enrolled, and 35% were heavily pretreated (? 2 prior lines of chemotherapy). The safety profile resembled previously known sunitinib malate toxicities. Median progression-free and overall survivals for liposarcoma, leiomyosarcoma, and MFH were 3.9 and 18.6, 4.2 and 10.1 and 2.5 and 13.6 months, respectively. The 3-month progression-free rates in the untreated and pretreated (chemotherapy) patients with liposarcoma, leiomyosarcoma and MFH were 75% and 69.2%, 60%, and 62.5% and 25% and 44.4%, respectively. With the caveats that a minority of patients with potentially indolent or low-grade disease could have been included and the small numbers, a 3-month progression-free rate of >40% suggests activity for sunitinib malate at least in liposarcomas and leiomyosarcomas. Thus, we believe that further investigation in these susceptible STS subtypes is warranted. PMID:21154746

Mahmood, S Tariq; Agresta, Samuel; Vigil, Carlos E; Zhao, Xiuhua; Han, Gang; D'Amato, Gina; Calitri, Ciara E; Dean, Michelle; Garrett, Christopher; Schell, Michael J; Antonia, Scott; Chiappori, Alberto

2011-10-15

 
 
 
 
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Histiocitomas fibrosos: revisão histopatológica de 95 casos / Fibrous histiocytomas: histopathologic review of 95 cases  

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Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese O histiocitoma fibroso é tumor heterogéneo composto por fibroblastos, histiócitos e vasos sanguíneos. Efectuamos uma revisão histopatológica retrospectiva de 95 biopsias de histiocitomas fibrosos do nosso arquivo dos últimos 3,5 anos, com o objectivo de avaliar a localização, delimitação, alteração [...] da epiderme, indução folículo-sebácea, celularidade, vascularização, padrão do colagénio e tipo de células constituintes. Na maioria das biopsias, confirmamos as características histopatológicas clássicas dos histiocitomas fibrosos. Achados interessantes observados no nosso estudo foram presença de células nódulos linfoides, mastócitos e infiltrado de células inflamatórias. Abstract in english Fibrous histiocytoma (FH) is a heterogeneous tumor composed of fibroblasts, histiocytes, and blood vessels. We conducted a retrospective histopathologic analysis of 95 biopsies, performed over the last 3.5 years, of fibrous histiocytomas to analyze the location, delimitation, epithelial changes, ind [...] uction of folliculo-sebaceous structures, cellularity, vascularity, collagen pattern, and types of composite cells of the FH. In the majority of the biopsies, we confirmed the classical histopathologic features of fibrous histiocytomas. The presence of lymphoid nodules, mast cells, and sparse infiltrate of inflammatory cells was an interesting finding observed in our study.

Maria Miguel Camelo Amaral, Canelas; José Carlos Pereira da Silva, Cardoso; Pedro Filipe, Andrade; José Pedro Gaspar dos, Reis; Oscar, Tellechea.

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Histiocitomas fibrosos: revisão histopatológica de 95 casos / Fibrous histiocytomas: histopathologic review of 95 cases  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese O histiocitoma fibroso é tumor heterogéneo composto por fibroblastos, histiócitos e vasos sanguíneos. Efectuamos uma revisão histopatológica retrospectiva de 95 biopsias de histiocitomas fibrosos do nosso arquivo dos últimos 3,5 anos, com o objectivo de avaliar a localização, delimitação, alteração [...] da epiderme, indução folículo-sebácea, celularidade, vascularização, padrão do colagénio e tipo de células constituintes. Na maioria das biopsias, confirmamos as características histopatológicas clássicas dos histiocitomas fibrosos. Achados interessantes observados no nosso estudo foram presença de células nódulos linfoides, mastócitos e infiltrado de células inflamatórias. Abstract in english Fibrous histiocytoma (FH) is a heterogeneous tumor composed of fibroblasts, histiocytes, and blood vessels. We conducted a retrospective histopathologic analysis of 95 biopsies, performed over the last 3.5 years, of fibrous histiocytomas to analyze the location, delimitation, epithelial changes, ind [...] uction of folliculo-sebaceous structures, cellularity, vascularity, collagen pattern, and types of composite cells of the FH. In the majority of the biopsies, we confirmed the classical histopathologic features of fibrous histiocytomas. The presence of lymphoid nodules, mast cells, and sparse infiltrate of inflammatory cells was an interesting finding observed in our study.

Maria Miguel Camelo Amaral, Canelas; José Carlos Pereira da Silva, Cardoso; Pedro Filipe, Andrade; José Pedro Gaspar dos, Reis; Oscar, Tellechea.

2010-04-01

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Malignant Fibrous Histiocytosis of upper end of humerus- A Case Report  

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Full Text Available Malignant fibrous histiocytoma, a type of sarcoma, is a malignant neoplasm ofuncertain originthat arises both in soft tissue and bone. Here we report a case ofMalignant Fibrous Histiocytosis (MFH of upper end of left humerus .Even though there are many cases of MFH reported in the bone, the incidencein upper end of humerus is rare. Histopathological examination many of the times isnot conclusive, as it is considered as a diagnosis of exclusion of sarcoma,which cannotbe more precisely categorized.

Sawarbandhe Sarang D1, and Arun Kumar Rao2

2012-12-01

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Deep benign fibrous histiocytoma of the knee: CT and MR features with pathologic correlation  

Energy Technology Data Exchange (ETDEWEB)

Magnetic resonance imaging and pathologic findings in a 28-year-old patient with a giant deep benign fibrous histiocytoma in the popliteal fossa of the right knee are described. The MR imaging findings include a well-delineated oval mass with low signal intensity on T1-, and high signal intensity on T2-weighted, images, and marked peripheral contrast enhancement. To the best of our knowledge, this is the first report on the MR findings in this entity. (orig.) With 4 figs., 8 refs.

Machiels, F.; Maeseneer, M. de; Osteaux, M. [Department of Radiology, Academic Hospital of the Free University, Brussels (Belgium); Chaskis, C. [Department of Neurosurgery, Academic Hospital of the Free University of Brussels (Belgium); Bourgain, C. [Department of Pathology, Academic Hospital of the Free University of Brussels (Belgium)

1998-07-01

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Histiocitoma fibroso do saco lacrimal: relato de um caso Lacrimal sac fibrous histiocytoma: case report  

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Full Text Available Os autores descrevem um caso raro de histiocitoma fibroso acometendo o saco lacrimal. A paciente apresentava quadro clínico que simulava dacriocistite crônica, com dacriocistografia sugestiva de obstrução alta das vias lacrimais. A completa remoção cirúrgica do tumor e posterior dacriocistorrinostomia foram fundamentais no diagnóstico e controle da doença.The authors report an unusual case of fibrous histiocytoma of the lacrimal sac. The patient presented with clinical features of chronic dacryocystitis. Dacryocystogram disclosed a high level obstruction. Surgical management was fundamental to the diagnosis and control of the disease.

Carolina Lemos Curi

2003-01-01

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Histiocitoma fibroso do saco lacrimal: relato de um caso / Lacrimal sac fibrous histiocytoma: case report  

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Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Os autores descrevem um caso raro de histiocitoma fibroso acometendo o saco lacrimal. A paciente apresentava quadro clínico que simulava dacriocistite crônica, com dacriocistografia sugestiva de obstrução alta das vias lacrimais. A completa remoção cirúrgica do tumor e posterior dacriocistorrinostom [...] ia foram fundamentais no diagnóstico e controle da doença. Abstract in english The authors report an unusual case of fibrous histiocytoma of the lacrimal sac. The patient presented with clinical features of chronic dacryocystitis. Dacryocystogram disclosed a high level obstruction. Surgical management was fundamental to the diagnosis and control of the disease. [...

Carolina Lemos, Curi; Everaldo, Lemos; Eduardo Pereira de, Macedo; Virgínia Bohrer, Costa.

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A CASE REPORT OF BENIGN FIBROUS HISTIOCYTOMA OF PARANASAL SINUSES AND ROLE OF TRANSNASAL ENDOSCOPY IN ITS TREATMENT  

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Full Text Available Benign fibrous histiocytoma is a rare tumor of nose and paranasal sinuses that originates from histiocytes. ??The main symptoms of patients are nasal obstruction and nasal mass. ?Our patient was presented with chief complaints of nasal obstruction and rhinorrhea non responsive to antibiotic treatment. In computed tomography scan a giant mass in left maxillary sinus and ipsilateral nasal cavity was seen. After en bloc resection of tumor by transnasal endoscopic approach all of patient’s symptoms were alleviated. The pathologic report was benign fibrous histiocytoma. ?Because of excellent visualization, it seems that transnasal endoscopic approach is the method of choice for resection of these benign tumors.

M. H. Baradaranfar M. Moghimi

2005-06-01

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Fibrohistiocitoma benigno ósseo na coluna lombar / Benign fibrous histiocytoma of the lumbar spine  

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Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese CONTEXTO: O fibrohistiocitoma benigno intra-ósseo é uma neoplasia rara, caracterizada por proliferação fibroblástica e fibras colágenas. A dor na região lombar é uma queixa freqüente em muitos pacientes, mas, na maioria das vezes está relacionada com causa muscular ou degenerativa. RELATO DE CASO: R [...] elata-se aqui o caso de um paciente com diagnóstico de fibrohistiocitoma benigno ósseo na coluna lombar que apresentava queixa de lombalgia há cinco meses antes do diagnóstico. Foi submetida à biópsia aberta transpedicular na quarta vértebra lombar ,e, posteriormente realizada curetagem da lesão via anterior retroperitonial e artrodese vertebral de L3-L5 com enxerto de fíbula. CONCLUSÃO: Apesar de raro, o fibrohistiocitoma benigno intra-ósseo deve ser uma das hipóteses quando observamos uma lesão primária na coluna vertebral. Abstract in english CONTEXT: Benign intraosseous fibrous histiocytoma is a rare neoplasia, characterized by fibroblastic and collagenous fiber proliferation. Pain in the lumbar region is a frequent complaint in many patients, but most of times it is associated to muscular or degenerative causes. CASE REPORT: Here we re [...] port a case of a patient diagnosed with benign bone fibrous histiocytoma in the lumbar spine who complained of lumbar pain dating five months prior to diagnosis. The patient was submitted to open transpedicular biopsy in the forth lumbar vertebra, and subsequently, lesion curettage was performed via anterior retroperitoneal and L3-L5 vertebral arthrodesis using a fibular graft. CONCLUSION: Although rare, benign intraosseous fibrohistiocytoma should be taken into consideration when a primary lesion is observed in the spine.

Osmar, Avanzi; Lin Yu, Chih; Robert, Meves; José Donato, Próspero; Amarildo, Brito.

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Fibrohistiocitoma maligno "inflamatorio" de cordón espermático con infiltración sobre un leiomioma inguinal: Presentación de 1 caso con revisión conceptual y de la literatura / Inflammatory malignant fibrous histiocytoma of the spermatic cord infiltrating an inguinal leiomyoma: Case report with conceptual and bibliogrphic reviews  

Scientific Electronic Library Online (English)

Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Objetivo: Estudiar los fibrohistiocitomas malignos (FHM) paratesticulares desde el punto de vista clínico-histológico, inmunohistoquímico y su histogénesis. Métodos: A través de Medline y búsqueda no indexada de la literatura científica internacional hemos encontrado un total de 77 casos de FHM para [...] testiculares que globalmente plantean problemas diagnósticos, terminológicos y terapeúticos. Resultado: Incluímos el caso número 78 de FHM de cordón espermático que presenta unas especiales características (no descritas hasta la fecha) de fistulización cutánea e infiltración de un leiomioma inguinal, con confirmación histológica e inmunohistoquímica. Realizamos una revisión conceptual de este tipo de neoplasias incluyendo la valoración de las contradicciones y reclasificaciones que ha sufrido desde su primera descripción, lo que hace que sean subestimados y su prevalencia real en las series internacionales sea muy variable: del 7 al 37% de los sarcomas paratesticulares. También, el hecho de su baja incidencia ha condicionado una carencia de protocolos de diagnóstico y tratamiento. Conclusiones: Los tumores paratesticulares, aunque infrecuentes, tienen una alta tasa de malignidad. El concepto de FHM ha variado a lo largo de los últimos 15 años. Hoy, este término, es sinónimo de sarcoma pleomórfico indiferenciado y ha llegado a ser un diagnóstico de exclusión (Vimentina + / CD 68 + -ocasionalmente- sin diferencias ultraestructurales), reservándose el subtipo inflamatorio para aquellos que tienen un componente inflamatorio e histiocítico. Es imprescindible en esta localización la realización de una biopsia intraoperatoria, ya que incluso es difícil precisar preoperatoriamente, si una lesión es benigna o maligna. El diagnóstico diferencial tan solo se resuelve tras el estudio microscópico e inmunohistoquímico. Un leiomioma próximo a esta localización (inguinal) podría diagnosticarse y confundirse con un nódulo del FHM principal. Su inmunofenotipo nos permitió diagnosticarlo no solo como leiomioma (marcadores de actinas y desmina positivos), sino también observar la infiltración por el FHM. Abstract in english Objectives: To study paratesticular malignant fibrous histiocytomas (FHM) from the clinical, histological, immunohistochemical and histogenetic, point of view. Methods: Through Medline and not index-linked search of international scientific literature we have found a total of 77 cases of paratesticu [...] lar FHM that globally create diagnostic, terminological and therapeutic problems. Results: We include the case number 78 of FHM of spermatic cord, that presents a few special characteristics (not described before) of cutaneous fistula and infiltration of an inguinal leiomyoma, with histological and immunohistochemical confirmation. We performed a conceptual review of this type of tumours, including the evaluation of contradictions and reclassifications that has undergone from its first description, which causes that they are underestimated and their real prevalence in international series is very variable: from 7 to 37 % of paratesticular sarcomas. Also, the fact of their low incidence has determined the lack of protocols for diagnosis and treatment. Conclusions: Paratesticular tumours, although infrequent, have a high rate of malignancy. The FHM concept has varied throughout the last 15 years. Today, this term is synonymous of pleomorphic undifferentiated sarcoma and has been an exclusion diagnosis (Vimentin [+] / CD 68 [+] - occasionally - without ultrastructural differences), reserving the inflammatory subtype for which they have an inflammatory and histiocytic component. The accomplishment of an intraoperatory biopsy is essential in this location, since it is even difficult to know preoperatively, if a lesion is benign or malignant. The differential diagnosis is only solved after microscopic and inmunohistochemical study. Leiomyoma next to this location (inguinal) could be diagnosed and confus

Juan Manuel, Ruiz Liso; Juan, Ruiz García; María Luisa, Pardo López; Agustín, Vaillo Vinagre; Antonia, Gutiérrez Martín; María Cruz, Marrón Martínez; María Ascensión, García Pérez.

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General Information about Osteosarcoma and Malignant Fibrous Histiocytoma of Bone  

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... the tissue that is removed: Light and electron microscopy : A laboratory test in which cells in a ... look under a microscope). The patient's age at diagnosis . Whether the patient has certain genetic diseases. After ...

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Malignant transformation of fibrous dysplasia into chondroblastic osteosarcoma  

International Nuclear Information System (INIS)

A case of malignant transformation of polyostotic fibrous dysplasia into maxillary chondroblastic osteosarcoma is presented. The clinical, radiographic, CT, MR imaging features and pathological findings of polyostotic fibrous dysplasia and its malignant transformation are described. Malignant transformation of fibrous dysplasia is rare and has not previously been described in the English literature in this location in McCune-Albright syndrome and in the absence of radiation treatment. (orig.)

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Malignant transformation of fibrous dysplasia into chondroblastic osteosarcoma  

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A case of malignant transformation of polyostotic fibrous dysplasia into maxillary chondroblastic osteosarcoma is presented. The clinical, radiographic, CT, MR imaging features and pathological findings of polyostotic fibrous dysplasia and its malignant transformation are described. Malignant transformation of fibrous dysplasia is rare and has not previously been described in the English literature in this location in McCune-Albright syndrome and in the absence of radiation treatment. (orig.)

Kaushik, Shaifali [Department of Radiology, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA (United States); Department of Radiology, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA (United States); Smoker, Wendy R.K. [Department of Radiology, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA (United States); Frable, William J. [Department of Pathology, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA (United States)

2002-02-01

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Histiocitoma fibroso benigno profundo: achados na tomografia computadorizada e histologia / Deep benign fibrous histiocytoma: computed tomography and histology findings  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Apresentamos imagens de tomografia computadorizada de um paciente de 83 anos de idade com histiocitoma fibroso benigno profundo, na face lateral da perna esquerda, com evolução de longa data. À tomografia computadorizada observamos massa bem delimitada, ovalada, e que apresentava intenso realce peri [...] férico com uso do meio de contraste iodado. Este é um tumor de partes moles pouco freqüente e com raros relatos dos seus aspectos de imagem. Abstract in english We present the computed tomography images of an 83-year-old male patient with a deep benign fibrous histiocytoma at the lateral aspect of the left leg. Computed tomography images showed a well-defined mass with marked peripheral enhancement by iodinated contrast medium. Only few reports of this rare [...] soft tissue tumor can be found in the literature.

Luciano, Farage; Mário Augusto Padula, Castro; Túlio Augusto Alves, Macedo; Eliana Chaves, Salomão; Tânia Alcântara, Machado; Lincoln Pereira de, Souza; Luiz de Oliveira, Freitas.

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Histiocitoma fibroso benigno profundo: achados na tomografia computadorizada e histologia Deep benign fibrous histiocytoma: computed tomography and histology findings  

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Full Text Available Apresentamos imagens de tomografia computadorizada de um paciente de 83 anos de idade com histiocitoma fibroso benigno profundo, na face lateral da perna esquerda, com evolução de longa data. À tomografia computadorizada observamos massa bem delimitada, ovalada, e que apresentava intenso realce periférico com uso do meio de contraste iodado. Este é um tumor de partes moles pouco freqüente e com raros relatos dos seus aspectos de imagem.We present the computed tomography images of an 83-year-old male patient with a deep benign fibrous histiocytoma at the lateral aspect of the left leg. Computed tomography images showed a well-defined mass with marked peripheral enhancement by iodinated contrast medium. Only few reports of this rare soft tissue tumor can be found in the literature.

Luciano Farage

2005-04-01

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A large retroperitoneal malignant solitary fibrous tumor.  

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Abstract We report on a large, retroperitoneal, malignant, solitary fibrous tumor (SFT) with high proliferation activity. A 43-year-old man was admitted to our department complaining of a palpable mass. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a large retroperitoneal tumor occupying the entire abdominal cavity. A laparotomy was performed for diagnosis and treatment, which revealed a tumor in the retroperitoneum but with no invasion to the surrounding organs, thereby allowing safe macroscopic excision. Histologically, the tumor was composed of spindle-shaped cells with patternless pattern and a hemangiopericytomatous appearance. Moreover, immunohistochemical staining was positive for CD34, vimentin, Bcl-2, and CD99 and negative for desmin, S-100p, and smooth muscle actin (AMA). The tumor exhibited high cellularity, moderate mitotic activity, pleomorphism, necrosis, and hemorrhagic changes. In addition, the Ki-67 labeling index was 37%. These findings confirmed the diagnosis of malignant SFT with high proliferation activity. Subsequently, adjuvant doxorubicin plus ifosfamide chemotherapy was performed. No signs of recurrence were observed 12 months after the surgery. PMID:25058776

Yoh, Tomoaki; Sata, Ritsuko; Kobayashi, Atsushi; Wada, Seidai; Nakamura, Yuya; Kato, Tatsushi; Nakayama, Hiroyuki; Okamura, Ryuji

2014-01-01

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Malignant transformation in solitary fibrous tumor of the pleura.  

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A 55-year-old man with a solitary fibrous tumor of the pleura on the left side underwent resection, but 2 recurrent tumors were found 3 years later. The recurrent tumors were reported to have undergone malignant transformation. Recurrent solitary fibrous tumor of the pleura with malignant progression is rare. Solitary fibrous tumor of the pleura often has an indolent clinical course, and may be asymptomatic for several years, so postoperative surveillance may necessitate long-term follow-up because of the potentially malignant transformative biological behavior of this type of tumor. PMID:24887862

Law, Ming-Ko; Tung, Yung-Wei; Jinc, Jong-Shiaw

2014-10-01

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De novo malignant solitary fibrous tumor of the kidney  

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Full Text Available Abstract The kidney is a relatively infrequent site for solitary fibrous tumor (SFT. Among the previously reported cases, only two cases of malignant renal SFT developing via dedifferentiation from a pre-existing benign SFT have been reported. Here we reported a case of de novo malignant renal SFT clinically diagnosed as renal cell carcinoma in a 50-year-old woman. The tumor was circumscribed but unencapsulated and showed obvious hemorrhagic necrosis. Microscopically, the tumor was composed of patternless sheets of alternating hypercellular and hypocellular areas of spindle cells displaying mild to moderate nuclear atypia, frequent mitoses up to 8 per 10 high power fields, and a 20% Ki-67 proliferative index. Immunohistochemical studies revealed reactivity for CD34, CD99 and vimentin, with no staining for all other markers, confirming the diagnosis of SFT. No areas of dedifferentiation were seen after extensive sampling. Based on the pathologic and immunohistochemical features, a diagnosis of de novo malignant renal SFT was warranted. Our report expands the spectrum of malignant progression in renal SFTs. Even though this patient has been disease-free for 30 months, long-term follow-up is still mandatory.

Chen Siu-Chung

2011-10-01

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Malignant solitary fibrous tumor of the pleura slowly growing over 17 years: case report.  

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Although a solitary fibrous tumor of the pleura (SFTP) is a rare disease, and usually has a benign course, it has a malignant potential. We report a case of malignant SFTP treated surgically. A 75-year-old female was admitted with a chief complaint of hemoptysis of two weeks duration. Computed tomography of the chest imaged a large mass in the right hemithorax, which compressed adjacent organs; however, there was no evidence of invasion. We reviewed the patient's medical records and found that the mass had been presented for 17 years. Complete resection was achieved through a right thoracotomy and histopathologic examination confirmed a malignant SFTP. PMID:24952611

Jeon, Hyun Woo; Kwon, Soon Seog; Kim, Young-Du

2014-01-01

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Primary malignant mesenchymoma of bone  

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Full Text Available Pimary malignant mesenchymoma of bone (PMMB is an exceedingly rare neoplasm consisting of two or more unrelated malignant mesenchymal components other than fibrosarcoma or malignant fibrous histiocytoma. Review of the literature reports only 16 cases, most of which were composed of osteosarcoma and liposarcoma. We report a case af PMMB composed of liposarcoma,rhabdomyosarcoma and high grade chondrosarcoma arising within the left distal femur in a 52-year-old male, resulting in the patient's death 3 months after presentation. (Med J Indones 2001;10: 235-41Keywords: Bone tumor-malignancy, liposarcoma, dedifferentiated chondrosarcoma, rhabdomyosarcoma

Errol U. Hutagalung

2001-11-01

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Unexpected finding of elevated glucose uptake in fibrous dysplasia mimicking malignancy: contradicting metabolism and morphology in combined PET/CT  

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Fibrous dysplasia is a common benign disorder of bone in which fibro-osseous tissue replaces bone spongiosa. Lesions have a typical appearance on computed tomography (CT) images and regularly show a markedly increased uptake in bone scintigraphy using 99mTc-labelled methylene diphosphonate (99mTc-MDP) as radiotracer. The glucose avidity of these lesions depicted by positron emission tomography (PET) using the radiolabelled glucose derivative 18F-fluoro-2-deoxy-glucose (FDG) is less well known since FDG-PET does not have a role in the assessment of this disease. However, single cases have been reported in which fibrous dysplasia was present in patients undergoing FDG-PET scanning for oncological reasons, and no significant FDG uptake was observed for lesions identified as fibrous dysplasia. We report on a 24-year-old man with known fibrous dysplasia who underwent combined FDG-PET/CT scanning because of suspected recurrence of testicular cancer. In contrast to prior reports, a markedly elevated uptake of FDG was seen in numerous locations that were identified as fibrous dysplasia by CT. Based on this result, we conclude that fibrous dysplasia may mimick malignancy in FDG-PET and that coregistered CT may help to resolve these equivocal findings. (orig.)

 
 
 
 
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Paraneoplastic hypoglycemia in a patient with a malignant solitary fibrous tumor  

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Summary Hypoglycemia is a common medical emergency. It is the most frequent complication induced by anti-diabetic treatment. However, it can be observed in other conditions unrelated to diabetes such as insulinoma, autoimmune disorders, and neoplasia. Herein, we report the case of a rare cause of severe and recurrent hypoglycemia in a 77-year-old woman with a malignant solitary fibrous tumor (MSFT). A 77-year-old woman was admitted to the emergency department for loss of consciousness induced by severe hypoglycemia. Her standard laboratory findings were unremarkable. HbA1c, albumin, renal, liver, thyroid, and adrenal function tests were normal. Cerebral CT scan was also normal. At the time of confirmed hypoglycemia, the serum level of insulin and C-peptide was low. On the basis of the past medical history and the absence of other comment etiologies, a paraneoplastic cause was suspected. Thus, the diagnosis of a non-islet cell tumor-induced hypoglycemia (NICTH) was established by the presence of incompletely processed precursors of IGF2 (big IGF2) in plasma electrophoresis. However, the IGF1 level was low. Therapy with corticosteroids improved hypoglycemia and clinical symptoms. NICTH is a rare cause of hypoglycemia. It should be considered in patients with mesenchymal or malignant epithelial tumors suffering from recurrent episodes of hypoglycemia. The diagnosis will be established in the case of low serum insulin concentrations and elevated levels of big IGF2. Treatment with corticosteroids, GH, or both can improve hypoglycemic symptoms and restore plasma glucose to normal levels. Learning points NICTH is a very rare condition that should be considered in patients known to have mesenchymal or malignant epithelial tumors and suffering from recurrent episodes of hypoglycemia.The diagnosis of an NICTH is established on the basis of the hypoinsulinemic hypoglycemia, the MSFT history, and the presence of paraneoplastic secretion of IGF1 or an immature form of IGF2.Treatment with corticosteroids, GH, or both can improve hypoglycemic symptoms and restore plasma glucose to normal levels in NICTH. PMID:24891941

Mohammedi, Kamel; Abi Khalil, Charbel; Olivier, Sophie; Benabad, Imane; Roussel, Ronan; Marre, Michel

2014-01-01

102

Renal malignant solitary fibrous tumor with single lymph node involvement: report of unusual metastasis and review of the literature  

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Full Text Available Ettore Mearini,1 Giovanni Cochetti,1 Francesco Barillaro,1 Sonia Fatigoni,2 Fausto Roila2 1Department of Medical-Surgical Specialties and Public Health, Division of Urological Andrological Surgery and Minimally Invasive Techniques, University of Perugia, Terni, Italy; 2Medical Oncology, S Maria Hospital, Terni, Italy Abstract: Solitary fibrous tumors are rare mesenchymal spindle cell neoplasms that are usually found in the pleura. The kidneys are an uncommon site and only few cases of renal solitary fibrous tumor exhibit malignant behavior metastasizing to the liver, lung, and bone through the hematogenous pathway. Purpose: To describe the first case of lymph node metastasis from renal solitary fibrous tumor in order to increase the knowledge about the malignant behavior of these tumors. Patients and methods: A 19-year-old female patient had intermittent hematuria for several months without flank pain or other symptoms. A chest and abdomen CT scan was performed and showed a multi-lobed bulky solid mass of 170 × 98 × 120 mm in the left kidney. One day before the surgery, the left renal artery was catheterized and the kidney embolization was performed using a Haemostatic Absorbable Gelatin Sponge and polyvinyl alcohol. We then performed a radical nephrectomy with hilar, para-aortic, and inter-aortocaval lymphadenectomy. Results: Estimated intraoperative blood loss was 200 mL and the operative time was 100 minutes. No postoperative complications occurred. The hospital stay was 7 days long. The histological examination was malignant solitary fibrous tumor of the kidney. Cancerous tissue showed cellular atypia, with an increased mitotic index (up to 7 × 10 hpf. Immunohistochemical analysis showed positive results for CD34, BCL2, partial expression of HBME1, and occasionally of synaptophysin. Histological evaluation confirmed the presence of metastasis in one hilar node. The patient did not receive any other therapy. At 30-month follow-up, the patient was in good health and no local recurrence or metastases had occurred. Conclusion: This is the first case of lymph node metastasis from a renal solitary fibrous tumor showing unusual malignant behavior; this finding adds new information about the biology and progression of these tumors, which remain unclear. Keywords: solitary fibrous tumor, sarcoma, kidney, lymph node metastases, lymphadenectomy

Mearini E

2014-05-01

103

Concurrent Malignant Solitary Fibrous Tumor Arising from the Omentum and Grade 3 Endometrial Endometrioid Adenocarcinoma of the Uterus with p53 Immunoreactivity.  

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A malignant solitary fibrous tumor arising from the omentum is extremely rare. To our knowledge, this is the first case of a malignant solitary fibrous omentum tumor coexisting with uterine corpus cancer. A 62-year-old woman presented to our hospital with vaginal discharge. Endometrioid adenocarcinoma was diagnosed by endometrial curettage. In addition, a solid tumor in front of the uterus was detected following computed tomography and/or magnetic resonance imaging, which was suspected to be a primary (or secondary) malignant tumor arising from the omentum. Hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and lymphadenectomy were performed. A malignant solitary fibrous tumor of the omentum and grade 3 endometrioid adenocarcinoma of the uterus were diagnosed by pathohistological analysis. Interestingly, the tumor cells were immunoreactive for p53. Adjuvant chemotherapy was administered for the uterine corpus cancer and the patient remains healthy 48 months after the surgery. These tumors may have become malignant due to the presence of p53 mutations. PMID:25114818

Harada, Naoya; Nobuhara, Ichiro; Haruta, Noriko; Higashiura, Yumi; Watanabe, Hideki; Ohno, Sumire

2014-01-01

104

Enhanced CT and FDG PET/CT in malignant solitary fibrous tumor of the lung.  

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Although some histological features of solitary fibrous tumor are related to its aggressive behavior, tumors with benign features may also follow an aggressive behavior. An 18-year-old male patient was referred after the detection of multiple bilateral pulmonary lesions on a chest x-ray in a health examination 2 months ago. These lesions showed inhomogeneous enhancement on enhanced CT and intense FDG uptake (SUVmax, 21.8) on PET/CT. CT-guided biopsy revealed histologically benign solitary fibrous tumor. PMID:24152657

Dong, Aisheng; Zuo, Changjing; Wang, Yang; Cui, Yong

2014-05-01

105

Tumor fibroso solitario inguinal maligno: Aportación de un caso / Solitary malignant fibrous inguinal tumor: Case report  

Scientific Electronic Library Online (English)

Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Objetivo: El Tumor Fibroso Solitario (TFS) es una neoplasia poco frecuente que fue descrita por primera vez en la pleura, pero puede aparecer en diferentes localizaciones. Su presencia en la zona inguinal es extremadamente rara. Método/Resultados: Presentamos el caso de un varón de 74 años con masa [...] inguinoescrotal derecha de 50 años de evolución. Tras extirpación quirúrgica de la misma es diagnosticado de tumor fibroso solitario. Conclusiones: La inmensa mayoría de los tumores fibrosos solitarios se comportan de manera benigna. Un pequeño porcentaje se comporta de modo más agresivo, con recurrencia local y metástasis. Su tratamiento es eminentemente quirúrgico, pero después debemos realizar seguimiento a largo plazo en todos los casos. Abstract in english Objective: Solitary fibrous tumours (SFTs) are rare neoplasias that were first reported in pleura, but can occur in different sites. Inguinal location is extremely rare. Methods/Results: We report one case of a 74 year old man with a right inguinoscrotal mass with 50 years of evolution. After surgic [...] al extirpation, solitary fibrous tumour was diagno-sed. Conclusions: The vast majority of solitary fibrous tu-mours (SFTs) have a benign course. Only a few cases have aggressive behaviour, with local recurrence and metastasis. Treatment is surgical, but we must do a long-term follow up in all cases.

P., Garrido Abad; A., Coloma Del Peso; L. M., Herranz Fernández; M., Jiménez Gálvez; G., Bocardo Fajardo; R., Arellano Gañán; I., Pereira Sanz; T., Reina Durán.

106

Detection of malignant tumors using Tc-99m labeled Fab' fragments from a monoclonal antibody with specificity for D-dimer of cross-linked fibrin.  

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The authors present the case studies of two patients whose malignant tumors were detected with a Tc-99m labeled antifibrin monoclonal antibody (DD-3B6/22), which is specific for cross-linked fibrin. The first case was a malignant fibrous histiocytoma involving the proximal aspect of the left thigh, whereas in the second case, the patient was receiving treatment for a squamous cell carcinoma of the right mainstem bronchus. The results highlight the potential of this anti-D-dimer radiopharmaceutical for noninvasive detection of malignant tumors. PMID:8846571

Angelides, S; Lee, F T; Basten, A; Lambrecht, R M; Walker, K Z; Bundesen, P G; Bautovich, G J

1996-03-01

107

Primary malignant bone tumors: diagnosis, radiological appearance and therapy; Primaer maligne Knochentumoren: Klinik und Therapie  

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Diagnosis, concepts of therapy and prognosis of primary malignant bone tumors require intensive cooperation between orthopedic surgeons, radiologists and pathologists with special knowledge in oncology. The present paper demonstrates relevant topics of diagnosis, radiological appearance and therapy of the osteosarcoma, Ewing`s sarcoma, chondrosarcoma and malignant fibrous histiocytoma based on the material of the Vienna Bone Tumor Registry and more than 35 years of cooperation between the Institute of Pathology and Anatomy and the Department of Orthopedics at the University of Vienna. (orig.) [Deutsch] Fuer die Diagnose, Therapieplanung und Prognosebeurteilung von primaer malignen Knochentumoren ist eine intensive Kooperation von onkologisch speziell ausgebildeten Fachdisziplinen wie Orthopaedie, Radiologie und Pathologie erforderlich. Die vorliegende Arbeit basiert auf dem Material des Wiener Knochengeschwulstregisters und der 35jaehrigen Zusammenarbeit des Pathologisch/Anatomischen Instituts der Universitaet Wien mit der Universitaetsklinik fuer Orthopaedie und beschreibt Diagnose, radiologisches Erscheinungsbild und Therapie der 4 haeufigsten primaer malignen Knochentumoren: Osteosarkom, Ewing`s Sarkom, Chondrosarkom und malignes fibroeses Histiozytom. (orig.)

Dominkus, M.; Kotz, R. [Universitaetsklinik fuer Orthopaedie, Wien (Austria); Kainberger, F. [Abt. fuer Osteoradiologie, Universitaetsklinik fuer Radiologie, Wien (Austria); Lang, S. [Wien Univ. (Austria). Universitaetsklinik fuer Pathologische Anatomie

1998-06-01

108

Sorafenib in patients with progressive malignant solitary fibrous tumors: a subgroup analysis from a phase II study of the French Sarcoma Group (GSF/GETO).  

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Malignant solitary fibrous tumors are rare soft-tissue sarcomas. They are considered as low-grade malignancies, but may display metastatic potential in 20% of the cases. In case of metastatic or locally advanced, unresectable disease, standard treatments, like anthracycline-based regimens, are poorly effective. Previous studies suggested that antiangiogenic drugs, such as sorafenib, could be efficient to treat vascular sarcomas and solitary fibrous tumors. Five patients with progressive SFT were included in this phase 2 study, and treated with sorafenib at a dose of 800 mg daily. Two patients out of the five achieved a 9 months disease control with sorafenib, while their disease had progressed within the month preceding their inclusion. Consequently, our data suggest a potential efficacy of sorafenib in SFT, Further investigation is needed to confirm these data. PMID:24005614

Valentin, T; Fournier, C; Penel, N; Bompas, E; Chaigneau, L; Isambert, N; Chevreau, C

2013-12-01

109

[Malignant solitary fibrous tumour of the kidney: report of a case and cumulative analysis of the literature].  

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We report the case of a primary metastatic renal solitary fibrous tumour (SFT) and present a cumulative analysis of the literature. A 68-year-old woman presenting with a history of flank pain was diagnosed with a 7 cm renal mass. Further staging showed liver, lung and bone metastases. The patient underwent radical nephrectomy. Microscopically, the tumour consisted of pleomorphic, high-grade spindle cells with high mitotic activity, tumour necrosis and dense collagenous bands. Immunohistochemistry showed the strong expression of CD34 and vimentin, a weak expression of bcl-2 and CD99, and no expression of smooth muscle actin, desmin, S-100, pan-cytokeratin, and epithelial membrane antigen. These findings are consistent with an SFT. For the cumulative analysis, a total of 46 renal SFTs from 35 reports were analysed. Median age at the time of surgery was 52 years and 63% of the patients were female. Sixty-two percent of the tumours were symptomatic, most commonly with flank?/?back pain (24%). Median tumor size was 6.4 cm. Histologically, 91% of the SFTs were benign and 9% were malignant. One patient died of the disease, while 90% are alive without evidence of disease. PMID:22271338

de Martino, M; Böhm, M; Klatte, T

2012-01-01

110

Osteosarcoma in fibrous dysplasia  

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Two cases are reported with osteosarcomatous transformation in fibrous dysplasia, one in the skull and one in the iliac bone. In both cases the patient was known to have longstanding polyostotic fibrous dysplasia; no radiation therapy was ever given. The incidence of sarcomatous transformation in fibrous dysplasia in the files of the Netherlands Committee on Bone Tumours is 0.5%. When strict criteria for spontaneous malignant transformation are used, the actual incidence is probably lower than is suggested. (orig.)

111

Doege-Potter syndrome presenting with hypoinsulinemic hypoglycemia in a patient with a malignant extrapleural solitary fibrous tumor: a case report  

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Full Text Available Abstract Introduction Doege-Potter syndrome is a paraneoplastic syndrome characterized by non-islet cell tumor hypoglycemia secondary to a solitary fibrous tumor. This tumor causes hypoglycemia by the secretion of a prohormone form of insulin-like growth factor II. We describe the diagnosis and management of Doege-Potter syndrome and the use of transarterial chemoembolization in a patient with a malignant extrapleural solitary fibrous tumor. Case presentation Our patient was a 64-year-old Caucasian woman who initially presented with urinary incontinence and was found to have a 14.5×9.0×9.0cm retroperitoneal solitary fibrous tumor compressing her bladder. Her tumor was surgically resected but recurred with multiple hepatic metastatic lesions. The hepatic metastases progressed despite systemic chemotherapy and treatment with doxorubicin transarterial chemoembolization. Her course was complicated by the development of recurrent fasting hypoglycemia, most likely secondary to Doege-Potter syndrome. Her hypoglycemia was managed with corticosteroid therapy and frequent scheduled nutrient intake overnight. Conclusions The rarity of hepatic solitary fibrous tumors and consequent lack of controlled trials make this report significant in that it describes the diagnostic approach to Doege-Potter syndrome, describes our experience with the use of doxorubicin transarterial chemoembolization, and presents management options for tumor-associated hypoglycemia in the case of extensive disease not amenable to surgical resection.

Schutt Robert C

2013-01-01

112

De novo malignant transformation of giant cell tumor of bone  

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Two cases of malignant lesions are reported, both of which arose secondary to an originally benign giant cell tumor (GCT) of bone. The first case was a typical benign GCT, which occurred in the left proximal tibia of a 31-year-old woman. The tumor was treated by curettage and bone grafting. However, it recurred twice during 15 years of follow-up. The second recurrence showed that the lesion histologically had turned into malignant fibrous histiocytoma. The second case also started as an initially benign GCT that arose in the left distal femur of a 41-year-old man. The patient underwent curettage and bone grafting. The lesion recurred 13 years postoperatively. The histological appearance of the recurrent tumor showed it to be an osteogenic sarcoma. In both patients, radiation had never been given. Malignant transformation has rarely been reported in patients with GCT of bone who have not received radiation treatment. (orig.)

Marui, Takashi; Yamamoto, Tetsuji; Yoshihara, Hisahiro; Kurosaka, Masahiro; Mizuno, Kosaku [Dept. of Orthopaedic Surgery, Kobe University School of Medicine, Kobe (Japan); Akamatsu, Toshihiro [Dept. of Orthopaedic Surgery, Hyogo Medical Center for Adults, Akashi (Japan)

2001-02-01

113

De novo malignant transformation of giant cell tumor of bone  

International Nuclear Information System (INIS)

Two cases of malignant lesions are reported, both of which arose secondary to an originally benign giant cell tumor (GCT) of bone. The first case was a typical benign GCT, which occurred in the left proximal tibia of a 31-year-old woman. The tumor was treated by curettage and bone grafting. However, it recurred twice during 15 years of follow-up. The second recurrence showed that the lesion histologically had turned into malignant fibrous histiocytoma. The second case also started as an initially benign GCT that arose in the left distal femur of a 41-year-old man. The patient underwent curettage and bone grafting. The lesion recurred 13 years postoperatively. The histological appearance of the recurrent tumor showed it to be an osteogenic sarcoma. In both patients, radiation had never been given. Malignant transformation has rarely been reported in patients with GCT of bone who have not received radiation treatment. (orig.)

114

Chondrosarcoma in children subsequent to other malignant tumours in different locations  

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During recent years the combination of surgery, radiotherapy, and multiple chemotherapy in the treatment of patients with cancer has resulted in increased survival periods and, in some cases, complete cures. In children, however, the subsequent development of other and apparently unrelated malignancies has been observed 20 times more commonly than in a control group. This paper reports the occurrence of chondrosarcoma of the femur in two children who had been treated successfully for malignant tumours of soft tissue. One of these tumours was a malignant fibrous histiocytoma in the muscles of the forearm; the other was a rhabdomyosarcoma of the cheek. The intervals between termination of treatment of these lesions and recognition of the chondrosarcoma were five years and 10 years, respectively. In addition to surgical and radiotherapeutic measures, both children had received high doses of chemotherapy. (orig.)

115

Accumulation of leucocytes labelled with technetium-99m hexamethylpropylene amine oxime in malignant abdominal tumours  

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A total of 343 leucocyte scans labelled with technetium-99m hexamethylprophylene amine oxime were reviewed that had been performed patients suspected of having abdominal infection or inflammation. There was uptake by malignant abdominal tumours in 10 cases (2,9%), which represents 62.5% of known malignancies at the time of the scintigram. Accumulation was seen in 8 patients with adenocarcinoma of the colon associated with a secondary infection in the tumour or pericolic inflammation. A large tumour that had spread beyond the bowel wall was related to a positive scintigram. Accumulation was also found twice in a malignant fibrous histiocytoma in which bleeding and an inflammatory reaction to necrosis were probably responsible for the uptake. The relevant treatment was delayed for 2 weeks-2 months in 4 patients with adenocarcinoma of the colon in whom the positive uptake was regarded as confirmation of the clinically suspected cute diverticulitis. (orig.).

Lantto, E. (Paeijaet-Haeme Central Hospital, Lahti (Finland). Dept. of Radiology); Jaervi, K. (Paeijaet-Haeme Central Hospital, Lahti (Finland). Dept. of Pathology); Lantoo, T.; Vorne, M. (Paeijaet-Haeme Central Hospital, Lahti (Finland). Dept. of Nuclear Medicine); Ristkari, S. (Paeijaet-Haeme Central Hospital, Lahti (Finland). Dept. of Surgery)

1991-10-01

116

Diagnostic pitfalls in the preoperative 18F-FDG PET/CT evaluation of a case of giant malignant solitary fibrous tumor of the pleura.  

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Solitary fibrous tumor of the pleura (SFTP) is an uncommon entity, generally with an indolent behavior. Nevertheless, some malignant forms have been rarely reported. These, often have an aggressive biological behavior with pathological findings of invasiveness. The preoperative diagnosis and evaluation of the grade of malignancy are extremely challenging. Herein we report a case of a 64-year-old man who presented with a left giant intra-thoracic mass imaged with fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography ((18)F-FDG/PET-CT) and sampled via fine-needle aspiration biopsy (FNAB). Imaging and FNAB findings showed suspicion of a benign form of SFTP. Surgical radical resection of the giant mass was performed. The definitive histological diagnosis showed a malignant SFTP. Based on this report, we take the opportunity to briefly discuss the insidious pitfalls concerning the radiological and (18)F-FDG/PET-CT features as well as cyto/histological findings in the pre-operative diagnostic work-up examination of this rare entity. PMID:24079956

Lococo, F; Rapicetta, C; Ricchetti, T; Cavazza, A; Filice, A; Treglia, G; Tenconi, S; Paci, M; Sgarbi, G

2014-01-01

117

Immunohistochemistry of cytokeratins 7, 8, 17, 18, and 19, and GLUT-1 aids differentiation of desmoplastic malignant mesothelioma from fibrous pleuritis.  

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It is difficult to distinguish desmoplastic malignant mesothelioma (DMM) from fibrous pleuritis (FP). We investigated the utility of immunohistochemistry as a way of differentiating between DMM and FP. We examined 11 DMMs and 46 FPs with the aid of antibodies against 18 cytokeratin (CK) subtypes, calponin, caldesmon, desmin, and GLUT-1. The best sensitivity and specificity cut-off values in the receiver operating characteristic curves (ROC) for CKs 7, 8, 17, 18, and 19, and GLUT-1 were each above 60%. When cases with either DMM or FP were partitioned by the staining score associated with the best sensitivity and specificity cut-off values in ROC, the incidence of a positive expression for CKs 7, 8, 17, 18, and 19, and GLUT-1 was significantly higher in DMM than in FP. In conclusion, immunohistochemistry for CKs 7, 8, 17, 18, and 19, and GLUT-1 may be useful, alongside histological characteristics, for separating DMM from FP. PMID:23224745

Horiuchi, Toshikatsu; Ogata, Sho; Tominaga, Susumu; Hiroi, Sadayuki; Kawahara, Kunimitsu; Hebisawa, Akira; Irei, Isao; Ito, Ichiro; Kameya, Toru; Tsujimura, Tohru; Nakano, Takashi; Nakanishi, Kuniaki; Kawai, Toshiaki

2013-05-01

118

Several types of soft tissue sarcomas originate from the malignant transformation of adipose tissue-derived stem cells.  

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The cellular origin of soft tissue sarcomas (STSs) is not fully understood. The cancer stem cell hypothesis presumes that tumors originate from the malignant transformation of stem cells. As a type of multipotent stem cell, adipose tissue-derived stromal/stem cells (ADSCs), which possess an unexpected degree of plasticity and often reside in other tissues, may represent a potential source of soft tissue sarcoma. To ascertain whether ADSCs are responsible for the formation of STSs, ADSCs from mice were cultured and treated with 3-methycholanthrene to derive transformed cells. These transformed ADSCs were then injected subcutaneously into immunodeficient mice to test their tumorigenic potential. We found that they generated several types of STSs, including synovial sarcoma, malignant fibrous histiocytoma and fibrosarcoma. This is the first study to report that ADSCs may be the potential initiating cells for synovial sarcoma. Our findings indicate that STSs might originate from malignantly transformed ADSCs. PMID:21472259

Chen, Hui; Zhang, Song; Wen, Jian-Cheng; Zheng, Jia-Kun; Chen, Qiang; Li, Wen-Yu; Wang, Peng-Peng; Ma, Lian; Huang, Tian-Hua; Huang, Ge; Yang, Li-Ye

2010-01-01

119

CT findings of uncommon malignant tumors of the liver  

International Nuclear Information System (INIS)

Objective: To improve the diagnostic level of uncommon hepatic malignancy in 5 cases with different histopathological nature by analyzing their CT features. Methods: CT scan was performed in 5 cases with pathologically proved uncommon malignancy of the liver including hepatic sarcoma (n=3) and primary carcinoid tumor (n=2). Results: These uncommon malignancies of the liver had a variety of presentations. Undifferentiated embryonal sarcoma presented as a single huge cyst mixing with solid mass. Hepatic angiosarcoma demonstrated as multiple well-defined hypoattenuation lesions without cirrhosis. Necrosis, cystic degeneration, and hemorrhage may be accompanied. Malignant fibrous histiocytoma displayed as a single large hypoattenuation lesion within hyperdense septations, and most of the tumor was in the right lobe. Immunohistochemistry had the diagnostic value. The CT features of carcinoid tumor were single or multiple, unilocular or multilocular mixed-dense masses. The solid portion of the masses enhanced obviously and carcinoid syndrome may highly suggest the diagnosis. Conclusion: The forementioned 5 cases of hepatic malignancy are seldom seen clinically. Each of them with different pathologic nature has different CT findings, and sometimes with some similar signs. Typical CT findings, coupled with clinical information may lead to a correct diagnosis

120

Spontaneous malignant transformation of conventional giant cell tumor  

International Nuclear Information System (INIS)

Spontaneous malignant transformation of conventional giant cell tumor (GCT) of bone is exceedingly rare. We report on a case of GCT of the iliac crest in a 35-year-old woman with malignant change into a high-grade osteosarcoma 10 years after the first appearance of GCT on a radiograph. Since the patient refused therapy for personal reasons the tumor remained untreated until sarcomatous transformation occurred. Image cytometry showed DNA aneuploidy and a suspiciously high 2c deviation index (2cDI) in the primary bone lesion. A thorough review of the world literature revealed only seven fully documented cases of secondary malignant GCT which matched the definition of a ''sarcomatous growth that occurs at the site of a previously documented benign giant cell tumor'' and not treated by radiotherapy. These cases as well as the current one suggest that a spontaneous secondary malignant GCT presents as a frankly sarcomatous tumor in the form of an osteosarcoma or malignant fibrous histiocytoma. It usually appears at sites of typical GCTs - often without any recurrent intermediate state - and is diagnosed 3 or more years after the primary bone lesion. The prognosis is poor. (orig.)

 
 
 
 
121

Spontaneous malignant transformation of conventional giant cell tumor  

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Spontaneous malignant transformation of conventional giant cell tumor (GCT) of bone is exceedingly rare. We report on a case of GCT of the iliac crest in a 35-year-old woman with malignant change into a high-grade osteosarcoma 10 years after the first appearance of GCT on a radiograph. Since the patient refused therapy for personal reasons the tumor remained untreated until sarcomatous transformation occurred. Image cytometry showed DNA aneuploidy and a suspiciously high 2c deviation index (2cDI) in the primary bone lesion. A thorough review of the world literature revealed only seven fully documented cases of secondary malignant GCT which matched the definition of a ''sarcomatous growth that occurs at the site of a previously documented benign giant cell tumor'' and not treated by radiotherapy. These cases as well as the current one suggest that a spontaneous secondary malignant GCT presents as a frankly sarcomatous tumor in the form of an osteosarcoma or malignant fibrous histiocytoma. It usually appears at sites of typical GCTs - often without any recurrent intermediate state - and is diagnosed 3 or more years after the primary bone lesion. The prognosis is poor. (orig.)

Grote, H.J.; Pomjanski, N.; Boecking, A. [Institute of Cytopathology, Heinrich Heine University, Moorenstrasse 5, 40225, Duesseldorf (Germany); Braun, M. [Orthopedic Hospital Volmarstein, University of Witten/Herdecke, Hartmannstrasse 24, 58300, Wetter (Ruhr) (Germany); Kalinski, T.; Roessner, A. [Department of Pathology, Otto von Guericke University, Leipziger Strasse 44, 39120, Magdeburg (Germany); Back, W.; Bleyl, U. [Department of Pathology, Ruprecht Karls University Heidelberg, University Hospital Mannheim, Theodor-Kutzer-Ufer, 68167, Mannheim (Germany)

2004-03-01

122

STAT6 rabbit monoclonal antibody is a robust diagnostic tool for the distinction of solitary fibrous tumour from its mimics.  

Science.gov (United States)

Recurrent NAB2-STAT6 gene fusions have recently been identified in solitary fibrous tumour by next generation sequencing. Our aim was to examine the sensitivity and specificity of STAT6 immunohistochemistry for solitary fibrous tumour versus other morphologically similar soft tissue tumours. STAT6 expression was evaluated in 54 solitary fibrous tumours of various sites and 99 soft tissue tumours in the histological differential diagnosis. We used a rabbit monoclonal STAT6 antibody (1:100), which has not been reported by others, on formalin fixed, paraffin embedded whole sections and tissue microarray slides. Only nuclear staining of STAT6 was considered positive. Distribution of staining was scored as: 0 (no staining), 1+ (1-25%), 2+ (26-50%), 3+ (>50%). Intensity was scored as weak, moderate or strong. Nuclear STAT6 staining was present in all SFT cases tested (54/54, sensitivity 100%), regardless of histology, anatomical site or CD34 status. The majority of cases showed 3+ and strong staining. All tested cases of cellular angiofibroma (0/9), myofibroblastoma (0/10), spindle cell lipoma (0/10), benign fibrous histiocytoma (0/13), dermatofibrosarcoma protruberans (0/9), low-grade fibromyxoid sarcoma (0/7), schwannoma (0/8), desmoid-type fibromatosis (0/8), monophasic synovial sarcoma (0/11), malignant peripheral nerve sheath tumour (0/7), and mesenchymal chondrosarcoma (0/7) were negative for STAT6 (specificity 100%). Our study further supports the utility of STAT6 immunohistochemistry as an adjunct in the diagnosis of solitary fibrous tumour. PMID:24977739

Cheah, Alison L; Billings, Steven D; Goldblum, John R; Carver, Paula; Tanas, Munir Z; Rubin, Brian P

2014-08-01

123

Special diagnostic problems in primary malignant bone tumors  

International Nuclear Information System (INIS)

The diagnosis of primary malignant bone tumors, which only account for 1% of malignancies in humans, represents quite a challange for the pathologist. Apart from the often overlapping morphology between different entities, heterogeneity within one and the same tumor has to be kept in mind. Furthermore, in most cases the diagnosis must be established based on small biopsy specimens and occasionally even on frozen sections. In this context detailed clinical information including the patient's age and exact localization of the tumor, as depicted by X-ray or MRI, are essential requirements for a correct diagnosis. In addition, multiple biopsies from different tumor sites may be of help. For example, 25% of osteogenic sarcomas (OSA) are chondroplastic. Others may contain areas similar to fibrosarcoma (FSA) or malignant fibrous histiocytoma (MFH). Since 90% of OSA occur in the second decade of life whereas chondrosarcomas, FSA and MFH usually manifest after the age of 40 years, a biopsy solely composed of malignant chondromatous tissue obtained from a tibial lesion of a 10-year-old child should most likely be considered as part of an OSA. In the differential diagnosis of the so-called small, round cell tumors, which include Ewing sarcoma, malignant lymphoma and small-cell OSA, immunohistochemical staining of the paraffin-embedded material and a molecular biological/genetic work-up of frozen material are most helpful. In this paper the histomorphological characteristics and he histomorphological characteristics and criteria for differential diagnosis of the most common primary malignant bone tumors are discussed. (orig.)

124

The Study of the Malignant Tumors of the Maxillary Sinus by Computed Tomography  

International Nuclear Information System (INIS)

CT findings of proven 25 malignant tumors of the maxillary sinus were retrospectively analyzed to be of help in the diagnosis and treatment. The results were as follow: 1. Average age was 54 years old, and eighteen were males and seven were females with a ratio of 2.6:1. 2. The most common histopathologic feature was squamous cell carcinoma (19 cases) and others were two cases of adenoid cystic carcinoma, one case of malignant fibrous histiocytoma, mucoepidermoid tumor, histiocytic lymphoma, unidentified malignant tumor. 3. CT findings were sinus opacification (4%), soft tissue mass (92%), low densities within soft tissue mass (44%), air densities within soft tissue mass (24%), osteosclerosis (4%), bone destruction (92%), bone displacement (32%), fat plane obliteration(76%). 4. CT in the malignant maxillary sinus tumors approved the value in evaluation of tumor extension to nasal cavity, ethmoid sinus, orbit, infratemporal fossa, pterygopalatine fossa, pterygoid fossa, pterygoid muscle, cheek skin and intracranial cavity. 5. Twenty four cases (96%) were stage III, stage IV according to AJCC TNM classification. 6. Bone findings were destruction, displacement, sclerosis and most frequent site of bone destruction was the medial wall of the antrum (92%). 7. Tumor growth pattern showed destructive pattern in 18 cases (72%), and squamous cell carcinoma showed destructive pattern. (p<0.05).

125

Nuclear expression of STAT6 distinguishes solitary fibrous tumor from histologic mimics.  

Science.gov (United States)

Solitary fibrous tumor (SFT) is composed of spindled to ovoid cells in a patternless architecture with prominent stromal collagen and hemangiopericytoma-like vessels. Some tumors show hypercellularity, nuclear atypia, and significant mitotic activity; the latter feature in particular often portends an aggressive clinical course. SFT can sometimes be difficult to distinguish from other benign mesenchymal tumors and sarcomas. The most characteristic (albeit nonspecific) immunohistochemical finding in SFT is CD34 expression. A NAB2-STAT6 gene fusion, resulting in a chimeric protein in which a repressor domain of NGFI-A binding protein 2 (EGR1 binding protein 2) (NAB2) is replaced with a carboxy-terminal transactivation domain from signal transducer and activator of transcription 6, interleukin-4 induced (STAT6), was recently identified as a consistent finding in SFT. However, as these genes are located in close proximity on 12q13, this fusion can only rarely be detected by conventional chromosomal banding or fluorescence in situ hybridization analysis. Nuclear expression of the carboxy terminal part of STAT6 is a consistent finding in SFT of the meninges (so-called 'meningeal hemangiopericytoma'). We investigated STAT6 expression by immunohistochemistry in SFTs and other soft tissue tumors arising outside the central nervous system to validate the diagnostic utility of this novel marker. Whole-tissue sections of 231 tumors were evaluated, including 60 cases of SFT as well as other benign and malignant mesenchymal neoplasms and sarcomatoid mesotheliomas. Fifty-nine of 60 SFT cases (98%) showed nuclear expression of STAT6, which was usually diffuse and intense. All other tumor types were negative for STAT6, except for three dedifferentiated liposarcomas and one deep fibrous histiocytoma, which showed weak staining. In conclusion, STAT6 is a highly sensitive and almost perfectly specific immunohistochemical marker for SFT and can be helpful to distinguish this tumor type from histologic mimics. PMID:24030747

Doyle, Leona A; Vivero, Marina; Fletcher, Christopher Dm; Mertens, Fredrik; Hornick, Jason L

2014-03-01

126

Diagnostic significance of MRI in malignant skin tumors  

International Nuclear Information System (INIS)

For surgical treatment of malignant tumors, it is important to clarify the depth and area of invasion of tumors and the relation to surrounding normal tissues such as adipose tissue, muscles and bones in addition to the histological diagnosis of the tumors before operation. For this purpose we clinically evaluated a magnetic resonance imaging (MRI) for diagnosing skin tumors. A MRI, SIGNA (GE), which analyzes the tumors by a spin echo method (TR 1500, TE 20) was used in this study, and 29 slices of MRI in a tumor were accumulated crossing those tumors. The usefulness of three dimensional presentation of skin tumors performed by the MRI data was also discussed. For three dimensional presentation, VoxelflingerTM was applied and those images were compared with cross section of those tumors during operation and histological specimens. We applied the MRI examination on patients with malignant melanoma, malignant fibrous histiocytoma, fibrosarcoma and squamous cell carcinoma of skin. The MRI was a very useful tool to clarify the depth and area of invasion of malignant tumors and the relation to surrounding normal tissues. The effects of MRI was most remarkable when applied on patients with malignant melanoma of soles. Three dimensional presentation obtainned from the MRI data was also useful to know three dimensional condition of those tumors but it seems still to have limitation because of the analytical software of the computer. In conclusion, we suggest that MRI should be the imaging modality of choice in evaluating skin tumors especially of the extremities, and three-dimensional analysis will be beneficial as well as that of using slice images in the future. (author)

127

Prevalence of Malignant Soft Tissue Tumors in Extremities: An Epidemiological Study in Syria  

Science.gov (United States)

Background: Although the majority of soft tissue masses are benign, it is important to consider malignancy in differential diagnoses. Because most soft tissue sarcomas present as a painless mass, clinicians must watch for signs suggestive of malignancy, including large size, rapid growth, and site deep into the deep fascia. The purpose of this study was to determine the relative prevalence according to sex and age, site of tumor, skeletal distribution, and treatment (surgery, chemotherapy and radiotherapy) before and after surgery, and ascertain the relative frequency of these tumors in specific anatomic sites and age groups based on pathological studies. Methods: A total of 308 patients, with a musculoskeletal tumor were evaluated retrospectively. All of the patients enrolled into this study were referred to the Beirouni Hospital of Damascus University with a proven diagnosis of malignant soft tissue tumors from the beginning of January 2008 until the end of 2010. The prevalence of the malignant soft tissue tumors in these patients was analyzed. For purposes of analysis, all lesions were placed in 1 of 9 categories: hand and wrist, forearm, humorous (arm), proximal limb girdle (axilla and shoulder), foot and ankle, thigh, hip and buttocks region, trunk, and other lesions. Age and sex also were recorded. Results: Malignant tumors consisted of seven diagnostic categories: malignant fibrous histiocytoma (23%), liposarcoma (22%), rhabdomyosarcoma (9%), leiomyosarcoma (8%), malignant schwannoma (5%), dermatofibrosarcoma protuberans (5%), synovial sarcoma (10%), fibrosarcoma (13%), extraskeletal chondrosarcoma (1%), and extraskeletal Ewing sarcoma (4%). Conclusions: Despite the multitude of pathologic possibilities, most malignant soft-tissue tumors are classified into a small number of diagnoses. These may be further defined when the site of the lesion and the age of the patient are considered. Knowledge of tumor prevalence will assist radiologists in establishing a suitably ordered differential diagnosis when a soft-tissue tumor has a nonspecific radiologic appearance. PMID:25207328

Reshadi, Habib; Rouhani, Alireza; Mohajerzadeh, Saeid; Moosa, Marvan; Elmi, Asghar

2014-01-01

128

FDG-PET for preoperative differential diagnosis between benign and malignant soft tissue masses  

International Nuclear Information System (INIS)

To evaluate the standardized uptake value (SUV) of [18F]2-deoxy-2-fluoro-d-glucose at positron emission tomography (FDG-PET) for preoperative differential diagnosis between benign and malignant soft tissue masses.Design One hundred and fourteen soft tissue masses (80 benign, 34 malignant) were examined by FDG-PET prior to tissue diagnosis. The SUVs were calculated and compared between benign and malignant lesions and among different histologic subgroups which included three or more cases. There was a statistically significant difference in SUV between benign (1.80±1.42 [SD]) and malignant (4.20±3.16) soft tissue masses in total (P<0.0001). However, a considerable overlap in SUV was observed between many benign and malignant lesions. Liposarcomas (2.16±1.72) and synovial sarcomas (1.60±0.43) did not show significantly higher SUV than any benign lesions. Metastases (4.23±2.35) showed no statistically significant difference in SUV as compared with schwannomas (1.75±0.84), desmoids (2.77±1.32), sarcoidosis (3.62±1.53), or giant cell tumors of tendon sheath (GCT of TS; 5.06±1.63). Even malignant fibrous histiocytomas (5.37±1.40) could not be differentiated from sarcoidosis or GCT of TS, based on the SUV. A large accumulation of FDG can be observed in both benign and malignant histiocytic, fibroblastic, or neurogenic lesions. SUV at conventional FDG-PET is limited to differentiating benign from malignant soft tissue masses, when all kinds of histologic subtypes are included. (orig.)

129

Highly malignant soft tissue sarcoma of the extremity with a delayed diagnosis  

Directory of Open Access Journals (Sweden)

Full Text Available Abstract Purpose To evaluate the characteristics of highly malignant soft tissue sarcoma of the extremity with a delayed diagnosis. Materials and methods The clinical and radiological characteristics of 18 cases of highly malignant soft tissue sarcomas of the extremity with a delayed diagnosis were determined. Results Ten men and eight women of mean age 44.8 years (range, 15-79 years were included in this study. Seven cases of synovial sarcoma, three cases each of alveolar soft part sarcoma and malignant fibrous histiocytoma, two cases each of highly malignant leiomyosarcoma and myxofibrosarcoma, and one case of clear cell sarcoma were enrolled. Times from tumor detection to diagnosis ranged from 1 to 3 years in most cases; three of the seven synovial sarcoma cases took more than 10 years to diagnose. Of the seven cases of synovial sarcoma, five cases of small, superficial located masses were simply excised without a pre-surgical biopsy. Three cases of alveolar soft part sarcoma showed characteristic T1- and T2-weighted high signal intensities with signal voids in MR images. In addition, one synovial sarcoma patient and one alveolar soft part sarcoma patient showed evidence of calcification on plain radiographs. However, no general characteristic clinical findings were found to be common to the 18 cases. Conclusions Contrary to general expectations, some soft tissue tumors that grow slowly are painless, and those that occur in superficial limbs may be highly malignant. Thus, even when a slow growing, painless superficial mass is encountered in a limb, physicians should keep the possibility of highly malignant soft tissue sarcoma in mind.

Chae In

2010-09-01

130

Malignant solitary fibrous tumor of the thyroid: a case-report and review of the literature / Tumor fibroso solitário maligno da tiroide: relato de caso e revisão da literatura  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: English Abstract in portuguese O tumor fibroso solitário (SFT) é uma neoplasia rara de células fusiformes que mais frequentemente envolve a pleura, raramente ocorrendo em áreas extratorácicas. Já foram descritos 26 casos de SFT da tiroide. Relatamos o caso de uma paciente de 60 anos de idade com um histórico de 8 meses de aumento [...] do pescoço associado à disfagia. A paciente foi submetida a uma hemitiroidectomia direita e foi diagnosticado um SFT de tiroide. A imuno-histoquímica mostrou resultados positivos para o marcador CD34, e o grande número de mitoses e a presença de atipia celular sugerem que o tumor era maligno. Em nosso conhecimento, este é o segundo caso de STF da tiroide maligno já relatado. Dada a rara ocorrência desses tumores, a indicação de tratamento adjuvante e o prognóstico são incertos. Recomenda-se o acompanhamento de longo prazo depois da ressecção cirúrgica. Abstract in english Solitary fibrous tumor (SFT) is an uncommon spindle-cell neoplasm that most often involves the pleura, rarely occurring in extra-thoracic locations. Twenty-six cases of SFT arising in the thyroid gland have been described. We report a case of a 60-year-old woman presenting an 8-month history of enla [...] rgement of the neck associated with dysphagia. The patient underwent a right hemithyroidectomy and SFT of the thyroid was diagnosed. Immunohistochemistry showed positivity for CD34 marker, and the high number of mitoses and the presence of cellular atypia suggested that the tumor was malignant. To our knowledge, this is the second case of malignant SFT of the thyroid gland ever reported. Due to the rarity of these tumors, the indication of adjuvant therapy and prognosis are uncertain. Long-term follow-up after surgical resection seems to be advisable.

Wellington, Alves Filho; Renata Regina da Graça Lorencetti, Mahmoud; Daniel Marin, Ramos; Vergilius José Furtado de, Araujo-Filho; Patricia Picciarelli de, Lima; Claudio Roberto, Cernea; Lenine Garcia, Brandão.

2014-06-01

131

Mesothelioma - benign-fibrous  

Science.gov (United States)

Mesothelioma - benign; Mesothelioma - fibrous; Pleural fibroma; Solitary fibrous tumor of the pleura ... other reasons. Other tests that may show benign mesothelioma include: CT scan of the chest Open lung ...

132

Maxillofacial fibrous dysplasia  

Directory of Open Access Journals (Sweden)

Full Text Available Fibrous dysplasia is a non- neoplastic hamartomatous developmental fibro osseous lesion of bone. This paper provides a brief overview of fibrous dysplasia in a historic perspective and highlights the controversies in fibrous dysplasia seen in the cranio- maxillofacial lesions. A case report of a young woman is presented who was diagnosed as having maxillofacial fibrous dysplasia, thereby making an attempt to use this term in cases with relatively limited facial bone disease.

Mahajan Sumita

2005-01-01

133

Malignant mesothelioma induced by asbestos and zeolite in the mouse peritonenal cavity  

Energy Technology Data Exchange (ETDEWEB)

The carcinogenicity of asbestos (amosite and chrysotile) and zeolite (fibrous erionite, mordenite, and synthetic zeolite 4A) were studied in the peritoneum of 586 BALB/C male mice after a single intraperitoneal or intraabdominal wall injection. Tumors developed in 93 of 394 animals (23.6%) treated with asbestos or fibrous erionite 7 months or more after administration. All of the induced peritoneal tumors were intimately associated with marked peritoneal fibrosis, in which asbestos or erionite fibers were regularly detected. Histopathologically, 83 of 93 were consistent with malignant mesotheliomas. Other tumors consisted of 6 plasmacytomas, 1 histiocytoma, 1 liposarcoma, 1 osteosarcoma, and 1 adenocarcinoma of the pancreas. Two of the cases of mesotheliomas were associated with plasmacytoma. In many instances, the primary site of the mesotheliomas seemed to be multiple, the favorite sites being the omentum, mesentery, serosae of the gastrointestinal and genital organs, the diaphragm, the capsule of the liver and spleen, and the abdominal wall peritoneum. In addition to the 93 peritoneal tumors, 3 extraperitoneal tumors (1 fibrosarcoma and 2 rhabdomyosarcomas) were induced by amosite which was probably accidentally injected into the extraperitoneal connective tissue and the striated muscle tissue of the abdominal wall, respectively. These three tumors were also intimately associated with focal fibrosis in which amosite fibers were detected. Among the three different types of zeolite, only fibrous erionite showed striking carcinogenicity and marked fibrogenicity. The erionite-induced mesotheliomas were similar to those induced by asbestos in exhibiting long latency, in gross appearance, in histology, and in close association with fibrosis.

Suzuki, Y.; Kohyama, N.

1984-10-01

134

Fibrous dysplasia of bone: a clinicopathologic review  

Directory of Open Access Journals (Sweden)

Full Text Available Harsh Mohan1, Preeti Mittal1, Irneet Mundi1, Sudhir Kumar21Department of Pathology, 2Department of Orthopedics, Government Medical College, Sector 32, Chandigarh, IndiaAbstract: Fibrous dysplasia of the bones is an uncommon congenital skeletal disorder that is found equally in both genders and is not inherited. Its etiology has been linked to an activating mutation of Gs? and the downstream effects of the resultant increase in cAMP. Fibrous dysplasia is categorized as either monostotic or polyostotic, and may occur as a component of McCune-Albright syndrome or the rare Mazabraud syndrome. Long bones, skull bones, and ribs are the most commonly affected bones. The radiological picture is somewhat variable, including a ground-glass appearance, expansion of the bone, and sclerosis surrounding the lesion. Histologically, fibrous dysplasia shows irregularly-shaped trabeculae of immature, woven bone in a background of variably cellular, loosely arranged fibrous stroma. It may be complicated by pathologic fracture, and rarely by malignant transformation. This review examines interesting issues surrounding the etiology of fibrous dysplasia, its clinical and laboratory manifestations, radiological picture, utility of bone biopsy, gross and microscopic pathology, complications, and its differential diagnostic considerations.Keywords: fibrous dysplasia, McCune-Albright syndrome, monostotic form, polyostotic form

Mohan H

2011-11-01

135

A case of congenital solitary Langerhans cell histiocytoma.  

LENUS (Irish Health Repository)

A newborn baby boy was referred to the Paediatric Dermatology Unit with a solitary asymptomatic nodule overlying his right nasolabial fold. Complete physical examination, full blood count, serum chemistry, liver function tests and baseline imaging were unremarkable. Histopathological examination showed an atypical dermal infiltrate of mononuclear cells that stained positive with CD1a and S100. A diagnosis of congenital solitary Langerhans cell histiocytoma was made. The lesion completely resolved by 4 months of age. The baby is now 15 months old and repeat systemic evaluation has remained normal.

Ricciardo, Bernadette

2012-02-01

136

Polyostotic fibrous dysplasia  

International Nuclear Information System (INIS)

Fibrous dysplasia is a benign fibro-osseous condition that is replacement of normal bone and marrow tissues by cellular fibrous tissue and immature bone, and it is divided into monostotic type and polyostotic type. Polyostotic fibrous dysplasia involves multiple bones, such as skull, jaw bones, femur and tibia. And it is also divided into two forms: the less severe Jaffe's type and the more severe Albright's syndrome. Clinically, it frequently occurs in the 2nd decade, and occurs more frequently in maxilla than in mandible. And the lesions of fibrous dysplasia tend to become static as skeletal maturity is reached. The authors experienced three cases of polyostosic fibrous dysplasia in the craniofacial area with the complaints of facial asymmetry due to painless swelling. And we discussed the clinical, radiological, and histopathological features of these cases with a brief review of the literatures.

137

Polyostotic fibrous dysplasia  

Energy Technology Data Exchange (ETDEWEB)

Fibrous dysplasia is a benign fibro-osseous condition that is replacement of normal bone and marrow tissues by cellular fibrous tissue and immature bone, and it is divided into monostotic type and polyostotic type. Polyostotic fibrous dysplasia involves multiple bones, such as skull, jaw bones, femur and tibia. And it is also divided into two forms: the less severe Jaffe's type and the more severe Albright's syndrome. Clinically, it frequently occurs in the 2nd decade, and occurs more frequently in maxilla than in mandible. And the lesions of fibrous dysplasia tend to become static as skeletal maturity is reached. The authors experienced three cases of polyostosic fibrous dysplasia in the craniofacial area with the complaints of facial asymmetry due to painless swelling. And we discussed the clinical, radiological, and histopathological features of these cases with a brief review of the literatures.

Lee, Kang Sook; Park, Sang Eok; Choi, Karp Shik [Dept. of Dental Radiology, College of Dentistry, Kyungpook National University, Daegu (Korea, Republic of)

1994-02-15

138

Pseudotumoral fibrous dysplasia of the maxilla  

International Nuclear Information System (INIS)

Clinical, radiological, and histological problems arise relating to fibrous dysplasia of the maxilla. Clinically, 11 of our 39 cases developed so rapidly that the lesions were suspected of being malignant. The histological diagnosis may be very difficult, since any tumoural, reactive, or healing process may simulate fibrous dysplasia. As a general rule, the diagnosis is established most easily by the radiological examination. The radiologist's responsibility is important, as mistakes may have serious consequences. We report four pseudotumoural forms of maxillary sinus fibrous dysplasia. All were characterised clinically by rapid evolution, radiologically by opacity of the sinus with apparent destruction of its wall, and histologically by difficulty in establishing the diagnosis. In two cases indeed, the initial histological interpretation was an osteogenic sarcoma. Due to its excellent densitometric resolution, computed tomography provides an invaluable contribution by displaying the fibrous wall of an intact or even thickened maxillary sinus when conventional radiology has suggested a destructive process. In difficult cases of maxillary fibrous dysplasia, computed tomography should be used as a supplementary investigation to establish the correct diagnosis. (orig.)

139

Complementary scintigraphy in polyostotic fibrous dysplasia  

Energy Technology Data Exchange (ETDEWEB)

A 65-year-old man with a long history of right knee pain complained of discomfort in both hips. An X-ray has identified changes in the pelvis to indicate Paget`s disease. Bone scintigraphy after administration of thallium-201 was performed to ascertain the extent of this disorder. The whole body sweep showed multiple areas of abnormal uptake of varying size and intensity. This finding excluded the possibility of malignant change such as osteogenic sarcoma and malignant fibrous hystiocytoma . 2 figs.

Murray, I.P.C.; Haindl, W.; Frater, C.J. [Nuclear Diagnostics Randwick, NSW (Australia)

1996-09-01

140

Special diagnostic problems in primary malignant bone tumors; Spezielle diagnostische Probleme bei primaer malignen Knochentumoren  

Energy Technology Data Exchange (ETDEWEB)

The diagnosis of primary malignant bone tumors, which only account for 1% of malignancies in humans, represents quite a challange for the pathologist. Apart from the often overlapping morphology between different entities, heterogeneity within one and the same tumor has to be kept in mind. Furthermore, in most cases the diagnosis must be established based on small biopsy specimens and occasionally even on frozen sections. In this context detailed clinical information including the patient`s age and exact localization of the tumor, as depicted by X-ray or MRI, are essential requirements for a correct diagnosis. In addition, multiple biopsies from different tumor sites may be of help. For example, 25% of osteogenic sarcomas (OSA) are chondroplastic. Others may contain areas similar to fibrosarcoma (FSA) or malignant fibrous histiocytoma (MFH). Since 90% of OSA occur in the second decade of life whereas chondrosarcomas, FSA and MFH usually manifest after the age of 40 years, a biopsy solely composed of malignant chondromatous tissue obtained from a tibial lesion of a 10-year-old child should most likely be considered as part of an OSA. In the differential diagnosis of the so-called small, round cell tumors, which include Ewing sarcoma, malignant lymphoma and small-cell OSA, immunohistochemical staining of the paraffin-embedded material and a molecular biological/genetic work-up of frozen material are most helpful. In this paper the histomorphological characteristics and criteria for differential diagnosis of the most common primary malignant bone tumors are discussed. (orig.) [Deutsch] Die Diagnostik primaer maligner Knochentumoren kann dem Pathologen oft grosse Probleme bereiten. Die wichtigsten Voraussetzungen sind eine repraesentative Biopsie, Roentgenunterlagen sowie klinische Informationen bezueglich Alter, Lokalisation des Tumors und Symptomatik. Nicht nur die Vielzahl, sondern auch die histomorphologische Ueberlappungen der Entitaeten koennen zu Fehlinterpretationen Anlass geben. So ist am Biopsiematerial, nicht nur die definitive Entitaetszuordnung, sondern v.a. auch die Unterscheidung von benignen und malignen Prozessen oftmals schwierig. Bei einigen Problemstellungen koennen immunhistochemische Untersuchungen oder Chromosomenanalysen hilfreich sein. Es wird hier ueber die wichtigsten histomorphologischen Kriterien primaer maligner Knochentumoren und deren differentialdiagnostische Abgrenzung, im Biosiematerial bzw. im Schnellschnittbefund berichtet. (orig.)

Lang, S.; Sulzbacher, I. [Wien Univ. (Austria). Klinisches Inst. fuer Klinische Pathologie

1998-06-01

 
 
 
 
141

Intraperitoneal solitary fibrous tumor.  

Science.gov (United States)

Solitary fibrous tumors of the pelvis are rare. We report the case of a 32-years-old patient who presented with abdominopelvic mass. The imaging studies showed a right adnexal mass of more than 10?cm. Exploratory laparotomy revealed a 20?cm mass at the Douglas pouch which was adhered to the posterior wall of the uterus. Complete resection of the mass was performed. Histological analysis showed a spindle cell undifferentiated tumor whose morphological and immunohistochemical profile are consistent with solitary fibrous tumor. It is important to know that although these tumors are rare, their evolution can be pejorative. Therefore, long-term followup should be recommended. PMID:25276449

Benabdejlil, Youssef; Kouach, Jaouad; Babahabib, Abdellah; Elhassani, Moulay Elmehdi; Rharassi, Issam; Boudhas, Adil; Bakkali, Hicham; Elmarjany, Mohammed; Moussaoui, Driss; Dehayni, Mohamed

2014-01-01

142

Fibrous monolithic ceramics  

International Nuclear Information System (INIS)

Fibrous monolithic ceramics are an example of a laminate in which a controlled, three-dimensional structure has been introduced on a submillimeter scale. This unique structure allows this all-ceramic material to fail in a nonbrittle manner. Materials have been fabricated and tested with a variety of architectures. The influence on mechanical properties at room temperature and at high temperature of the structure of the constituent phases and the architecture in which they are arranged are discussed. The elastic properties of these materials can be effectively predicted using existing models. These models also can be extended to predict the strength of fibrous monoliths with an arbitrary orientation and architecture. However, the mechanisms that govern the energy absorption capacity of fibrous monoliths are unique, and experimental results do not follow existing models. Energy dissipation occurs through two dominant mechanisms--delamination of the weak interphases and then frictional sliding after cracking occurs. The properties of the constituent phases that maximize energy absorption are discussed. In this article, the authors examine the structure of Si3N4-BN fibrous monoliths from the submillimeter scale of the crack-deflecting cell-cell boundary features to the nanometer scale of the BN cell boundaries

143

The nature of fibrous dysplasia  

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Full Text Available Abstract Fibrous dysplasia has been regarded as a developmental skeletal disorder characterized by replacement of normal bone with benign cellular fibrous connective tissue. It has now become evident that fibrous dysplasia is a genetic disease caused by somatic activating mutation of the Gs? subunit of G protein-coupled receptor resulting in upregulation of cAMP. This leads to defects in differentiation of osteoblasts with subsequent production of abnormal bone in an abundant fibrous stroma. In addition there is an increased production of IL-6 by mutated stromal fibrous dysplastic cells that induce osteoclastic bone resorption.

Lemmer Johan

2009-11-01

144

Fibrous dysplasia of bone  

International Nuclear Information System (INIS)

Fibrous dysplasia of bone is a skeletal development anomaly of unknown etiology characterized by single or multiple areas of fibrous tissue replacement of medullary cavity of one or more bones. The disease may be localized to single bone (monostotic form) or may affect multiple bones (polyostotic form). Eighteen cases of fibrous dysplasia diagnosed by roentgenlogic or histologic assessment at Chosun University Hospital, Chosun University Hospital and Kwangju Christian Hospital during recent ten tears were analyzed clinically and radiologically. The results were as follows: 1. 16 case of them had monostotic involvement, and 2 cases showed polyostotic disease, but none of our series presented Albright's syndrome. 2. The male to female ratio in this series was 10 : 8, but then 2 polyostotic forms of them were females. In age distribution, peak incidence at the time of diagnosis was in the age group of second decade (10 cases). 3. Maxilla (6 cases) and femur (4 case) were frequently involved sites in patients with monostotic lesion, whereas polyostotic lesions diffusely affected skull, pelvis, ribs and limb bones. 4. The clinical symptoms according to the extent and site of disease were very variable, which were localized painless or painful swelling, nasal obstruction, deformity of face or extremity and incidentally during routine roentgen study. 5. The chemical abnormality of blood serum was moderate degree of elevated serum alkaline phosphatase in only one patients witaline phosphatase in only one patients with monostotic lesion. 6. The main radiologic findings of fibrous dysplasia were relatively well circumscribed single or multiloculated cystilike appearance, bone expansion, cortical thinning and/or erosion, bony deformity and pathologic fracture, but especially in maxilla, dense homogenous area with expanding lesion was observed in our series

145

Alisertib in Treating Patients With Advanced or Metastatic Sarcoma  

Science.gov (United States)

Adult Alveolar Soft-part Sarcoma; Adult Angiosarcoma; Adult Epithelioid Sarcoma; Adult Extraskeletal Chondrosarcoma; Adult Fibrosarcoma; Adult Leiomyosarcoma; Adult Liposarcoma; Adult Neurofibrosarcoma; Chondrosarcoma; Endometrial Stromal Sarcoma; Mast Cell Sarcoma; Metastatic Adult Malignant Fibrous Histiocytoma of Bone; Ovarian Carcinosarcoma; Ovarian Sarcoma; Recurrent Adult Malignant Fibrous Histiocytoma of Bone; Recurrent Adult Soft Tissue Sarcoma; Small Intestine Leiomyosarcoma; Stage III Adult Soft Tissue Sarcoma; Stage IV Adult Soft Tissue Sarcoma

2014-08-13

146

Fibrous glass and cancer.  

Science.gov (United States)

Some argue that fibrous glass (glass wool) should not be considered as a likely human carcinogen and hence should not be listed in the Seventh Annual Report on Carcinogens (ARC) prepared by the National Toxicology Program (NTP) and mandated by the U.S. Congress. In examining this issue, data from both laboratory experiments (animal studies) and epidemiologic studies (human data) are reviewed with the results evaluated according to the criteria established by the International Agency for Research on Cancer (IARC) and adopted in slightly modified form by the NTP for classifying substances as human carcinogens or likely human carcinogens. From our comprehensive review of the available information, we conclude that fibrous glass materials are carcinogenic, and in view of the NTP and IARC definitions should be listed in the ARC. Our review then examines the carcinogenic potency of glass fibers to humans in comparison with asbestos fibers and concludes that on a fiber-per-fiber basis, glass fibers may be as potent or even more potent than asbestos. The implications of these findings are then presented for regulatory purposes in the occupational setting. PMID:7810554

Infante, P F; Schuman, L D; Dement, J; Huff, J

1994-10-01

147

Fibrous Pseudotumour of the Testis  

Directory of Open Access Journals (Sweden)

Full Text Available Fibrous pseudotumour of the testis is a rare benign lesion involving the paratesticular region. It usually presents in nodular form and may cause diagnostic dilemma resulting in unnecessary sacrifice of the testes. We report a rare case of diffuse fibrous pseudotumour which had to be treated by orchiectomy. [J Interdiscipl Histopathol 2013; 1(4.000: 227-229

Geetha Vasudevan

2013-08-01

148

Gluteal Congenital Fibrous Hamartoma of Infancy: A Case Report  

Directory of Open Access Journals (Sweden)

Full Text Available Fibrous hamartoma of infancy (FHI is a rare benign subcutaneous tumor which is commonly seen in the first year of life. Patients usually present with a single, painless, rapidly growing mass located mostly on the upper extremities. It can be difficult to distinguish this lesion from the malignant soft tissue sarcomas because of the rapid growth and radiological characteristics. Here we report a 5-month-old boy with a large gluteal mass and cutaneous findings which was initially thought to be an infiltrative malignant tumor and finally diagnosed as FHI. [Cukurova Med J 2013; 38(2.000: 333-337

Begul Yagci-Kupeli

2013-04-01

149

Pleural Giant Solitary Fibrous Tumor and Immunohistochemical Profile  

Directory of Open Access Journals (Sweden)

Full Text Available Pleural solitary fibrous tumor is a rare and slow growing intrathoracic neoplasm. It originates from submesenchymal cells of parietal or, more commonly, visceral pleura. Although most cases follow a benign clinical course, it has been reported that a malignant outcome is seen in 7,5-37% of cases. We present here a case considered as pleural solitary fibrous tumor with malignant potential. A 74-yearold woman presented with dyspnea and computerized tomography showed a mediastinal mass connected to the pleura. The tumor was removed by surgery. Grossly, the tumor was lobulated, welldemarcated and mostly encapsulated. Its weight was 754 gr. and it measured 17x12x5.5 cm. The cut surface had a whorled appearance. Focal necrosis and myxoid degenerative areas were noted. Histopathologically, hypocellular areas characterized by uniform, small spindle cells in a collagen rich stroma and hypercellular areas were seen. The tumor had a prominent branching vascular network. Although mitosis was infrequent, necrosis was common. Tumoral cells were strongly immunoreactive for CD34, bcl-2 and vimentin by immunohistochemistry. Cytokeratin, actin, S100, CD117 and desmin were negative. The ratio of Ki-67 positive cells was 10%. The patient was diagnosed as pleural solitary fibrous tumor with malignant potential because of hypercellularity and presence of large necrotic areas although increased mitosis and pleomorphism were almost absent. There was no recurrence or metastasis 15 months after the surgery.

Nalan NE?E

2009-09-01

150

Computed tomography of fibrous dysplasia  

International Nuclear Information System (INIS)

Skeletal fibrous dysplasia produces changes that are usually readily recognized on plain radiographs. Occasionally, routine radiography may not demonstrate the characteristic appearance of the disease. The density of abormal bone in craniofacial fibrous dysplasia may preclude adequate assessment of areas where soft-tissue impingement may occur. Computed tomography (CT) is useful in demonstrating the amorphous ''ground-glass'' texture of the lesion and in defining the extent of craniofacial disease including impingement upon orbital structures. CT was useful in five patients with fibrous dysplasia in whom the nature or extent of involvement was not entirely clear

151

Calcified fibrous pseudotumor of spermatic cord  

International Nuclear Information System (INIS)

Paratesticular tumors are infrequent and most are benigns. This a case presentation of a patient aged 24 with a history of good health coming to our consultation by presence of a hard and painless 4 cm tumor in right scrotum with a 6 months course. Scrotal ultrasound (US) showed a well circumscribed heterogeneous lesion separate of epididymis and the testis. Fine needle aspiration biopsy (FNAB) was not possible by hardness of tumor. A inguinal surgery was performed and the total tumor exeresis using freezing biopsy negative of malignancy. Final histopathological report was: calcified fibrous pseudotumor of spermatic cord. Patient's course has been satisfactory. Significance of inguinal surgery was confirmed for the paratesticular tumor approach, even more when FNAB it is not conclusive for diagnosis.(author)

152

Fibrous Osteodystrophy in an Opossum.  

Science.gov (United States)

A free living opossum (Didelphis marsupialis) was found to have severe fibrous osteodystrophy of the maxilla and mandibles. No significant lesions were found in the kidneys, ruling out an etiology of renal secondary hyperparathyroidism. An etiology of pri...

G. G. Long, J. L. Stookey, T. G. Terrell, G. D. Whitney

1974-01-01

153

Diagnostic value of FDG PET-CT for detecting primary breast malignancy: comparison with other image modalities and histopathologic correlation  

International Nuclear Information System (INIS)

To compare the diagnostic value of 18F-FDG PET-CT in detecting the primary breast malignancy with other imaging modalities and to determine whether detectability of PET-CT depends on any factors such as size, differentiation, or nuclear grade of tumor. We evaluated pathologically proven 66 lesions in 61 patients (26-74 years, mean 46.9) who underwent preoperative PET-CT. Other imaging modalities were also evaluated: mammography in 58, US in 49 and MRI in 16. PET-CT images were visually evaluated and peak and mean SUV of mass were measured. For mammography and US, category 4 and 5 lesions as positive, and category 0-3 lesions as negative. For MRI, we used morphology and dynamic kinetic curve data based scoring system; sum of the scores higher than 10 as positive. Sensitivities of each modality were obtained. We analyzed PET-CT positive and negative groups in relation to size, SUV, differentiation and nuclear grade of tumors using paired t-test and Fisher's exact test. 65 among 66 were malignant lesions: invasive ductal carcinoma (n=56), ductal carcinoma in situ (n=3), tubular carcinoma (n=1), medullary carcinoma(n=3), mucinous carcinoma(n=1) and malignant fibrous histiocytoma (n=1). One lesion was benign lesion. Sensitivities of PET-CT, mammography, US, and MRI for detecting malignant mass were 86.2%, 80.7%, 100% and 94.1% respectively. SUV(P) and SUV(M) in PET-CT positive group (5.28±3.24 and 3.56±2.24) was significantly higher than that of PET CT negative group (1.r than that of PET CT negative group (1.96±0.35 and 1.46±0.44) [p<0.0001 for both]. The size of the primary mass in PET-CT positive group (2.66±1.47) was significantly larger than that in PET-CT negative group (1.52±0.57) (p=0.0002). The nuclear grade and tumor differentiation were not significantly different between two groups. The sensitivity of the FDG PET-CT in detecting primary breast cancer is lower than those of other imaging modalities. The detectability of the FDG PET-CT might be degraded when the tumor is small in size

154

Solitary fibrous tumor in retroperitoneum  

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The solitary fibrous tumor, of rare mesodermal origins, primarily affects the pleura and occasionally occurs in the peritoneum and at nonserosal sites. Although this is a pathologically well established entity, it is frequently confused radiologically and pathologically with other tumors of mesenchymal origin. We report one case of a solitary fibrous tumor in the retroperitoneum. The 15X10X7 cm mass, located in the left perirenal space just above the left kidney, had relatively homogeneous consistency and was well-delineated from surrounding organs in CT and MR images. It showed intense, gradual, centripetal enhancement during dynamic scans, and partially unenhanced areas which matched the high signal intensity portions in T2 weighted MR images, pathologically correlated to myxoid degeneration. Although not specific, when a large, well-delineated mass of strong contrast enhancement with lack of massive necrosis is encountered, solitary fibrous tumor must be included in the differential diagnosis of a retroperitoneal soft tissue mass.

Yu, Jeong Sik; Kim, Ki Whang; Kim, Eun Kyung; Kang, Byung Chul; Jeong, Hyeon Joo [Yonsei Univ. College of Medicine, Seoul (Korea, Republic of)

1996-12-01

155

Solitary fibrous tumor in retroperitoneum  

International Nuclear Information System (INIS)

The solitary fibrous tumor, of rare mesodermal origins, primarily affects the pleura and occasionally occurs in the peritoneum and at nonserosal sites. Although this is a pathologically well established entity, it is frequently confused radiologically and pathologically with other tumors of mesenchymal origin. We report one case of a solitary fibrous tumor in the retroperitoneum. The 15X10X7 cm mass, located in the left perirenal space just above the left kidney, had relatively homogeneous consistency and was well-delineated from surrounding organs in CT and MR images. It showed intense, gradual, centripetal enhancement during dynamic scans, and partially unenhanced areas which matched the high signal intensity portions in T2 weighted MR images, pathologically correlated to myxoid degeneration. Although not specific, when a large, well-delineated mass of strong contrast enhancement with lack of massive necrosis is encountered, solitary fibrous tumor must be included in the differential diagnosis of a retroperitoneal soft tissue mass

156

Fibrous dysplasia of maxillary sinus  

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Full Text Available Introduction: The Fibrous Dysplasia is a benign bone disease, of slow growth and unknown etiology. The involvement of the craniofacial skeleton is not uncommon and, generally, produces facial asymmetries. Case Report: In this article we report the case of a patient with fibrous dysplasia occupying the entire left maxillary sinus with orbitary extension confirmed in the anatomopathological exam. Final Comments: The surgical treatment remains as the main therapeutic approach and the postoperative follow-up is necessary due to this condition recurrent nature.

Tinoco, Paulo

2009-06-01

157

Clinical guidelines for the management of craniofacial fibrous dysplasia  

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Full Text Available Abstract Fibrous dysplasia (FD is a non-malignant condition caused by post-zygotic, activating mutations of the GNAS gene that results in inhibition of the differentiation and proliferation of bone-forming stromal cells and leads to the replacement of normal bone and marrow by fibrous tissue and woven bone. The phenotype is variable and may be isolated to a single skeletal site or multiple sites and sometimes is associated with extraskeletal manifestations in the skin and/or endocrine organs (McCune-Albright syndrome. The clinical behavior and progression of FD may also vary, thereby making the management of this condition difficult with few established clinical guidelines. This paper provides a clinically-focused comprehensive description of craniofacial FD, its natural progression, the components of the diagnostic evaluation and the multi-disciplinary management, and considerations for future research.

Lee JS

2012-05-01

158

Monostotic Fibrous Dysplasia (Two Cases Report)  

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Fibrous dysplasia is an a developmental benign anomaly of the bone which originates mesenchymal cells. It has an unknown origin. Three types were defined. Monostotic fibrous dysplasia is the most frequent form approximately 70% of all cases. It’s seen in adoscelent ages and calms down when the bone growth ends. Multifocal fibrous dysplasia which is seen with endocrine diseases are about of 3-5% of all cases. In this study we aimed to present two cases of monostotic fibrous dysplasia...

?sa Döngel; Mehmet Bayram; Feride Sapmaz; Sami Ceran

2012-01-01

159

Metastatic melanoma mimicking solitary fibrous tumor: report of two cases.  

Science.gov (United States)

Malignant melanomas are known for their remarkable morphological variation and aberrant immunophenotype with loss of lineage-specific markers, especially in recurrences and metastases. Hot spot mutations in BRAF, NRAS, GNAQ, and GNA11 and mutations in KIT are oncogenic events in melanomas. Therefore, genotyping can be a useful ancillary diagnostic tool. We present one case each of recurrent and metastatic melanoma, both showing histological and immunohistochemical features of solitary fibrous tumor (SFT). Mutational analysis detected BRAF and NRAS mutations in the primary and secondary lesions, respectively. This result confirmed the diagnosis of recurrent/metastastic melanoma. PMID:24458518

Bekers, Elise M; van Engen-van Grunsven, Adriana C H; Groenen, Patricia J T A; Westdorp, Harm; Koornstra, Rutger H T; Bonenkamp, Johannes J; Flucke, Uta; Blokx, Willeke A M

2014-02-01

160

Fibrous metaphyseal defect (fibrous cortical defect, non-ossifying fibroma)  

International Nuclear Information System (INIS)

Fibrous cortical defect and nonossifying fibromas can be classified together as fibrous metaphyseal defects (FMD) since they have the same pahtological substrate, with a tendency to the same localisation around the knee, and occuring at the same age. They have a tendency to spontaneous healing, are clinically silent and are usually discovered accidentally during radiological examination. A radiological survey fo 5.674 metaphyseal regions in the upper and lower extremities of 2.065 unselected patients aged one to 20 years revealed an incidence of 1.8%; exlcusive examination of the distal femur showed an incidence of 2.7%. 96% of all lesions were in the lower extremities and only 4% in the upper. The marked discrepancy in the incidence rate between American and German publications is discussed. (orig.)

 
 
 
 
161

Bone scintigraphy in polyostotic fibrous dysplasia  

International Nuclear Information System (INIS)

Fibrous dysplasia is a benign skeletal disorder of unknown aetiology. Fibrous dysplasia characteristically involves the fibrous replacement of portions of the medullary cavities of a single bone (monostotic) or multiple bones (polyostotic). Bones typically involved include the femurs, tibiae, ribs and maxillae. The polyostotic form may be accompanied by skin pigmentation and endocrine abnormalities (McCune Allbright Syndrome). Radiological findings in fibrous dysplasia are variable, ranging from completely radiolucent to radio-opaque lesions, depending on the amount of fibrous or osseous tissue deposited in the medulla. The most common radiographic finding is that of a ground glass-like semi-opaque lesion. Case reports on scintigraphic manifestation of fibrous dysplasia are scanty. We present radiological and scintigraphic findings of polyostotic fibrous dysplasia in a young male. (authors)

162

Bone scintigraphy in polyostotic fibrous dysplasia  

Energy Technology Data Exchange (ETDEWEB)

Fibrous dysplasia is a benign skeletal disorder of unknown aetiology. Fibrous dysplasia characteristically involves the fibrous replacement of portions of the medullary cavities of a single bone (monostotic) or multiple bones (polyostotic). Bones typically involved include the femurs, tibiae, ribs and maxillae. The polyostotic form may be accompanied by skin pigmentation and endocrine abnormalities (McCune Allbright Syndrome). Radiological findings in fibrous dysplasia are variable, ranging from completely radiolucent to radio-opaque lesions, depending on the amount of fibrous or osseous tissue deposited in the medulla. The most common radiographic finding is that of a ground glass-like semi-opaque lesion. Case reports on scintigraphic manifestation of fibrous dysplasia are scanty. We present radiological and scintigraphic findings of polyostotic fibrous dysplasia in a young male. (authors). 3 refs., 1 fig.

Wadhwa, S.S.; Mansberg, R.; Fernandes, V.B. [Illawarra Regional Hospital, Wollongong, NSW, (Australia)

1998-03-01

163

Craniofacial Fibrous Dysplasia: An Update  

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Full Text Available Fibrous dysplasia was first described by Lichtenstein in1938 as a disorder characterized by progressive replacement ofnormal bone elements by fibrous tissue. It is a bone tumor that,although benign, has the potential to cause significant cosmeticand functional disturbance, particularly in the craniofacialskeleton. Its management poses significant challenges to thesurgeon. Its compression of the optic nerve with resulting visualimpairment is especially alarming. Over the years, we havegained a better understanding of its etiology, clinical behavior,and both surgical and non-surgical treatments. Its characteristics,under various imaging modalities, have been thoroughlydescribed in recent years. These developments have takenplace with the goal of optimizing treatment of those who sufferfrom this disease. However, the role of prophylactic opticnerve decompression in cases of optic canal involvement hasrecently been challenged: the results of a few recent studies have raised questions regardingits role. Further studies would be required to assess its value.

Yu-Ray Chen

2006-12-01

164

Quantification of the magnetization-transfer contrast effect: can it yield additional information in differentiation of musculoskeletal lesions particularly in separation of benign from malignant lesions; Quantifizierung des Magnetization Transfer Contrast (MTC) Effektes durch Berechnung von MT-Quotienten: Ergeben sich Zusatzinformationen fuer die Differenzierung benigner und maligner Erkrankungen des Bewegungsapparates?  

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Purpose: To investigate the potential information of the amount of magnetization-transfer effect in musculoskeletal lesions and to compare MT ratios from benign and malignant musculoskeletal lesions. Material and Method: 49 patients with malignant tumors (3 osteosarcoma, 3 malignant fibrous histiocytoma, 4 chondrosarcoma, 2 Ewing sarcomas) and benign lesions (8 chondroma, 2 fibrous dysplasia, 3 osteoid-osteoma, 6 ganglion cyst, 3 cyst, 3 osteomyelitis, 4 tendinitis, 3 rotator cuff tear, 5 scar tissue) were scanned using routine MRI protocols including T{sub 1}- and T{sub 2}-weighted spin echo as well as T{sub 2}*-weighted gradient echo (FFE) sequences at 1.5 Tesla (ACS II, Philips Medical). Additionally MTC images were generated by combining the FFE sequence and the off-resonance MT technique (-1500 Hz off-resonance frequency, 1770 flip angle and 50 ms pulse duration). MT ratios were calculated as SI{sub o}-SI{sub m}/SI{sub o}. Results: The MT ratio of benign lesions was 26{+-}15%, that of malignant lesions was 22{+-}6%. The difference was statistically not significant. As expected muscle showed a high MT ratio of 50{+-}8%. Scar tissue demonstrated an MT ratio of 39{+-}16% which was significantly higher than the tumor MT ratios. Conclusion: MTC (MT ratios) failed to show significant differences between benign and malignant lesions as was expected due to basic differences in cellularity, rate of mitosis and chromatin content. MTC might however gain more importance in separating scar tissue from recurrent tumor in the future. (orig.) [German] Zielsetzung: Durch die Quantifizierung des Magnetization Transfer Contrastes sollte untersucht werden, ob sich Zusatzinformationen in der Magnetresonanztomographie des Stuetz- und Bewegungsapparates ergeben. Insbesondere sollte ermittelt werden, ob gut- und boesartige Laesionen unterschiedliche MT-Quotienten aufweisen. Material und Methode: 49 Patienten mit boesartigen Tumoren (3 Osteosarkom, 4 Chondrosarkom, 3 Malignes Fibroeses Histiozytom, 2 Ewing-Sarkom) and gutartigen Erkrankungen (8 Chondrom, 2 Fibroese Dysplasie, 3 Osteoid-Osteom, 6 Ganglion, 3 Zysten, 3 Osteomyelitis, 4 Tendinitis, 3 Rotatorenmanschettenruptur, 5 Narbengewebe) wurden mit herkoemmlicher MRT sowie resonanz-frequenzferner MTC-Methode (-1500 Hz Resonanzverschiebung, 50 ms Pulslaenge, 1770 MT-Pulswinkel) bei 1,5 Tesla (ACS II, Philips Medizinsysteme) untersucht. Der MTC-Effekt wurde durch Berechnung des MT-Quotienten (MT-ratio) quantifiziert. Ergebnisse: Der MT-Quotient gutartiger Laesionen lag im Mittel gering ueber dem maligner Laesionen (26{+-}15% versus 22{+-}6%). Der Unterschied war statistisch nicht signifikant. Narbengewebe wies einen signifikant hoeheren MT-Quotienten (39{+-}16%) als Tumoren auf. Schlussfolgerung: Die Berechnung des MT-Quotienten ist nicht geeignet, um gutartige von boesartigen Erkrankungen des Stuetz- und Bewegungsapparates zu unterscheiden. Zur Differenzierung von Narbengewebe gegenueber Tumorrezidiv koennte MTC einen Stellenwert erlangen. (orig.)

Vahlensieck, M.; Traeber, F.; Schild, H. [Radiologische Universitaetsklinik Bonn (Germany); Gieseke, J. [Philips Medizinsysteme (Germany)

1999-12-01

165

Reconstruction of the Fibrous Trigone  

Digital Repository Infrastructure Vision for European Research (DRIVER)

A 48-year-old man with a history of infective endocarditis and severe aortic regurgitation had undergone prosthetic aortic valve replacement at another institution. Two months later, the patient developed prosthetic valve endocarditis with an aortic root abscess and an aorto–left atrial periprosthetic valvular fistula through the detached posterior annulus of the mitral valve. We repaired the fistula by constructing a fibrous trigone made of bovine pericardium. We also replaced the prosthet...

Akay, Mehmet H.; Danch, Magdalena Anna; Cohn, William E.; Frazier, O. H.

2009-01-01

166

MR findings of fibrous dysplasia  

International Nuclear Information System (INIS)

To describe the MR findings of fibrous dysplasia MR images of fibrous dysplasia in 13 pathologically proved cases were retrospectively analyzed regarding the signal intensity, hypointense rind, internal septations, cortical disruption, soft tissue extension, and the pattern of contrast enhancement. All cases showed low signal intensity on T1-weighted images. On T2-weighted images, 8 cases(62%) were hyperintense and 5 cases(38%) hypointense. Hypointense rind was seen in 10 cases(77%), internal septations in 3 cases(23%), and cystic change in 2 cases(15%). Soft tissue extension was observed in four cases(31%) including one case with pathologic fracture. After Gd-DTPA infusion, central contrast enhancement was noted in 8 cases(73%) and peripheral rim enhancement in 3 cases(23). Pathologically, hypointensity on T2-weighted images was due to numerous bony trabeculae. Hypointensity on T1W1 and hyperintensity(62%) or hypointensity(38%) on T2W1 as well as contrast enhancement in fibrous dysplasia depend on degree of cellularity, collagen, cystic and hemorrhagic changes, and bony trabeculae

167

MR findings of fibrous dysplasia  

Energy Technology Data Exchange (ETDEWEB)

To describe the MR findings of fibrous dysplasia MR images of fibrous dysplasia in 13 pathologically proved cases were retrospectively analyzed regarding the signal intensity, hypointense rind, internal septations, cortical disruption, soft tissue extension, and the pattern of contrast enhancement. All cases showed low signal intensity on T1-weighted images. On T2-weighted images, 8 cases(62%) were hyperintense and 5 cases(38%) hypointense. Hypointense rind was seen in 10 cases(77%), internal septations in 3 cases(23%), and cystic change in 2 cases(15%). Soft tissue extension was observed in four cases(31%) including one case with pathologic fracture. After Gd-DTPA infusion, central contrast enhancement was noted in 8 cases(73%) and peripheral rim enhancement in 3 cases(23). Pathologically, hypointensity on T2-weighted images was due to numerous bony trabeculae. Hypointensity on T1W1 and hyperintensity(62%) or hypointensity(38%) on T2W1 as well as contrast enhancement in fibrous dysplasia depend on degree of cellularity, collagen, cystic and hemorrhagic changes, and bony trabeculae.

Jee, Won Hee; Choi, Kyu Ho; Jung, Hyun Seouk; Lee, Eun Jung; Park, Jeong Mi; Kim, Ki Tae; Shinn, Kyung Sub; Lee, Youn Soo [Catholic Univ. College of Medicine, Seoul (Korea, Republic of)

1996-01-01

168

Pazopanib Hydrochloride Followed By Chemotherapy and Surgery in Treating Patients With Soft Tissue Sarcoma  

Science.gov (United States)

Adult Angiosarcoma; Adult Desmoplastic Small Round Cell Tumor; Adult Epithelioid Hemangioendothelioma; Adult Epithelioid Sarcoma; Adult Extraskeletal Chondrosarcoma; Adult Fibrosarcoma; Adult Leiomyosarcoma; Adult Liposarcoma; Adult Malignant Fibrous Histiocytoma; Adult Malignant Hemangiopericytoma; Adult Malignant Mesenchymoma; Adult Neurofibrosarcoma; Adult Synovial Sarcoma; Dermatofibrosarcoma Protuberans; Stage IIA Adult Soft Tissue Sarcoma; Stage III Adult Soft Tissue Sarcoma; Stage IV Adult Soft Tissue Sarcoma

2014-06-16

169

Vismodegib and Gamma-Secretase/Notch Signalling Pathway Inhibitor RO4929097 in Treating Patients With Advanced or Metastatic Sarcoma  

Science.gov (United States)

Adult Alveolar Soft-part Sarcoma; Adult Angiosarcoma; Adult Desmoplastic Small Round Cell Tumor; Adult Epithelioid Hemangioendothelioma; Adult Epithelioid Sarcoma; Adult Extraskeletal Chondrosarcoma; Adult Extraskeletal Osteosarcoma; Adult Fibrosarcoma; Adult Leiomyosarcoma; Adult Liposarcoma; Adult Malignant Fibrous Histiocytoma; Adult Malignant Mesenchymoma; Adult Neurofibrosarcoma; Adult Rhabdomyosarcoma; Adult Synovial Sarcoma; Chondrosarcoma; Clear Cell Sarcoma of the Kidney; Conjunctival Kaposi Sarcoma; Dermatofibrosarcoma Protuberans; Gastrointestinal Stromal Tumor; Metastatic Adult Malignant Fibrous Histiocytoma of Bone; Metastatic Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Metastatic Osteosarcoma; Ovarian Sarcoma; Recurrent Adult Malignant Fibrous Histiocytoma of Bone; Recurrent Adult Soft Tissue Sarcoma; Recurrent Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Recurrent Kaposi Sarcoma; Recurrent Osteosarcoma; Recurrent Uterine Sarcoma; Small Intestine Leiomyosarcoma; Stage III Adult Soft Tissue Sarcoma; Stage III Uterine Sarcoma; Stage IV Adult Soft Tissue Sarcoma; Stage IV Uterine Sarcoma

2014-10-09

170

Polystotic Fibrous Dysplasia - A case report  

Directory of Open Access Journals (Sweden)

Full Text Available Fibrous dysplasia, a benign fibro osseous condition involving one or more bones of the cranial and extra cranial skeleton, consists of non-encapsulated lesion which shows replacement of a normal bone by cellular fibrous tissue containing islands of metastatic bone (Edwards 1984. It has been classified by W.H.O. as developmental in origin. Fibrous dysplasia of bone is one of the most perplexing diseases of the osseous tissue. It is a lesion of unknown etiology, uncertain pathogenesis and diverse histopathology. A case report of fibrous dysplasia is presented here and discussed in detail

Rama raju D

2010-01-01

171

A case report of the fibrous dysplasia  

International Nuclear Information System (INIS)

The author observed a rare case of fibrous dysplasia in 12 year old female who came to the Infirmary of Dental College, Seoul National University, complaining of facial asymmetry of 3 years' duration in right maxillofacial region. The serial radiograms has been taken, and the nature of the lesion established as a typical fibrous dysplasia according to the interpreted findings in their images. The author has obtained the results as follows: 1. Fibrous dysplasia occurred at 3 years of age in this case. 2. On familial tendency, traumatic history and endocrine disturbances were not noted in this patient. 3. The serial radiograms revealed a typical fibrous dysplasia encroaching right zygomatic bone.

172

Monostotic Fibrous Dysplasia (Two Cases Report  

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Full Text Available Fibrous dysplasia is an a developmental benign anomaly of the bone which originates mesenchymal cells. It has an unknown origin. Three types were defined. Monostotic fibrous dysplasia is the most frequent form approximately 70% of all cases. It’s seen in adoscelent ages and calms down when the bone growth ends. Multifocal fibrous dysplasia which is seen with endocrine diseases are about of 3-5% of all cases. In this study we aimed to present two cases of monostotic fibrous dysplasia after completion bone growth. We performed enbloc resection of the rib for the purpose of diagnosis and treatment.

?sa Döngel

2012-10-01

173

Fracture toughness in fibrous materials  

CERN Document Server

In the present paper, a fiber bundle model in (1+1)-dimensions that simulates the rupture process of a fibrous material pulled by an uniaxial force F is analyzed. In this model the load of a broken fiber is shifted in equal portions onto the nearest unbroken fibers. The force-displacement diagram is obtained for several traction velocities v and temperatures t. Also, it is shown how the fracture toughness $K_c$ changes with the traction velocity v and with the temperature t. In this paper it is shown that the rupture process is strongly dependent on temperature t and on velocity v.

Menezes-Sobrinho, I L

2001-01-01

174

Dedifferentiated chondrosarcoma arising in fibrous dysplasia: A case report and review of the current literature  

Directory of Open Access Journals (Sweden)

Full Text Available Nicole MD Riddle1, Hideko Yamauchi2, Jamie T Caracciolo4, David Johnson2, G Douglas Letson2, Ardeshir Hakam1,3, Prudence V Smith1,2,3, Marilyn M Bui1,2,31Department of Pathology and Cell Biology, University of South Florida, Tampa, FL, USA; 2Department of Sarcoma, 3Department of Anatomic Pathology, 4Department of Radiology, Moffitt Cancer Center, Tampa, FL, USABackground: Fibrous dysplasia is an uncommon bone disease that has rare but clear potential for malignant transformation. The frequency is increased in polyostotic forms, McCune–Albright syndrome, Mazabraud’s syndrome, and previously irradiated sites. Rapidly progressing pain unrelated to trauma is the most concerning symptom. The early radiological features of sarcomatous transformation are moth-eaten or cystic areas of osteolysis, cortical destruction, and gradual formation of a soft tissue mass. The prognosis is unfavorable as most of the cases are in an advanced stage at the time of diagnosis.Methods: This case was diagnosed at a large cancer center in Florida. Pertinent clinical findings were obtained from chart review and inter-departmental consultation.Results: Histopathological examination revealed dysplastic lamellar bone with no osteoblastic rimming and “Chinese letter” shapes, areas composed of lobulated hyaline cartilage with mild to severe nuclear atypia, and areas of poorly differentiated cells with a spindled appearance, consistent with chondrosarcoma arising within fibrous dysplasia.Conclusions: Sarcomatous transformation of fibrous dysplasia is an uncommon occurrence, yet has significant importance for those with the disease. There may be difficulty with diagnosis given the symptoms and radiologic findings of benign fibrous dysplasia. We report a case of chondrosarcoma rising in fibrous dysplasia and review the current literature. This case is of interest due to the fact that the diagnosis of monostotic fibrous dysplasia was first made at the age of 59 and malignant transformation occurred within a decade with no history of trauma or radiation. This is an excellent example of how a change in symptoms without a history of trauma should be alarming to the clinician and warrants a thorough work-up for malignancy. To the best of our knowledge, this represents the second case of dedifferentiated chondrosarcoma within the English literature.Keywords: dedifferentiated chondrosarcoma, fibrous dysplasia, malignant transformation, McCune–Albright syndrome, Mazabraud’s syndrome

Nicole MD Riddle

2009-06-01

175

Antibacterial Properties of Nanosilver PLLA Fibrous Membranes  

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Full Text Available Nanosilver has been studied as a valuable material for it strong antibacterial effects. In this study, we investigated the antibacterial properties of nano silver Poly-L-Lactic acid (Ag/PLLA composite fibrous membranes. Ag/PLLA fibrous membranes were prepared with silver nanoparticles having weight ratio of silver nanoparticles to PLLA at 5% (w/w. In vitro antibacterial tests were performed using Escherichia coli (E. coli and Staphylococcus aureus (Staph. to determine the antibacterial capability of the Ag/PLLA fibrous membranes. As the results suggested, Ag/PLLA fibrous membranes showed strong antibacterial properties. Thus, Ag/PLLA fibrous membrane can be used as an antibacterial scaffold for tissue engineering.

Lin Li

2009-01-01

176

CT findings of craniofacial fibrous dysplasia  

International Nuclear Information System (INIS)

Fibrous dysplasia is a benign bony disorder that contains trabeculae of poorly calcified primitive bone formed by osseous metaplasia. It is also characterized by replacement of normal spongiosa by abnormal fibrous tissues. We retrospectively analyzed the computed tomographic (CT) findings of 29 cases with clinically and radiologically diagnosed craniofacial fibrous dysplasia. In 2 cases, only cranial bones were involved and in 7 cases only facial bones were involved. Involvements of both cranial and facial bones were noted in the remained 20 cases. The commonly involved bones in the decreasing order of frequency were as follows: frontal, sphenoidal, ethmoidal and temporal bones in cranium and maxilla, zygoma, lacrimal bones and mandible in facial bones. Even though plain films are enough to diagnose the fibrous dysplasia, we think that CT is useful in more accurate diagnosis by demonstrating amorphous 'ground-glass' appearance in the lesion and defining the exact extent of craniofacial fibrous dysplasia

177

CT findings of craniofacial fibrous dysplasia  

Energy Technology Data Exchange (ETDEWEB)

Fibrous dysplasia is a benign bony disorder that contains trabeculae of poorly calcified primitive bone formed by osseous metaplasia. It is also characterized by replacement of normal spongiosa by abnormal fibrous tissues. We retrospectively analyzed the computed tomographic (CT) findings of 29 cases with clinically and radiologically diagnosed craniofacial fibrous dysplasia. In 2 cases, only cranial bones were involved and in 7 cases only facial bones were involved. Involvements of both cranial and facial bones were noted in the remained 20 cases. The commonly involved bones in the decreasing order of frequency were as follows: frontal, sphenoidal, ethmoidal and temporal bones in cranium and maxilla, zygoma, lacrimal bones and mandible in facial bones. Even though plain films are enough to diagnose the fibrous dysplasia, we think that CT is useful in more accurate diagnosis by demonstrating amorphous 'ground-glass' appearance in the lesion and defining the exact extent of craniofacial fibrous dysplasia.

Lee, Seong Suk; Lee, Ghi Jai; Jung, Myung Seok; Kim, Yong Soo; Kim, Ho Kyun; Han, Chang Yul [Inje University College of Medicine, Pusan (Korea, Republic of)

1993-11-15

178

Fibrous dysplasia vs adamantinoma of the tibia: differentiation based on discriminant analysis of clinical and plain film findings.  

Science.gov (United States)

Differentiation between benign fibrous dysplasia and malignant adamantinoma of the tibia is challenging because of the impact the diagnosis has on the choice of treatment (none or extensive surgery). The histologic and pathologic similarities of the lesions and the controversial relationship between fibrous dysplasia, osteofibrous dysplasia, and adamantinoma complicate the matter. We found a large overlap of histologic features in lesions considered either fibrous dysplasia or osteofibrous dysplasia on the basis of the radiologic findings. The purpose of this study was to determine the value of the plain radiograph of the lower leg in combination with clinical findings to differentiate the benign from the malignant condition. The clinical symptoms, radiographs, and histologic slides of 46 patients with fibrous dysplasia and 22 with adamantinoma in the tibia were reviewed retrospectively. In only one of 12 patients with radiologic or histologic characteristics of osteofibrous dysplasia were both radiologic and histologic criteria for the diagnosis present. A linear discriminant analysis was performed on six clinical (age, spontaneous pain, pain after trauma, swelling only, pain and swelling, and bowing deformity) and 25 radiologic signs. Fibrous dysplasia and its variant osteofibrous dysplasia could be identified correctly in 87% (40 of 46 patients) and adamantinoma in 95% (21 of 22 patients) by using the patient's age and four radiologic signs. When results from the discriminant analysis of a randomized subgroup of patients (32) were used on the other subgroup (36 patients), fibrous dysplasia was correctly identified in 84% (21 of 25) and adamantinoma in 82% (nine of 11). Fibrous dysplasia is more prevalent than adamantinoma in a young patient, when radiographs show a ground-glass appearance and anterior bowing and when there is no multilayered periosteal reaction and moth-eaten destruction. When radiologic signs and the patient's age are combined, fibrous dysplasia and adamantinoma can be discriminated in a high percentage of patients. PMID:2017924

Bloem, J L; van der Heul, R O; Schuttevaer, H M; Kuipers, D

1991-05-01

179

MRI in craniofacial fibrous dysplasia  

Energy Technology Data Exchange (ETDEWEB)

Five patients with biopsy-proven craniofacial fibrous dysplasia underwent MRI with T1- and T2-weighted sequences and a gadolinium-enhanced T1-weighted spin-echo sequence. Low to intermediate signal intensity was usually seen in the largest part of the lesion on both spin-echo sequences, but smaller regions of hyperintensity on T1- and T2-weighted images and intermediate signal intensity throughout a lesion on T1-weighted images were also seen. All lesions enhanced but only two became iso- or hyperintense compared to fat. High clinical and pathological activity in three cases correlated with high signal intensity on both spin-echo sequences and with strong enhancement in two of the three. The presence of large veins or sinusoids on pathological examination did not correlate with the enhancement pattern. (orig.)

Casselman, J.W. (St. Jan Hospital, Bruges (Belgium). Dept. of Radiology); Jonge, I. de (St. Jan Hospital, Bruges (Belgium). Dept. of Pathology); Neyt, L. (St. Jan Hospital, Bruges (Belgium). Dept. of Maxillofacial Surgery); Clercq, C. de (St. Jan Hospital, Bruges (Belgium). Dept. of Maxillofacial Surgery); D' Hont, G. (St. Jan Hospital, Bruges (Belgium). Dept. of Otorhinolaryngology)

1993-03-01

180

Creep of fibrous composite materials  

DEFF Research Database (Denmark)

Models are presented for the creep behaviour of fibrous composite materials with aligned fibres. The models comprise both cases where the fibres remain rigid in a creeping matrix and cases where the fibres are creeping in a creeping matrix. The treatment allows for several contributions to the creep strength of composites. The advantage of combined analyses of several data sets is emphasized and illustrated for some experimental data. The analyses show that it is possible to derive creep equations for the (in situ) properties of the fibres. The experiments treated include model systems such as Ni + W-fibres, high temperature materials such as Ni + Ni3Al + Cr3C2-fibres, and medium temperature materials such as Al + SiC-fibres. For the first two systems reasonable consistency is found for the models and the experiments, while for the third system too many unquantified parameters exist and further studies seem necessary.

Lilholt, Hans

1985-01-01

 
 
 
 
181

Malignant mesothelioma  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Abstract Malignant mesothelioma is a fatal asbestos-associated malignancy originating from the lining cells (mesothelium) of the pleural and peritoneal cavities, as well as the pericardium and the tunica vaginalis. The exact prevalence is unknown but it is estimated that mesotheliomas represent less than 1% of all cancers. Its incidence is increasing, with an expected peak in the next 10–20 years. Pleural malignant mesothelioma is the most common form of mesothelioma. Typical pres...

Parker Robert J

2008-01-01

182

Fibrous-Ceramic/Aerogel Composite Insulating Tiles  

Science.gov (United States)

Fibrous-ceramic/aerogel composite tiles have been invented to afford combinations of thermal-insulation and mechanical properties superior to those attainable by making tiles of fibrous ceramics alone or aerogels alone. These lightweight tiles can be tailored to a variety of applications that range from insulating cryogenic tanks to protecting spacecraft against re-entry heating. The advantages and disadvantages of fibrous ceramics and aerogels can be summarized as follows: Tiles made of ceramic fibers are known for mechanical strength, toughness, and machinability. Fibrous ceramic tiles are highly effective as thermal insulators in a vacuum. However, undesirably, the porosity of these materials makes them permeable by gases, so that in the presence of air or other gases, convection and gas-phase conduction contribute to the effective thermal conductivity of the tiles. Other disadvantages of the porosity and permeability of fibrous ceramic tiles arise because gases (e.g., water vapor or cryogenic gases) can condense in pores. This condensation contributes to weight, and in the case of cryogenic systems, the heat of condensation undesirably adds to the heat flowing to the objects that one seeks to keep cold. Moreover, there is a risk of explosion associated with vaporization of previously condensed gas upon reheating. Aerogels offer low permeability, low density, and low thermal conductivity, but are mechanically fragile. The basic idea of the present invention is to exploit the best features of fibrous ceramic tiles and aerogels. In a composite tile according to the invention, the fibrous ceramic serves as a matrix that mechanically supports the aerogel, while the aerogel serves as a low-conductivity, low-permeability filling that closes what would otherwise be the open pores of the fibrous ceramic. Because the aerogel eliminates or at least suppresses permeation by gas, gas-phase conduction, and convection, the thermal conductivity of such a composite even at normal atmospheric pressure is not much greater than that of the fibrous ceramic alone in a vacuum.

White, Susan M.; Rasky, Daniel J.

2004-01-01

183

[Malignant mesothelioma of the peritoneum].  

Science.gov (United States)

An observation of malignant peritoneal mesothelioma in a man of 61 is presented. The clinical signs included fatigue, loss of weight, enlarged abdomen. The duration of the disease was 8 months. The autopsy revealed a whitish tumor of the peritoneum of cartilage density with numerous nodules 0.5-1.5 cm in diameter. The tumor overgrew the liver, spleen, pancreatic gland, stomach, and intestinal loops forming a single conglomerate. In the peritoneal cavity there were 4000 ml of transparent yellowish fluid. The visceral and parietal pleura on the left was thicker and covered with small whitish nodules. Histological examinations showed the peritoneum to be thickened, sclerosed and hyalinized. In the thickness of the fibrous stroma there were numerous slits lined with mesothelial cells. There were metastases in regional lymph nodes. The tumor had the structure of a malignant mesothelioma of the epithelial-like variant. PMID:7115133

Iudakova, T M

1982-01-01

184

Solitary fibrous tumour of the prostate.  

Science.gov (United States)

Solitary fibrous tumours are rare, benign neoplasms that are most commonly found in the pleura and less commonly on other serosal surfaces. Their cell of origin and aetiology are uncertain. A case of solitary fibrous tumour of the prostate is presented. We believe this to be the first case of this lesion to arise in this gland. Solitary fibrous tumours of the prostate may be confused with granulomatous prostatitis or carcinoma as all three may present with a nodule on rectal examination and appear as a hypoechoic nodule on transrectal ultrasound. PMID:10211071

Kelly, P M; Baxter, G M

1998-10-01

185

Aggressive malignant abdominal mesothelioma: Clinical report  

International Nuclear Information System (INIS)

t the effect of radioactivity on induction of mesothelioma is still disputed.4 There are several reports linking malignant mesothelioma to radioactivity due to radiation therapy.The fibrous mesothelioma (sarcomatous), as in this case, which is difficult to diagnose microscopically, looks like a fibroma, unless helped by tissue culture. The treatment options of malignant mesothelioma include surgery, intraperitoneal chemotherapy and whole abdominal radiation or multimodality therapy, which were suggested that might prolong the survival in patients with peritoneal mesothelioma.5 Although peritoneal mesothelioma is rare, progress in its management has occurred, survival has been extended and selection factors by which patients may be allocated to aggressive management strategies have been defined

186

CD34-negative solitary fibrous tumour resistant to imatinib.  

Science.gov (United States)

A 75-year-old man presented to our hospital with multifocal thickening of the left pleura and left pleural effusion. Histology of the pleura showed uniform and bipolar spindle cells with moderate mitosis in a collagenised stroma. It further showed abundant blood vessels in a haemangiopericytoma-like pattern. These findings were strongly suggestive of malignant solitary fibrous tumour (SFT). The tumour showed negative staining for CD34. The loss of CD34 expression could imply histologically high-grade tumour, as reported previously. Imatinib, a multityrosine kinase inhibitor with targets, including platelet-derived growth factor receptor (PDGFR)-? and PDGFR-?, has antitumour activity in some patients with SFT. Unfortunately, imatinib treatment failed to control disease progression in the present case that expressed PDGFR-?, but not PDGFR-?. This report described a case of CD34-negative SFT resistant to imatinib. PMID:23833101

Watanabe, Koichiro; Otsu, Satoshi; Morinaga, Ryotaro; Shirao, Kuniaki

2013-01-01

187

Classical radiological aspects of fibrous dysplasia  

International Nuclear Information System (INIS)

The authors, after a review of the literature, show the features of fibrous dysplasia in the skull through conventional radiology, depicting the most common and classics aspects of this disease and its differential diagnosis. (author)

188

P53 pseudogene: potential role in heat shock induced apoptosis in a rat histiocytoma  

Directory of Open Access Journals (Sweden)

Full Text Available The p53 tumor suppressor gene is either non- functional or highly and frequently mutated in majority of cancers. In our study towards understanding cellular adaptations to stress using a rat histiocytic tumor model, we have identified mis-sense mutation in p53 that led to premature termination of translation at the carboxyl-termi- nus. Further, the cDNA isolated from heat stre- ssed cells producing two amplicons with cDNA specific primers (N-terminus suggested occurrence of possible pseudogene(s. A comparative analysis between different tumor cell lines of rat origin and rat genomic DNA using p53 gene specific primers resulted in the amplification of a processed pseudogene and its positive interaction with wild type p53 probe on Southern blot analysis. The genomic DNA sequence analysis, and sequence comparison with cDNA discovered that the processed pseudogene lacks DNA binding domain and nuclear localization signal, however, contains the ribosomal entry and stop signals. Rat genome BLAST analysis of the pesudogene suggested chromosome-18 localization which was in addition to 14, 13, 10, 9 localization of the cDNA. In the interest of unraveling hidden dimensions of p53 tumor suppressor gene, our study explores the probability of p53 functional pseudogenes in rat histiocytoma.

Amere Subbarao Sreedhar

2010-09-01

189

Fibrous dysplasia originating from the middle ear  

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Full Text Available Fibrous Dysplasia is rarely seen in adults. The anteriorcraniofacial bones are more commonly involved thanmore lateral or posterior regions. Loss of vestibular function,tinnitus and hearing loss may be seen associatedwith sphenoid and temporal bone involvement. We aimedto report the case of a thirty-year-old female patient withfibrous dysplasia located in the middle ear. J Clin Exp Invest2013; 4 (2: 219-220Key words: CT, fibrous dysplasia, middle ear

Ekrem Karaka?

2013-06-01

190

Aggressive fibrous dysplasia of the maxillary sinus  

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Five of 34 patients (ages 4-21 years), who were subsequently diagnosed histologically as having fibrous dysplasia of the maxillary sinus, rapidly developed soft tissue masses of the malar region over a period of less than 4 months with accompanying pain (2 patients) and nasal obstruction and exophthalmos (2 patients). Each was clinically suspected of having a sarcoma. After resection, all lesions developed regrowth. At histopathologic examination, both initial and recurrent masses proved to be typical fibrous dysplasia. (orig./UWA)

Shapeero, L.G. (Dept. of Radiology, Inst. Gustave-Roussy, Villejuif (France) Dept. of Radiology, California Univ., San Francisco, CA (United States)); Vanel, D. (Dept. of Radiology, Inst. Gustave-Roussy, Villejuif (France)); Ackerman, L.V. (Dept. of Pathology, State Univ. of New York, Stony Brook, NY (United States)); Terrier-Lacombe, M.J. (Dept. of Radiology, Inst. Gustave-Roussy, Villejuif (France)); Housin, D. (Dept. of Radiology, Inst. Gustave-Roussy, Villejuif (France)); Schwaab, G. (Dept. of Ear, Nose, and Throat, Inst. Gustave-Roussy, Villejuif (France)); Sigal, R. (Dept. of Radiology, Inst. Gustave-Roussy, Villejuif (France)); Masselot, J. (Dept. of Radiology, Inst. Gustave-Roussy, Villejuif (France))

1993-11-01

191

Hydromechanical loading and compressibility of fibrous reinforcements  

Digital Repository Infrastructure Vision for European Research (DRIVER)

During the Resin Film Infusion Process (RFI), the resin flows through the fibrous medium under the stress created by a flexible membrane in the transverse direction of the reinforcement's plane. The compaction of the preforms and the flow of resin through the fibrous network take place simultaneously. There is, therefore, a coupled loading of the porous reinforcements. In order to better control this process, it is necessary to optimize resin pressure and fabric compression by using the appro...

Ouagne, Pierre; Breard, Joel; Ouahbi, Tariq; Park, Chung Hae; Saouab, Abdelghani; Chatel, Sylvain

2008-01-01

192

What Is Malignant Mesothelioma?  

Science.gov (United States)

... key statistics about malignant mesothelioma? What is malignant mesothelioma? Malignant mesothelioma is a cancer that starts in ... be non-cancerous (benign) or cancerous (malignant). Malignant mesothelioma A cancerous tumor of the mesothelium is called ...

193

Renal cell carcinoma metastasizing to solitary fibrous tumor of the pleura: a case report  

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Full Text Available Abstract Introduction A tumor metastasizing to another malignancy is an uncommon phenomenon. Since it was first described in 1902, there have been fewer than 200 cases reported in the literature, with lung cancer metastasizing to renal cell carcinoma being the most frequently described pattern. Here we report a case of a solitary fibrous tumor of the lung acting as the recipient for a renal cell carcinoma. To our knowledge, this is the first reported case of such a combination and the second case involving a solitary fibrous tumor. Case presentation A 58-year-old Caucasian man who developed a persistent dry cough presented to our hospital. Imaging studies revealed a large pleural-based mass in the left lung. A biopsy of the mass showed a spindle-cell lesion consistent with a solitary fibrous tumor. The patient underwent surgical excision of the 13 cm mass. The pathological examination confirmed the diagnosis of a solitary fibrous tumor but also demonstrated discrete foci of metastatic renal cell carcinoma. Until that point, a primary renal cell carcinoma tissue diagnosis had not been made and the initial radiological work-up was inconclusive. Conclusion Awareness of the unusual phenomenon of tumor-to-tumor metastasis is important for practicing surgical pathologists, particularly in the evaluation of a mass lesion showing bimodal histology. This case also highlights the importance of careful examination of surgical specimens, as minute and unusual findings can direct patient care.

Wei Shi

2011-06-01

194

Case report 346: Fibrous dysplasia (polyostotic)  

International Nuclear Information System (INIS)

In summary, a case of fibrous dysplasia has been presented in a 24-year-old man, who developed localized pain over the right shoulder and posterior wall of the chest after a fall. A lesion typical of fibrous dysplasia was noted in the middle third of the posterior segment of the right seventh rib and in the body of C7, (suggestive involvement of the vertebral body of C6 was also noted). The disk cartilage between C6 and C7 was considerably attenuated. A radioisotope bone scan showed 'pick-up' in the areas of C7 and the right seventh rib. A biopsy of C7 was performed, establishing the presence of fibrous dysplasia. A corpectomy was carried out in order to prevent damage to the spinal cord and the likelihood of collapse of the grossly affected vertebral body. The clinical, radiological and pathological features of fibrous dysplasia were discussed briefly. It was indicated that a small number of cases of fibrous dysplasia (approximately 13) involving a vertebra has been reported in the English literature, comprising approximately 7% of all cases of the polyostotic form of the disorder. (orig.)

195

Chemically-bound xenon in fibrous silica.  

Science.gov (United States)

High-level quantum chemical calculations reported here predict the existence and remarkable stability, of chemically-bound xenon atoms in fibrous silica. The results may support the suggestion of Sanloup and coworkers that chemically-bound xenon and silica account for the problem of "missing xenon" (by a factor of 20!) from the atmospheres of Earth and Mars. So far, the host silica was assumed to be quartz, which is in contradiction with theory. The xenon-fibrous silica molecule is computed to be stable well beyond room temperature. The calculated Raman spectra of the species agree well with the main features of the experiments by Sanloup et al. The results predict computationally the existence of a new family of noble-gas containing materials. The fibrous silica species are finite molecules, their laboratory preparation should be feasible, and potential applications are possible. PMID:24807740

Kalinowski, Jaroslaw; Räsänen, Markku; Gerber, R Benny

2014-06-21

196

Malignant mesothelioma  

Directory of Open Access Journals (Sweden)

Full Text Available Abstract Malignant mesothelioma is a fatal asbestos-associated malignancy originating from the lining cells (mesothelium of the pleural and peritoneal cavities, as well as the pericardium and the tunica vaginalis. The exact prevalence is unknown but it is estimated that mesotheliomas represent less than 1% of all cancers. Its incidence is increasing, with an expected peak in the next 10–20 years. Pleural malignant mesothelioma is the most common form of mesothelioma. Typical presenting features are those of chest pain and dyspnoea. Breathlessness due to a pleural effusion without chest pain is reported in about 30% of patients. A chest wall mass, weight loss, sweating, abdominal pain and ascites (due to peritoneal involvement are less common presentations. Mesothelioma is directly attributable to occupational asbestos exposure with a history of exposure in over 90% of cases. There is also evidence that mesothelioma may result from both para-occupational exposure and non-occupational "environmental" exposure. Idiopathic or spontaneous mesothelioma can also occur in the absence of any exposure to asbestos, with a spontaneous rate in humans of around one per million. A combination of accurate exposure history, along with examination radiology and pathology are essential to make the diagnosis. Distinguishing malignant from benign pleural disease can be challenging. The most helpful CT findings suggesting malignant pleural disease are 1 a circumferential pleural rind, 2 nodular pleural thickening, 3 pleural thickening of > 1 cm and 4 mediastinal pleural involvement. Involvement of a multidisciplinary team is recommended to ensure prompt and appropriate management, using a framework of radiotherapy, chemotherapy, surgery and symptom palliation with end of life care. Compensation issues must also be considered. Life expectancy in malignant mesothelioma is poor, with a median survival of about one year following diagnosis.

Parker Robert J

2008-12-01

197

Malignant Catatonia  

Directory of Open Access Journals (Sweden)

Full Text Available Catatonia is a syndrome characterized by mutism, immobility, negativism, stereotypy, mannerisms, echophenomena, perseveration and passive obedience. The underlying causes can be psychiatric or may be associated with general medical status or neurological diseases. Additionally catatonia has two subtypes as malignant and nonmalignant catatonia. Main symptoms of malignant catatonia are hyperthermia and autonomic symptoms such as tachycardia, tachypnea and hyperhidrosis. It is important to make the diagnosis as early as possible for an appropriate medical treatment. Clinicians should be aware of the fatal outcome of the disease.

Ayca Ozkul

2010-12-01

198

On the filtration of fibrous aerosols  

International Nuclear Information System (INIS)

Basic peculiarities occuring during the filtration of fibrous aerosols are discussed. Using aerosols of very fine asbestos fibers, filtration efficiencies of some analytical filters -Nuclepore and Millipore filters - were investigated. The collection efficiences were measured by means of electron microscopy and radiolabeled asbestos fibers. The collection efficiencies, which depended on the pore sizes of the filters and on the fiber form of the used aerosol, lay in the range of about 40-99.9%. A special problem discussed is the orientation of fibrous particles in the vicinity of filter pore entrances. (author)

199

Malignant Pyoderma  

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Full Text Available A 30 year old man presented with multiple ulcers with necrotic base over scalp, neck, presternal region. Neither any systemic disease was associated nor any abnormality by laboratory investigation was found. Patient responding well to dapsone and corticosteroid. It was designated as a case of malignant pyoderma.

Mohanty Juthika

2002-01-01

200

Hematologic malignancies  

International Nuclear Information System (INIS)

The principle aim of this book is to give practical guidelines to the modern treatment of the six important hematologic malignancies. Topics considered include the treatment of the chronic leukemias; acute leukemia in adults; the myeloproliferative disorders: polycythemia vera, essential thrombocythemia, and idiopathic myelofibrosis/agnogenic myeloid metaplasia; Hodgkin's Disease; non-Hodgkin's lymphoma; and Multiple Myeloma

 
 
 
 
201

Hematologic malignancies  

Energy Technology Data Exchange (ETDEWEB)

The principle aim of this book is to give practical guidelines to the modern treatment of the six important hematologic malignancies. Topics considered include the treatment of the chronic leukemias; acute leukemia in adults; the myeloproliferative disorders: polycythemia vera, essential thrombocythemia, and idiopathic myelofibrosis/agnogenic myeloid metaplasia; Hodgkin's Disease; non-Hodgkin's lymphoma; and Multiple Myeloma.

Hoogstraten, B.

1986-01-01

202

Osteosarcoma of the mandible arising de novo in fibrous dysplasia. Case report and review of the literature  

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Full Text Available SUMMARY: Introduction: Malignant transformation of fibrous dysplasia is rare, accounting 4% of cases with McCune-Albright syndrome and 0,5% of monostotic type.Case presentation: An 11-year old boy presented with hard swelling and disfigurement of his mandible in conjunction with alterations of his dental occlusion. Following biopsy, fibrous dysplasia was diagnosed. The patient underwent surgical contouring of the affected bone. Four years later a fast growing mass developed at the same site of the operated mandible. After an incisional biopsy the diagnosis of low-grade osteosarcoma was established. The patient underwent wide mandibulectomy and reconstruction of the defect with bonegraft and is free of the disease for the last 14 years.Conclusion: Most cases of malignant transformation of FD are associated with irradiation of the fibrous dysplasia.The spontaneous transformation of the monostotictype is extremely rare. The development of a soft tissue mass or elevation of serum alkaline phosphatase in a patient with fibrous dysplasia should be considered alarming features and require further investigation to exclude sarcoma.

Aikaterine TRIANTAFILLIDOU, Konstantinos PSOMADERIS, Fotis IORDANIDIS, Dimitris KARAKASIS

2012-04-01

203

Monostotic fibrous dysplasia of the clivus: MRI and CT findings  

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Fibrous dysplasia is a developmental disorder caused by abnormal proliferation and maturation of fibroblasts resulting in replacement of mature bone by structurally weak, immature woven bone. Clival involvement in monostotic fibrous dysplasia is extremely unusual, and has rarely been reported previously. We report a case of monostotic fibrous dysplasia of the clivus with special emphasis on the imaging findings and differential diagnosis. (orig.)

Sirvanci, M.; Karaman, K.; Onat, L.; Duran, C.; Ulusoy, O.L. [Department of Diagnostic Radiology, University of Kadir Has Medical School, Istanbul (Turkey)

2002-10-01

204

Monostotic fibrous dysplasia of the clivus: MRI and CT findings  

International Nuclear Information System (INIS)

Fibrous dysplasia is a developmental disorder caused by abnormal proliferation and maturation of fibroblasts resulting in replacement of mature bone by structurally weak, immature woven bone. Clival involvement in monostotic fibrous dysplasia is extremely unusual, and has rarely been reported previously. We report a case of monostotic fibrous dysplasia of the clivus with special emphasis on the imaging findings and differential diagnosis. (orig.)

205

Temporosphenoidal Fibrous Dysplasia: A Case Report  

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Full Text Available Fibrous dysplasia (FD is a localized disorder of bone that may lead to bony distortional expansions. We report a case of FD of the temporosphenoidal bone. In this case, we took out subtotally the part of the temporal bone extending to the skull base with speed-drilling.

Mustafa ERDAL

2006-12-01

206

History Of Impregnation Techniques With Fibrous Materials  

International Nuclear Information System (INIS)

The importance of wood as a raw material is described and its deficiencies are listed. The history of the development of some impregnatio processes for fibrous materials is outlined and a hopeful prognosis for the future utilization of improved wood is made. (author)

207

Angiomatoid fibrohistiocytoma - radiological findings; Fibro-histiocitoma angiomatoide - relato de um caso  

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The authors report a case of an 11-year-old girl with asthenia, anemia and right supraclavicular tumor. The chest roentgenogram and computed tomography showed a heterogeneous soft tissue mass with peripheral calcifications, beside the scapula. The histologic diagnosis after surgery was an angiomatoid fibrous histiocytoma. This rare type of tumor tend to occur in young adults and have a borderline feature, and it is described in the literature as a low-grade, malignant fibrous histiocytoma. the authors describe its radiological and histological findings. (author) 6 refs., 2 figs.

Borges, Aurea Valeria Rosa Mohana; Dinoa, Vanessa de Albuquerque; Teixeira, Sonia Marcelino [Hospital Universitario Antonio Pedro (HUAP), Niteroi, RJ (Brazil). Servico de Radiologia; Marchiori, Edson; Vianna, Alberto Domingues [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Dept. de Radiologia; Morais, Heleno Pinto de [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Dept. de Patologia

1997-05-01

208

Angiomatoid fibrohistiocytoma - radiological findings  

International Nuclear Information System (INIS)

The authors report a case of an 11-year-old girl with asthenia, anemia and right supraclavicular tumor. The chest roentgenogram and computed tomography showed a heterogeneous soft tissue mass with peripheral calcifications, beside the scapula. The histologic diagnosis after surgery was an angiomatoid fibrous histiocytoma. This rare type of tumor tend to occur in young adults and have a borderline feature, and it is described in the literature as a low-grade, malignant fibrous histiocytoma. the authors describe its radiological and histological findings. (author)

209

Two cases of large solitary fibrous tumors of the pleura associated with fasting hypoglycemia  

Energy Technology Data Exchange (ETDEWEB)

We describe two cases of elderly women who presented hypoglycemic episodes with suppressed levels of insulin and insulin-like growth factor I. They were found to have huge malignant solitary fibrous tumor of the pleura. The tumors had rich vascularization on enhanced CT scans and showed characteristic low signal intensity on T2-weighted MR images. This paraneoplastic hypoglycemia is caused by an incompletely processed precursor of insulin-like growth factor II secreted from the tumor. Hypoglycemia and insulin suppression were resolved after removal of the tumors. (orig.)

Kim, J.H. [Dept. of Diagnostic Radiology, Chungnam National University Hospital, Taejon (Korea); Kim, J.O.; Kim, S.Y. [Dept. of Internal Medicine, Chungnam National University Hospital, Taejon (Korea); Na, M.H.; Lim, S.P. [Dept. of Thoracic Surgery, Chungnam National University Hospital, Taejon (Korea); Kim, J.M. [Dept. of Pathology, Chungnam National University Hospital, Taejon (Korea)

2001-05-01

210

Expression of CD44 and MMP-2: Possible Association with Histopathological Features of Pleuro-Pulmonary Solitary Fibrous Tumors  

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Full Text Available Objective: Recent studies have shown that tumor cell adhesion molecules CD44 and matrix metalloproteinases (MMP-2 are expressed strongly in many tumors and associated closely with invasion and metastasis of these tumors. Although solitary fibrous tumors (SFT have a good prognosis, a minority behave malignantly. The aim of this study was to analyze the correlation between CD44 and MMP-2 expression with histopathological parameters in SFT.Material and Method: Haemotaxylin-Eosin stained sections of 10 patients with SFT were reexamined for evaluation of histopathological parameters. Immunostaining of CD44 and MMP-2 was performed by using the streptavidin-biotin method with mouse monoclonal antibody.Results: Our cases consisted of three male and seven female patients with a mean age of 54.5 years. Three patients had a history of asbest exposure. Complete resection was performed in 2 malignant (multiple masses and 8 benign SFT cases. One intrapulmonary tumor was treated with pneumonectomy. 3 cases originated from the right and 7 from the left hemithorax. Tumor size ranged from 5 to 27cm. All cases expressed strong CD44. Only 2 malignant SFT and intrapulmonary SFT expressed focal MMP-2.Conclusion: Although MMP-2 positivity was observed in 2 malignant cases, CD44 positivity was not associated with malignancy criteria in solitary fibrous tumors.

Funda DEM?RA?

2011-05-01

211

Electron microprobe identification of fibrous aerosols in ambient air  

International Nuclear Information System (INIS)

Nuclepore filters were used for sampling fibrous particles in ambient air. The fiber counting and fiber size measurements were done by means of SEM-methods. The number of fibers, distribution of fiber lengths, and diameters were plotted. The specific identification of asbestos fibers was made by electron microprobe analysis. Certain elements such as Si, Fe, Mg, Al, Mn, Ca, and Na as well as ratios such as Fe/Si and Mg/Si proved to be approximative identification factors for ambient asbestos. Not only asbestos and glass, also many other inorganic fibrous particles were found in the urban atmosphere as well as in the atmosphere of remote regions. Fibrous gypsum, fibrous ammonium sulfates, fibrous silicates, fibrous mica, and quartz were identified among these particles. Even in remote ambient air, relatively high concentrations of fibrous particles (103-104 m-3) could be measured, although the concentration of asbestos fibers were usually smaller than 102 m-3

212

Sorafenib in Treating Patients With Metastatic, Locally Advanced, or Recurrent Sarcoma  

Science.gov (United States)

Adult Angiosarcoma; Adult Epithelioid Sarcoma; Adult Leiomyosarcoma; Adult Malignant Fibrous Histiocytoma; Adult Neurofibrosarcoma; Adult Synovial Sarcoma; Ovarian Sarcoma; Recurrent Adult Soft Tissue Sarcoma; Recurrent Uterine Sarcoma; Stage III Adult Soft Tissue Sarcoma; Stage III Uterine Sarcoma; Stage IV Adult Soft Tissue Sarcoma; Stage IV Uterine Sarcoma; Uterine Carcinosarcoma; Uterine Leiomyosarcoma

2014-05-07

213

Nonwoven fibrous substrate for battery separator  

Energy Technology Data Exchange (ETDEWEB)

A substrate for an alkaline battery separator is made of a light weight, porous, heat bonded, synthetic organic sheet material having a basis weight of less than about 35 gsm and a thickness of less than about 200 microns. The major fibrous component is synthetic pulp comprising thermoplastic polyolefin fibers having a prefused microfibrillar structure similar to wood pulp. The minor fibrous component is a high tenacity polyamide fiber having a fiber length greater than about 6 mm. The heat bonding by partial fusion of the microfibrillar polyolefin is sufficient to impart to the sheet material a wet tensile strength of at least 400 g/in. Width while permitting retention of air permeability about 100 liters per minute and more. The substrate exhibits excellent receptivity to impregnation by pore-forming battery separator coatings and is particularly well suited for use in nickel-zinc batteries.

Benson, A.L.; Jordan, D.A.

1981-07-21

214

First description of Phanerozoic radiaxial fibrous dolomite  

Science.gov (United States)

The petrographic analysis and crystallographic analysis of concretionary carbonate cements ("coal balls") from Carboniferous paralic swamp deposits reveal the presence of (length fast) radiaxial fibrous dolomite (RFD), a fabric not previously reported from the Phanerozoic. This finding is of significance as earlier reports of Phanerozoic radiaxial fibrous carbonates are exclusively of calcite mineralogy. Dolomite concretions described here formed beneath marine transgressive intervals within palustrine coal seams. This is of significance as seawater was arguably the main source of Mg2 + ions for dolomite formation. Here, data from optical microscopy, cathodoluminescence, electron backscattered diffraction, X-ray diffraction and geochemical analyses are presented to characterize three paragenetic dolomite phases and one calcite phase in these concretions. The main focus is on the earliest diagenetic, non-stoichiometric (degree of order: 0.41-0.46) phase I, characterized by botryoidal dolomite constructed of fibres up to 110 ?m wide with a systematic undulatory extinction and converging crystal axes. Petrographic and crystallographic evidence clearly qualifies phase I dolomite as radiaxial fibrous. Conversely, fascicular optical fabrics were not found. Carbon-isotope ratios (?13C) are depleted (between - 11.8 and - 22.1‰) as expected for carbonate precipitation from marine pore-fluids in organic-matter-rich, paralic sediment. Oxygen isotope (?18O) ratios range between - 1.3 and - 6.0‰. The earliest diagenetic nature of these cements is documented by the presence of ubiquitous, non-compacted fossil plant remains encased in phase I dolomite as well as by the complex zoned luminescence patterns in the crystals and is supported by crystallographic and thermodynamic considerations. It is argued that organic matter, and specifically carboxyl groups, reduced thermodynamic barriers for dolomite formation and facilitated Mg/CaCO3 precipitation. The data shown here reveal a hitherto unknown level of complexity with respect to radiaxial fibrous carbonates and are of importance for those concerned with dolomite and carbonate petrography in general.

Richter, D. K.; Heinrich, F.; Geske, A.; Neuser, R. D.; Gies, H.; Immenhauser, A.

2014-05-01

215

Low-grade central osteosarcoma of distal femur, resembling fibrous dysplasia  

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Full Text Available We report a case of a 32 year-old male, admitted for a lytic lesion of the distal femur. One month after the first X-ray, clinical and imaging deterioration was evident. Open biopsy revealed fibrous dysplasia. Three months later, the lytic lesion had spread to the whole distal third of the femur reaching the articular cartilage. The malignant clinical and imaging features necessitated excision of the lesion and reconstruction with a custom-made total knee arthroplasty. Intra-operatively, no obvious soft tissue infiltration was evident. Nevertheless, an excision of the distal 15.5 cm of the femur including 3.0 cm of the surrounding muscles was finally performed. The histological examination of the excised specimen revealed central low-grade osteosarcoma. Based on the morphological features of the excised tumor, allied to the clinical findings, the diagnosis of low-grade central osteosarcoma was finally made although characters of a fibrous dysplasia were apparent. Central low-grade osteosarcoma is a rare, well-differentiated sub-type of osteosarcoma, with clinical, imaging, and histological features similar to benign tumours. Thus, initial misdiagnosis is usual with the condition commonly mistaken for fibrous dysplasia. Central low-grade osteosarcoma is usually treated with surgery alone, with rare cases of distal metastases. However, regional recurrence is quite frequent after close margin excision.

Haris S Vasiliadis

2013-01-01

216

A case of fibrous dysplasia showing strong accumulation picture by bone and tumor scintigraphy  

International Nuclear Information System (INIS)

A 47-year-old male patient was hospitalized to receive the operation for a tumor of the left thigh. No accumulation was observed at the tumor on 67Ga-citrate scintigraphy performed preoperatively in order to investigate the malignancy of the tumor, while abnormal accumulation was observed at the left femur and both tibias. Even sup(99m)Tc-MDP bone scintigraphy revealed abnormal accumulation at the both femurs and the both tibias. On CT scanning, the above-mentioned portions showed the pictures of higher density which might be seen to be calcification or ossification. Although we could not perform the biopsy because the patient did not agree with us, in view of histological findings on the biopsy of the left femur performed about 20 years ago, the present case was diagnosed as polyostotic fibrous dysplasia. Though sup(99m)Tc-MDP bone scintigraphic findings of fibrous dysplasia have been reported, we reported this case, thinking that reports on 67Ga-citrate scintigraphy and CT scanning as to fibrous dysplasia were still lacking. (author)

217

Toxicity and Carcinogenicity Mechanisms of Fibrous Antigorite  

Directory of Open Access Journals (Sweden)

Full Text Available We studied the effects of fibrous antigorite on mesothelial MeT-5A and monocyte-macrophage J774 cell lines to further understand cellular mechanisms induced by asbestos fibers leading to lung damage and cancer. Antigorite is a mineral with asbestiform properties, which tends to associate with chrysotile or tremolite, and frequently occurs as the predominant mineral in the veins of several serpentinite rocks found abundantly in the Western Alps. Particles containing antigorite are more abundant in the breathing air of this region than those typically found in urban ambient air. Exposure of MeT-5A and J774 cells to fibrous antigorite at concentrations of 5-100 μg/ml for 72 hr induced dose-dependent cytotoxicity. Antigorite also stimulated the ROS production, induced the generation of nitrite and PGE2. MeT-5A cells were more sensitive to antigorite than J774 cells. The results of this study revealed that the fibrous antigorite stimulates cyclooxygenase and formation of hydroxyl and nitric oxide radicals. These changes represent early cellular responses to antigorite fibers, which lead to a host of pathological and neoplastic conditions because free radicals and PGE2 play important roles as mediators of tumor pathogenesis. Understanding the mechanisms of the cellular responses to antigorite and other asbestos particles should be helpful in designing rational prevention and treatment approaches.

Michael Balazy

2007-03-01

218

A Case of Extensive polyostotic fibrous dysplasia  

Energy Technology Data Exchange (ETDEWEB)

Fibrous dysplasia is a benign disorder of bone consisting of intramedullary proliferation of fibrous tissue and irregularly distributed, poorly developed bone. The disease manifests itself in the monostotic form in which only one bone is involved and the polyostotic form in which multiple bones at different sites are affected. We reported a extensive case of polyostotic fibrous dysplasia with involvement of craniofacial bones, mandible, ribs, extremities. A 18-year-old man showed remarkable right facial swelling who had been treated on right femur 3 years ago with a bone graft for pathologic fracture and he recognized facial swelling 5 years ago. Extraoral radiograms and computed tomogram showed diffuse sclerosis with a ground glass appearance of the most calvarial bones, facial bones. The right mandibular lesion showed very expansible lesion with mottled appearance. Bone scans showed multifocal increased uptakes in craniofacial bones, right mandible, bilaterally in ribs, humerus, femur, tibia and characteristic various deformity of right femur (shepherd's crook deformity). This case showed exceptionally bilateral, extensive nature of bone lesion and didn't show any features of skin pigmentation and endocrine disturbances.

Lee, Byung Do [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Wonkwang University, Iksan (Korea, Republic of); Hwang, Eui Hwan; Lee, Sang Rae [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Kyunghee University, Seoul (Korea, Republic of)

2000-06-15

219

Benign solitary fibrous pleural tumor and hypoglycaemia  

Directory of Open Access Journals (Sweden)

Full Text Available Introduction: Solitary fibrous tumors of the pleura are uncommon and discovered fortuitously or in patients with non-specific respiratory symptoms. When associated with hypoglycaemia, they are commonly referred to as Doege-Potter syndrome. Case outline. A 68-year old woman presented with a large pleural mass. She had a long history of headache and decreased consciousness with one-year worsening dyspnoea and right-sided chest pain. The chest X-ray revealed an enormous opacity occupying almost the entire right hemithorax. Endocrine tests showed an extremely reduced glucose level and blood concentration of insulin, C-peptide, glucagon, growth hormone and catecholamines within normal range. After fine-needle aspiration, by histological and immunohistochemical analysis, a benign solitary fibrous pleural tumor was diagnosed. Although surgical resection of such a huge tumor with hypoglycaemia is usually curative, our patient declined surgery and opted for conservative treatment with intravenous glucose. Conclusion. Clinicians should be aware of this rare, but important cause of hypoglycaemia and exclude a fibrous pleural tumor in the assessment of their patients. .

Milenkovi? Branislava

2007-01-01

220

Depsipeptide (Romidepsin) in Treating Patients With Metastatic or Unresectable Soft Tissue Sarcoma  

Science.gov (United States)

Adult Alveolar Soft-part Sarcoma; Adult Angiosarcoma; Adult Epithelioid Sarcoma; Adult Extraskeletal Chondrosarcoma; Adult Extraskeletal Osteosarcoma; Adult Fibrosarcoma; Adult Leiomyosarcoma; Adult Liposarcoma; Adult Malignant Fibrous Histiocytoma; Adult Malignant Hemangiopericytoma; Adult Malignant Mesenchymoma; Adult Neurofibrosarcoma; Adult Rhabdomyosarcoma; Adult Synovial Sarcoma; Gastrointestinal Stromal Tumor; Metastatic Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Recurrent Adult Soft Tissue Sarcoma; Recurrent Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Stage III Adult Soft Tissue Sarcoma; Stage IV Adult Soft Tissue Sarcoma

2014-08-26

 
 
 
 
221

Radiation Therapy With or Without Combination Chemotherapy or Pazopanib Hydrochloride Before Surgery in Treating Patients With Newly Diagnosed Non-Rhabdomyosarcoma Soft Tissue Sarcomas That Can be Removed by Surgery  

Science.gov (United States)

Adult Alveolar Soft-part Sarcoma; Adult Angiosarcoma; Adult Epithelioid Sarcoma; Adult Extraskeletal Chondrosarcoma; Adult Extraskeletal Osteosarcoma; Adult Fibrosarcoma; Adult Leiomyosarcoma; Adult Liposarcoma; Adult Malignant Fibrous Histiocytoma; Adult Malignant Mesenchymoma; Adult Synovial Sarcoma; Childhood Alveolar Soft-part Sarcoma; Childhood Angiosarcoma; Childhood Epithelioid Sarcoma; Childhood Leiomyosarcoma; Childhood Liposarcoma; Childhood Malignant Mesenchymoma; Childhood Synovial Sarcoma; Nonmetastatic Childhood Soft Tissue Sarcoma; Stage IB Adult Soft Tissue Sarcoma; Stage IIB Adult Soft Tissue Sarcoma; Stage III Adult Soft Tissue Sarcoma; Stage IV Adult Soft Tissue Sarcoma

2014-10-15

222

[Malignant lymphomas].  

Science.gov (United States)

Treatment outcome of malignant lymphomas has been improved since molecular targeted drugs including rituximab became clinically available. However, treatment for relapsed or refractory lymphoma has not been fully established. As second-line therapy for patients with relapsed/refractory follicular lymphoma or diffuse large B cell lymphoma, chemotherapy including alkylating agents or purine analogues, high-dose chemotherapy followed by autologous stem cell transplantation (SCT), and allogeneic SCT are usually selected. Recently, we can also select new therapies including new anti-CD20 monoclonal antibody (MoAb)(IMMU-106(hA20)), anti-CD22 MoAb (epratuzumab), and radioimmunotherapy including Y-90 ibritumomab and I-131 tositumomab. PMID:19461173

Yamaguchi, Yuko; Usui, Noriko

2009-05-01

223

Fibrous Dysplasia of Maxillary Bone: A Case Report  

Directory of Open Access Journals (Sweden)

Full Text Available : Fibrous dysplasia is a developmental tumor like condition that is characterized by replacement of normal bone by excessive proliferation of cellular fibrous connective tissue intermixed with irregular bony trabeculae. It causes bone pain, deformities & pathologic fracture. It may involve one or several bones and consists of one or more foci of fibro osseous tissue within the matrix of the affected bone. Here a case of fibrous dysplasia of maxillary bone has reported.

Suneedh Gupta*, K.Umesh, N.M.Warad and Shakeel Ahmed

2011-01-01

224

Elasto-capillarity in fibrous materials  

Science.gov (United States)

Current advances in the manufacture of nanoporous and nanofibrous materials with high absorption capacity open up new opportunities for the development of fiber-based probes and sensors. Pore structures of these materials can be designed to provide high suction pressure and fast wicking. During wicking, due to the strong capillary action, the liquids exert stresses on the fiber network, thus the stressed state of dry and wet parts of the material differs. In this work the effect of stress reduction in fibrous materials due to the presence of wetting liquid in the pore structure is studied in details for both static and dynamic cases. It is suggested that this effect can be used for liquid monitoring and the examples of one and two dimensional probes are provided. To open a discussion an illustrative example of a single capillary is considered and the effect of a moving meniscus on the stress distribution along capillary walls is demonstrated. Then the similar effects are analyzed in yarns and fabrics. A yarn that can capture an aerosol droplet is considered as a promising sensing element that could monitor the stresses caused by wetting fronts. It is shown that the stress transfer between dry and wet parts of the yarn upon liquid wicking significantly depends on the boundary conditions. The stress distribution in the yarn with clamped ends is discussed. The elasto-capillary problem is resolved for 2-D case of a freely suspended self-reconfigurable material. It is shown that the classical Bernoulli problem of a freely suspended fabric can be used for the analysis of stresses in the fibrous matrix. The theoretical conclusions on elasto-capillarity are supported by experimental results on tensile testing of fibrous materials. The results show that the elasto-capillary effect is pronounced in the porous samples with the pore sizes smaller than 10 microm.

Monaenkova, Daria

225

Fibrous and fibrohistiocytic neoplasms: an update.  

Science.gov (United States)

Important advances in fibroblastic and fibrohistiocytic tumors relevant to dermatologists and dermatopathologists include (1) recognition that myxofibrosarcoma is a distinct entity that frequently arises in skin; (2) CD10 is sensitive but not specific atypical fibroxanthoma; (3) neurothekeomas lacking S100 expression are probably fibrohistiocytic/fibroblastic tumors, whereas S100+ myxoid variants are better classified as nerve sheath myxomas; (4) the recognition of a primary cutaneous variant of solitary fibrous tumor; (5) thelimitations of b-catenin immunohistochemistry in desmoid tumors; and (6) the prognostic utility of clinical and histopathologic variables in dermatofibrosarcoma protuberans, and the effects of imatinib mesylate therapy. PMID:23021051

Clarke, Loren E

2012-10-01

226

Craniofacial fibrous dysplasia--a Morbid presentation.  

Science.gov (United States)

Fibrous dysplasia is grouped under fibro-osseous lesions with developmental anomaly of bone forming mesenchyme that manifests as a defect in osteoblastic differentiation and maturation. This paper describes a case of 28 yrs old female who presented with swelling on right side of face, nostril and intraoral swelling on right half of hard palate since 1-year. The diagnosis was based on clinico-radiological and histopathological investigations. The appropriate management of patient included surgical modality along with placement of obturator to fill the defect. Follow up was done and till date there is no recurrence. PMID:24864617

Bhavana, Sujana Mulk; Nagalaxmi, Velpula; Maloth, Kotya Naik; Lakshmi, Chintamaneni Raja; Deshpande, Prasanna Srinivas

2014-03-01

227

Fibrous composites comprising carbon nanotubes and silica  

Science.gov (United States)

Fibrous composite comprising a plurality of carbon nanotubes; and a silica-containing moiety having one of the structures: (SiO).sub.3Si--(CH.sub.2).sub.n--NR.sub.1R.sub.2) or (SiO).sub.3Si--(CH.sub.2).sub.n--NCO; where n is from 1 to 6, and R.sub.1 and R.sub.2 are each independently H, CH.sub.3, or C.sub.2H.sub.5.

Peng, Huisheng (Shanghai, CN); Zhu, Yuntian Theodore (Cary, NC); Peterson, Dean E. (Los Alamos, NM); Jia, Quanxi (Los Alamos, NM)

2011-10-11

228

Fibrous subcutaneous nodule caused by Dirofilaria repens.  

Science.gov (United States)

A case is described of subcutaneous dirofilariasis in a Greek woman who had visited many countries around the world, including areas of sub-Saharan Africa. The patient presented with a single hard subcutaneous nodule on the right cheek, with no cutaneous manifestations of early or long-standing onchocercal dermatitis or eye lesions. The nodule was removed surgically and the filarial adult worm Onchocerca volvulus was initially diagnosed, based on the history, the hardness and large size of the fibrous nodule and the absence of cuticular longitudinal ridges of the parasite in the initial histological sections. Bloodless skin snips taken from the regions of the scapula, iliac crest and lateral calf were negative for O. volvulus microfilariae. Serial cross-sections of the fibrous nodule and gross examination of a portion of the adult worm removed from the nodule revealed the characteristic longitudinal ridges which allowed the identification of the worm as Dirofilaria repens. The aim of this report on tropical and non-tropical filarial worms affecting the skin and eyes is to point out the key features for precise identification of the parasites and differential diagnosis of the infections caused by the filiform nematode worms of O. volvulus, and Dirofilaria species. PMID:19747670

Tzanetou, Konstantina; Gogou, Charalampos; Giannoulopoulos, Athanassios; Patralexis, Charalampos; Fragia, Konstantina

2009-09-01

229

Thermal conductivity of fibrous insulating materials  

Energy Technology Data Exchange (ETDEWEB)

Fibrous insulation materials have gained increasing popularity in a broad range of applications because their low thermal conductivity and low mass lead to energy savings. Accurate measurement and reporting of thermal conductivity is an important factor in designing insulation systems that balance process requirements with cost. This work is based on experience with refractory ceramic fiber (RCF), but the general principles apply to all synthetic vitreous fiber (also known as man-made vitreous fiber, MMVF) products, including glass and mineral wool. Several test methods have been devised for measuring thermal conductivity. The four methods that have been adopted by ASTM standard methods are: guarded hot plate (ASTM C 17.7); calorimeter (ASTM C 201); heat-flow meter (ASTM C 518); hot wire (ASTM C 1113). With the exception of the hot-wire method, each method works by establishing a steady-state heat flux across a specimen of known geometry. Thermal conductivity is derived from the measured heat flux through fundamental principles of heat flow. The industrial and scientific community generally accepts the guarded-hot-plate method as the most reproducible and best-suited method for use with fibrous insulating materials.

Olson, J.R. [Unifrax Corp., Niagara Falls, NY (United States)

1997-03-01

230

Self-Organization of Bioinspired Fibrous Surfaces  

Science.gov (United States)

Nature uses fibrous surfaces for a wide range of functions such as sensing, adhesion, structural color, and self-cleaning. However, little is known about how fiber properties enable them to self-organize into diverse and complex functional forms. Using polymeric micro/nanofiber arrays with tunable properties as model systems, we demonstrate how the combination of mechanical and surface properties can be harnessed to transform an array of anchored nanofibers into a variety of complex, hierarchically organized dynamic functional surfaces. We show that the delicate balance between fiber elasticity and surface adhesion plays a critical role in determining the shape, chirality, and hierarchy of the assembled structures. We further report a strategy for controlling the long-range order of fiber assemblies by manipulating the shape and movement of the liquid-vapor interface. Our study provides fundamental understanding of the pattern formation by self-organization of bioinspired fibrous surfaces. Moreover, our new strategies offer a foundation for designing a vast assortment of functional surfaces with adhesive, optical, water-repellent, capture and release, and many more capabilities with the structural and dynamic sophistication of their biological counterparts.

Kang, Sung Hoon

231

Malignant lymphoma  

International Nuclear Information System (INIS)

This paper describes the background and treatment, especially focusing on radiotherapy (RT), of stage I-II malignant lymphoma (ML) occurring in head and neck. For diffuse large B-cell lymphoma, the most frequently occurring ML in Japan (about 40% of all MLs), the current standard protocol involves 3 cycles of chemotherapy (CT) like rituximab to cyclophosphamide/doxorubicin/vincristine/predonisolone (CHOP) regimen followed by RT. Authors use the dose around 30 Gy/15 fr for CR patients after CHOP and 40-50 Gy/20-25 fr for PR ones. Recurrence scarcely occurs in the RT target region. However, significance of RT is still somehow controversial in this ML and addition of CHOP is currently noted. Mucosa-associated lymphoid tissue lymphoma (8.45% of Japanese ML) occurs mainly in glands and orbit and may be related with Chlamydia infection. RT is usually conducted to the whole organ with lesion as the clinical target with fractionated 30 Gy. Nasal NK/T cell lymphoma (2.6%), possibly associated with Epstein-Barr (EB) virus, is usually resistant to CHOP. Recommended is CT after RT with the dose of 50-54 Gy and depending on the target site, advanced RT like intensity-modified one is desirable. Hodgkin lymphoma (about 5%) occurs in lymph node and is derived from B-lymphocyte. Irradiation field involves the region of the disease node or that additionally including its neighbors and doses of about 20 Gy and 30 Gy are given in child and adult patients, respectively. For follicular andpatients, respectively. For follicular and other tissue type lymphomas, noted are novel therapies like rituximab-combined CT, immuno-RT with 90Y-ibritumomab and 131I-tositumomab. Recently, positron emission tomography (PET) is essential for treatment assessment of the clinical response of ML in the guideline. (R.T.)

232

Marfan syndrome with multiseptate pneumothorax and mandibular fibrous dysplasia  

Directory of Open Access Journals (Sweden)

Full Text Available We describe a rare case of pneumothorax due to Marfan syndrome associated with fibrous dysplasia of the mandible. Marfan syndrome and fibrous dysplasia were possibly due to a common etiological factor. The association between the two and other tumors described in literature related to Marfan syndrome is discussed.

Kate A

2009-01-01

233

[Fibrous framework of human skeletal muscles, fasciae and tendons].  

Science.gov (United States)

By means of scanning and transmissive electron microscopy, the construction of the fibrous framework of the human skeletal muscles, fasciae and tendons has been investigated and its morphofunctional analysis has been performed. The fibrous framework of the endomysium is presented as a complexly organized system of anastomosing fibers of the connective tissue, forming a net-like construction. The fibrous structures of the framework are united into a whole construction by connecting fibers and fibrils. Different types of structural interconnection of collagenous fibers with sarcolemma are revealed. The structure of the fibrous framework both in different muscles and within one muscle has certain peculiarities. The main constructive element of the fascial fibrous framework make large anastomosing collagenous fibers, their architectonics is stabilized by connective fibers and fibrils. The construction of the tendinous fibrous framework is characterized by a pronounced anisotropia of the largest collagenous fibers and a developed network of connective structures both on the surface and inside the collagenous fibers. Structural mechanisms, interconnecting muscles and tendons, are demonstrated. Presence of anastomoses between the fibrils in the composition of the collagenous fibers in the fascia and Achilles tendon are stated. Together with the peculiarities existing, the general principle of the structural organization of the fibrous framework of the muscle system is the net-like constructure dependent on presence of anastomoses and elements of the connective system between the fibrous structures. Depending on the organ's function, the construction of the network acquires certain specific morphological forms. PMID:2936318

Khoroshkov, Iu A; Odintsova, N A

1985-11-01

234

Ceramic-Fibrous-Insulation Thermal-Protection System  

Science.gov (United States)

New composite thermal-protection system developed in which glass-ceramic impregnated into surface of fibrous insulation. Called TUFI for toughened unipiece fibrous insulation developed as replacement for tiles with reaction-cured-glass (RCG) coating. Impregnation of glass-ceramic results in thermal protection system with insulating properties comparable to existing system but with 20 to 100 times more resistance to impact.

Leiser, Daniel; Churchward, Rex; Katvala, Victor; Stewart, David; Balter, Aliza

1992-01-01

235

Fibrous monoliths: Economic ceramic matrix composites from powders [Final report  

Energy Technology Data Exchange (ETDEWEB)

The project was to develop and perform pilot-scale production of fibrous monolith composites. The principal focus of the program was to develop damage-tolerant, wear-resistant tooling for petroleum drilling applications and generate a basic mechanical properties database on fibrous monolith composites.

Rigali, Mark; Sutaria, Manish; Mulligan, Anthony; Creegan, Peter; Cipriani, Ron

1999-05-26

236

Electrospun nanocomposite fibrous polymer electrolyte for secondary lithium battery applications  

International Nuclear Information System (INIS)

Hybrid nanocomposite [poly(vinylidene fluoride -co- hexafluoropropylene) (PVdF-co-HFP)/magnesium aluminate (MgAl2O4)] fibrous polymer membranes were prepared by electrospinning method. The prepared pure and nanocomposite fibrous polymer electrolyte membranes were soaked into the liquid electrolyte 1M LiPF6 in EC: DEC (1:1,v/v). XRD and SEM are used to study the structural and morphological studies of nanocomposite electrospun fibrous polymer membranes. The nanocomposite fibrous polymer electrolyte membrane with 5 wt.% of MgAl2O4 exhibits high ionic conductivity of 2.80 × 10?3 S/cm at room temperature. The charge-discharge capacity of Li/LiCoO2 coin cells composed of the newly prepared nanocomposite [(16 wt.%) PVdF-co-HFP+(5 wt.%) MgAl2O4] fibrous polymer electrolyte membrane was also studied and compared with commercial Celgard separator

237

FIBROUS DYSPLASIA IN THE MAXILLO-MANDIBULAR REGION – case report  

Directory of Open Access Journals (Sweden)

Full Text Available Craniofacial fibrous dysplasia is 1 of 3 types of fibrous dysplasia that can affect the bones of the craniofacial complex, including the mandible and maxilla.Fibrous displasia is a skeletal developmental disorder of the bone-forming mesenchyme that manifests as a defect in osteoblastic differentiation and maturation. It is a lesion of unknown etiology, uncertain pathogenesis, and diverse histopathology. Fibrous dysplasia represents about 2, 5% of all bone tumors and over 7% of all benign tumours.The aim of this article is to represent a rare case of bilateral fibrous dysplasia of the upper and lower jaws, in combination with Intellectual disability (previously called mental retardation. The clinical diagnostic approach including imaging studies: Orthopantomogram (OPG and 3D tomography is described. Histological examination was also essential for obtaining a definitive diagnosis.

Radka Cholakova

2010-07-01

238

Malignant hyperthermia.  

Science.gov (United States)

Malignant hyperthermia (MH) is a pharmacogenetic disorder of skeletal muscle that presents as a hypermetabolic response to potent volatile anesthetic gases such as halothane, sevoflurane, desflurane and the depolarizing muscle relaxant succinylcholine, and rarely, in humans, to stresses such as vigorous exercise and heat. The incidence of MH reactions ranges from 1:5,000 to 1:50,000-100,000 anesthesias. However, the prevalence of the genetic abnormalities may be as great as one in 3,000 individuals. MH affects humans, certain pig breeds, dogs, horses, and probably other animals. The classic signs of MH include hyperthermia to marked degree, tachycardia, tachypnea, increased carbon dioxide production, increased oxygen consumption, acidosis, muscle rigidity, and rhabdomyolysis, all related to a hypermetabolic response. The syndrome is likely to be fatal if untreated. Early recognition of the signs of MH, specifically elevation of end-expired carbon dioxide, provides the clinical diagnostic clues. In humans the syndrome is inherited in autosomal dominant pattern, while in pigs in autosomal recessive. The pathophysiologic changes of MH are due to uncontrolled rise of myoplasmic calcium, which activates biochemical processes related to muscle activation. Due to ATP depletion, the muscle membrane integrity is compromised leading to hyperkalemia and rhabdomyolysis. In most cases, the syndrome is caused by a defect in the ryanodine receptor. Over 90 mutations have been identified in the RYR-1 gene located on chromosome 19q13.1, and at least 25 are causal for MH. Diagnostic testing relies on assessing the in vitro contracture response of biopsied muscle to halothane, caffeine, and other drugs. Elucidation of the genetic changes has led to the introduction, on a limited basis so far, of genetic testing for susceptibility to MH. As the sensitivity of genetic testing increases, molecular genetics will be used for identifying those at risk with greater frequency. Dantrolene sodium is a specific antagonist of the pathophysiologic changes of MH and should be available wherever general anesthesia is administered. Thanks to the dramatic progress in understanding the clinical manifestation and pathophysiology of the syndrome, the mortality from MH has dropped from over 80% thirty years ago to less than 5%. PMID:17456235

Rosenberg, Henry; Davis, Mark; James, Danielle; Pollock, Neil; Stowell, Kathryn

2007-01-01

239

Symptomatic fibrous lunato-triquetral coalition  

International Nuclear Information System (INIS)

In general, carpal coalitions are considered to be asymptomatic. Incomplete separated joints and associated changes similar to osteoarthritis and pseudoarthrosis are known as possible causes of wrist pain. We present the clinical history, plain-film, and MR imaging findings of two patients with symptomatic fibrous lunato-triquetral coalition. Conventional films disclosed a narrowed space between the lunate and triquetral bone with cysts and sclerosis similar to pseudoarthrosis. Magnetic resonance imaging showed bone marrow edema adjacent to the incomplete separated lunato-triquetral joint and Gd-DTPA enhancing fibrovascular tissue in the synovium and subarticular cysts, explaining the pain over the ulnar-sided wrist. Patients with congenital lunato-triquetral coalition may poorly tolerate stress loading or trauma, resulting in a symptomatic state similar to degenerative arthritis or pseudoarthrosis, which is demonstrated by enhanced MR imaging. (orig.)

240

Method of manufacturing fibrous hemostatic bandages  

Science.gov (United States)

A method of manufacturing a sturdy and pliable fibrous hemostatic dressing by making fibers that maximally expose surface area per unit weight of active ingredients as a means for aiding in the clot forming process and as a means of minimizing waste of active ingredients. The method uses a rotating object to spin off a liquid biocompatible fiber precursor, which is added at its center. Fibers formed then deposit on a collector located at a distance from the rotating object creating a fiber layer on the collector. An electrical potential difference is maintained between the rotating disk and the collector. Then, a liquid procoagulation species is introduced at the center of the rotating disk such that it spins off the rotating disk and coats the fibers.

Larsen, Gustavo; Spretz, Ruben; Velarde-Ortiz, Raffet

2012-09-04

 
 
 
 
241

Pinhole bone scintigraphic manifestation of fibrous dysplasia  

International Nuclear Information System (INIS)

To evaluate the pinhole scintigraphic findings and its significance, authors retrospectively compared the pinhole bone scintigrams and corresponding radiograms of 16 lesions in 14 patients with fibrous dysplasia. They were diagnosed pathologically in 10 lesions and radiologically in 6 lesions. The mean age of patients was 41.1 years. The mean interval between two studies was 1.1 days. Locations were ribs 7, pelvic bone 4, clavicle 1, long bones 4(femur 2, tibia 1, humerus 1). The radiographic findings were as follows: the central portions were radiolucent (n=9), ground-glass opacities (n=5) or sclerotic (n=2) and the peripheral appearance were sclerotic rim(n=5), septation (n=7), cortical perforation (n=10) and invisible cortical thinning (n=9). Pinhole scintigraphic findings were as follows; Central portions showed normal 1+ uptake in 6 cases (radiolucent 5, ground-glass opacity 1), slightly increased 2+ uptake in 7 cases (radiolucent 4, ground-glass opacity 3), and marked 3+ uptake in 3 cases (ground-glass opacity 1, sclerotic 2). The 15 of 16 lesions showed more intense uptake in the peripheral portion; slightly increased 2+ uptake corresponding to the sclerotic rim(5/5) and unvisible cortical thinning (1/9), and irregular foci of marked 3 + uptake corresponding to septation (7/7), cortical perforation (10/10) and invisible cortical thinning (8/9). One of 16 lesions showed homogeneous 2+ uptake. In conclusion, pinhole scintigram provides information on regional activity of the fibrous dysplasia, which would be helpful in diagnosis, prediction of prognosis and determination of treatment plan

242

Pinhole bone scintigraphic manifestation of fibrous dysplasia  

Energy Technology Data Exchange (ETDEWEB)

To evaluate the pinhole scintigraphic findings and its significance, authors retrospectively compared the pinhole bone scintigrams and corresponding radiograms of 16 lesions in 14 patients with fibrous dysplasia. They were diagnosed pathologically in 10 lesions and radiologically in 6 lesions. The mean age of patients was 41.1 years. The mean interval between two studies was 1.1 days. Locations were ribs 7, pelvic bone 4, clavicle 1, long bones 4(femur 2, tibia 1, humerus 1). The radiographic findings were as follows: the central portions were radiolucent (n=9), ground-glass opacities (n=5) or sclerotic (n=2) and the peripheral appearance were sclerotic rim(n=5), septation (n=7), cortical perforation (n=10) and invisible cortical thinning (n=9). Pinhole scintigraphic findings were as follows; Central portions showed normal 1+ uptake in 6 cases (radiolucent 5, ground-glass opacity 1), slightly increased 2+ uptake in 7 cases (radiolucent 4, ground-glass opacity 3), and marked 3+ uptake in 3 cases (ground-glass opacity 1, sclerotic 2). The 15 of 16 lesions showed more intense uptake in the peripheral portion; slightly increased 2+ uptake corresponding to the sclerotic rim(5/5) and unvisible cortical thinning (1/9), and irregular foci of marked 3 + uptake corresponding to septation (7/7), cortical perforation (10/10) and invisible cortical thinning (8/9). One of 16 lesions showed homogeneous 2+ uptake. In conclusion, pinhole scintigram provides information on regional activity of the fibrous dysplasia, which would be helpful in diagnosis, prediction of prognosis and determination of treatment plan.

Baek, Jee Hee; Lee, Sung Yong; Kim, Sung Hoon [College of Medicine, The Catholic Univ. of Korea, Seoul (Korea, Republic of)] [and others

1997-07-01

243

Unusual causes of spinal foraminal widening  

International Nuclear Information System (INIS)

Spinal neural foraminal widening is usually caused by benign lesions, most commonly neurofibromas. Rare lesions can also cause spinal neural foraminal widening. Computed tomography and/or MRI are the modalities of choice for studying the spinal foraminal widening. The present pictorial review describes six rare lesions, namely a lateral thoracic meningocele, a malignant fibrous histiocytoma, a tuberculous abscess, an osteoblastoma, a chondrosarcoma and a malignant tumour of the lung which caused spinal neural foraminal widening. (orig.)

244

Unusual causes of spinal foraminal widening  

Energy Technology Data Exchange (ETDEWEB)

Spinal neural foraminal widening is usually caused by benign lesions, most commonly neurofibromas. Rare lesions can also cause spinal neural foraminal widening. Computed tomography and/or MRI are the modalities of choice for studying the spinal foraminal widening. The present pictorial review describes six rare lesions, namely a lateral thoracic meningocele, a malignant fibrous histiocytoma, a tuberculous abscess, an osteoblastoma, a chondrosarcoma and a malignant tumour of the lung which caused spinal neural foraminal widening. (orig.)

Zibis, A.H.; Markonis, A.; Karantanas, A.H. [Dept. of CT and MRI, Larissa General Hospital (Greece)

2000-01-01

245

Unusual causes of spinal foraminal widening.  

Science.gov (United States)

Spinal neural foraminal widening is usually caused by benign lesions, most commonly neurofibromas. Rare lesions can also cause spinal neural foraminal widening. Computed tomography and/or MRI are the modalities of choice for studying the spinal foraminal widening. The present pictorial review describes six rare lesions, namely a lateral thoracic meningocele, a malignant fibrous histiocytoma, a tuberculous abscess, an osteoblastoma, a chondrosarcoma and a malignant tumour of the lung which caused spinal neural foraminal widening. PMID:10663733

Zibis, A H; Markonis, A; Karantanas, A H

2000-01-01

246

Soft Tissue Masses in the Extremities: The Accuracy of an Ultrasonographic Diagnosis  

International Nuclear Information System (INIS)

ed as vascular leiomyoma and malignant fibrous histiocytoma being misdiagnosed as a malignant soft tissue mass. The accuracy of an ultrasonographic diagnosis for soft tissue masses in the extremities varies greatly according to each type of mass. Lipoma, ganglion cyst, hemangioma, glomus tumor, neurogenic tumor and Baker's cyst showed a relatively high rate of concordance between the ultrasonographic diagnosis and the histologic diagnosis, but epidermoid cyst and fibroma showed a relatively lower rate of concordance

247

Polyostotic fibrous dysplasia of the ribs: An unusual cause of chest pain and dyspnea  

Directory of Open Access Journals (Sweden)

Full Text Available Sevket Ozkaya1, Serhat Findik2, Hasan Demir1, Canan Yuksel3, Atilla Guven Atici21Samsun Chest Disease and Chest Surgery Hospital, Samsun, Turkey; 2Ondokuz Mayis University, Faculty of Medicine, Department of Pulmonary Medicine, Samsun, Turkey; 3Samsun Pathology and Cytology Centre, Samsun, TurkeyAbstract: Fibrous dysplasia is a benign bony abnormality that may be monostotic or polyostotic and is not included in the differential diagnosis of chest pain and dyspnea, since it is typically asymptomatic. A 36-year-old man presented with left-sided chest pain and dsypnea for three months. Chest X-ray and chest computed tomography scan revealed a large solid mass arising from the anterior parts of the left fourth, fifth, and sixth ribs and compressing the adjacent lung parenchyma. The tumor was completely removed surgically and histopathologic examination was consistent with fibrous dysplasia without malignant transformation. This report demonstrates that polyostotic dysplasia of the ribs may cause chest pain and dyspnea and present radiographically as a large mass.Keywords: chest wall, imaging, computed tomography, thoracotomy

Sevket Ozkaya

2009-08-01

248

Solitary fibrous tumor of the pleura presenting with syncope episodes when coughing  

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Full Text Available Abstract Background Solitary fibrous tumor of the pleura is a rarely encountered clinical entity which may have different clinical pictures. Although the majority of these neoplasms have a benign course, the malignant form has also been reported. Case presentation We herein describe a case of 72 year-old man with head, facial, and thoracic traumas caused by neurally-mediated situational syncope when coughing. The diagnostic work-up including chest x-ray, CT and PET, revealed a large solitary mass of the left hemithorax. Radical surgical resection of the mass was performed through a left lateral thoracotomy and completed with a wedge resection of the lingula. Hystological examination of the surgical specimen showed an encapsulated mass measuring 12 × 11.5 × 6 cm consistent with a solitary fibrous tumor of the pleura. It's surgical removal definitively resolved the neurologic manifestations. The patient had no postoperative complications. At two years follow-up the patient is free from recurrence and without clinical manifestations. Conclusion In our case its resection definitively resolved the episodes of situational syncope due, in our opinion, to the large thoracic mass compressing the phrenic nerve

Ciulla Michele M

2008-08-01

249

Imaging of benign solitary fibrous tumor of the pleura: a pictorial essay  

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Full Text Available Solitary fibrous tumor of the pleura (SFTP is a mesenchymal tumor that tends to involve the pleura, and is also described in other thoracic and extrathoracic sites. SFTP usually presents as a peripheral mass abutting the pleural surface, to which it is attached by a broad base or by a pedicle that allows it to be mobile. SFTPs exist in benign and malignant forms. A precise pre-operative diagnosis can be arrived at with a cutting-needle biopsy, although most cases are diagnosed with post-operative histology and immunohistochemical analysis. In this pictorial essay, we review a large series of cases, with emphasis on the radiographic appearance of these lesions and their findings from computed tomography, magnetic resonance imaging, ultrasonography and positron emission tomography.

Federica Solitro

2010-03-01

250

Malignant bone tumors  

International Nuclear Information System (INIS)

Clinicoroentgenologic semiotics of malignant bone tumors as well as metastatic bone tumors are presented. Diagnosis of malignant and metastatic bone tumors should be always complex, representing a result of cooperation of a physician, roentgenologist, pathoanatomist

251

MRI of fibrous cortical defect and non-ossifying fibroma  

International Nuclear Information System (INIS)

Fibrous cortical defect and non-ossifying fibroma are the benign fibrous lesions of bone commonly involving children. Their diagnosis is usually done with radiography, and MR examinations are rarely performed. We evaluated MRI findings of 11 lesions in 10 cases of fibrous cortical defect and non-ossifying fibroma. Signal intensity of the lesions was varied and large lesions (2 cm<) tended to show heterogeneous signal intensity on both T1-weighted and T2-weighted images corresponding to a mixture of components including fibrous tissue, hemosiderin and foam cells. MRI helps to delineate the extent of the involved bone and to assess the various histological components of the lesions. However, their diagnosis is basically made on the radiographic findings and the role of MRI is limited. (author)

252

Localised fibrous mesothelioma arising in an intralobar pulmonary sequestration.  

Digital Repository Infrastructure Vision for European Research (DRIVER)

A localised fibrous mesothelioma arising from an intralobar lung sequestration occurred in a 64 year old Turkish woman. This appears to be the first report of a mesothelioma occurring within a pulmonary sequestration.

Paksoy, N.; Demircan, A.; Altiner, M.; Artvinli, M.

1992-01-01

253

Ehlers-Danlos syndrome with monostotic fibrous dysplasia  

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Full Text Available An unusual case of Ehlers-Danlos syndrome with monostotic fibrous dysplasia of the humorus is presented. The other orthopae-dic manifestations, its complications and associated features are re-viewed and summarised.

Rao A

1979-01-01

254

Rare primary malignant tumors of the liver  

International Nuclear Information System (INIS)

Angiosarcoma, epithelioid hemangio-endothelioma (EHE) and fibrolamellar carcinoma (FLC) are far less frequent malignant primary tumors of the liver than liver-cell carcinoma, and usually do not occur in a chronic liver disease. Their diagnosis is histological but a few radiological criteria are suggestive: in younger subjects, a solitary, hypervascularized mass containing calcifications and/or a central fibrous scar suggests an FLC; nodular lesions merging into patches, scattered about the periphery, containing calcified clusters and showing a low and late contrast enhancement after injections suggest an EHE; lastly, in case of occupational exposure, an heterogeneous, hypervascularized mass with a centripetal blush but containing central areas that are opacified early should suggest angiosarcoma. (4 figs)

255

Polyostotic fibrous dysplasia involving inferior and middle turbinate: Case report  

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Full Text Available Fibrous dysplasia is a rare slow growing benign tumor of the bone. Solitary or multiple bone involvement may occur in the course of the disease. The maxilla and mandible are the most commonly involved bones in the head and neck. In contrast, involvement of the paranasal sinuses and nasal turbinates are rarely seen. We report a case of polyostotic fibrous dysplasia involving inferior and middle turbinate which resulting in nasal obstruction and headache.

U?ur, M. B.

2005-01-01

256

Localized fibrous mesothelioma of the liver: a case report  

International Nuclear Information System (INIS)

Localized fibrous mesothelioma of the liver is very rare benign tumor. It usually manifest large palpable hepatic mass in right upper quadrant area, and the prognosis is excellent by surgical resection. Contrast enhanced CT scan shows well defined hyperattenuating mass and celiac angiogram shows hypervascular mass. Recently we experienced 1 case of localized fibrous mesothelioma of the liver, and we report CT and angiographic findings of this tumor

257

Impregnated Fibrous Materials. Report of a Study Group on Impregnated Fibrous Materials  

International Nuclear Information System (INIS)

There has recently been renewed interest in the use of radiation from radioisotopes or particle accelerators to initiate and sustain chemical reactions. Particular attention is being paid to the production of wood-plastic composites, a process which is now a commercial reality with radiation competing against chemical methods to enhance the properties of wood. It has been reported that water repellancy, hardness, weathering, insect and chemical resistance, compressive, bending and shear strength can be significantly improved by the process, but so far there has been a limited commercial outlet for the product. Papers on this subject were presented at the International Atomic Energy Agency's Symposium on Industrial Uses of Large Radiation Sources, Salzburg, May 1963, and since then the Agency has been aware of the interest of developing countries in conducting research on wood and other fibrous materials as a means of further exploiting natural resources. It was felt that some attempt should be made to co-ordinate, on a regional basis, the work being done in this field and at the same time review the world status, including the associated technology in such areas as monomer-polymer chemistry and impregnation techniques where they are directly related to this work. Because of the wide range of fibrous materials being studied there, Asia and the Far East was chosen as the most representative area and 39 participants from 13 countries, and from international organizations, met in Bangkok from 20 to 24 November 1967 to assess the potential of impregnated fibrous materials. This report is a record of the meeting and is based not only on work performed both inside and outside the region but also on details of the resources and industries in the area

258

Compressibility of air in fibrous materials  

DEFF Research Database (Denmark)

The dynamic compressibility of air in fibrous materials has been computed for two assumed configurations of fibers which are close to the geometry of real fiber materials. Models with parallel cylinders placed in a regular square lattice and placed randomly are treated. For these models the compressibility is computed approximately from the diameter and mean distances between cylinders. This requires calculation of the air temperature, which is calculated for cylinders in a regular lattive by the Wigner-Seitz cell approximation. In the case of random placement, the calculation is done by a summation over thermal waves from all fibers, and by a self-consistent procedure. Figuren of the compressibility in the frequency range 10-100 000 Hz, are given for diameter of the cylinders of 6.8 µm, and mean distances between them from 50 to 110 µm, which corresponds to glass wool with a density of 40 to 16 kg/m3. When the theoretical values for random placement were compared with measurements, it turned out that the random model could not describe the experimental data. However, they could be described accurately by assuming that the fibers have a tendency to form pairs.

Tarnow, Viggo

1996-01-01

259

Giant solitary fibrous tumour of the liver  

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Full Text Available Abstract Background Solitary fibrous tumour (SFT is an uncommon mesenchymal neoplasm that most frequently affects the pleura, although it has been reported with increasing frequency in various other sites such as in the peritoneum, pericardium and in non-serosal sites such as lung parenchyma, upper respiratory tract, orbit, thyroid, parotid gland, or thymus. Liver parenchyma is rarely affected. Clinically, SFTs cause symptoms after having reached a certain size or when vital structures are involved. In recent years, SFTs are more often identified and distinguished from other tumours with a similar appearance due to the availability of characteristic immunohistochemical markers. Case presentation In this manuscript we report the case of a large tumour of the liver, which was histologically diagnosed as a SFT, and showed involvement of a single hepatic segment. Because of the patient's presentation and clinical course, it may represent a radiation-induced lesion. Conclusion When a SFT has been diagnosed, surgery is the treatment of choice. The small number of patients with a SFT of the liver and its unknown natural behaviour creates the need to a careful registration and follow-up of all identified cases

Eggermont Alexander MM

2006-11-01

260

Intracranial solitary fibrous tumor: Imaging findings  

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Objective: To study the neuroimaging features of intracranial solitary fibrous tumors (ISFTs). Materials and methods: Retrospective study of neuroimaging features of 9 consecutive histopathologically proven ISFT cases. Location, size, shape, density, signal intensity and gadolinium uptake were studied at CT and MRI. Data collected from diffusion-weighted imaging (DWI) (3 patients), perfusion imaging and MR spectroscopy (2 patients), and DSA (4 patients) were also analyzed. Results: The tumors most frequently arose from the intracranial meninges (7/9), while the other lesions were intraventricular. Tumor size ranged from 2.5 to 10 cm (mean = 6.6 cm). They presented multilobular shape in 6/9 patients. Most ISFTs were heterogeneous (7/9) with areas of low T2 signal intensity that strongly enhanced after gadolinium administration (6/8). Erosion of the skull was present in about half of the cases (4/9). Components with decreased apparent diffusion coefficient were seen in 2/3 ISFTs on DWI. Spectroscopy revealed elevated peaks of choline and myo-inositol. MR perfusion showed features of hyperperfusion. Conclusion: ISFT should be considered in cases of extra-axial, supratentorial, heterogeneous, hypervascular tumor. Areas of low T2 signal intensity that strongly enhance after gadolinium injection are suggestive of this diagnosis. Restricted diffusion and elevated peak of myo-inositol may be additional valuable features.

Clarencon, Frederic, E-mail: fredclare5@msn.com [Department of Neuroradiology, Pitie-Salpetriere Hospital, APHP, 75013 Paris (France); Bonneville, Fabrice [Department of Neuroradiology, Hopital Rangueil, Toulouse University Hospital, 31000 Toulouse (France); Rousseau, Audrey [Department of Neuropathology, Pitie-Salpetriere Hospital (France); Galanaud, Damien [Department of Neuroradiology, Pitie-Salpetriere Hospital, APHP, 75013 Paris (France); Kujas, Michele [Department of Neuropathology, Pitie-Salpetriere Hospital (France); Naggara, Olivier [Department of Neuroradiology, St Anne Hospital, 75014 Paris (France); Cornu, Philippe [Department of Neurosurgery, Pitie-Salpetriere Hospital (France); Chiras, Jacques [Department of Neuroradiology, Pitie-Salpetriere Hospital, APHP, 75013 Paris (France)

2011-11-15

 
 
 
 
261

Intracranial solitary fibrous tumor: Imaging findings  

International Nuclear Information System (INIS)

Objective: To study the neuroimaging features of intracranial solitary fibrous tumors (ISFTs). Materials and methods: Retrospective study of neuroimaging features of 9 consecutive histopathologically proven ISFT cases. Location, size, shape, density, signal intensity and gadolinium uptake were studied at CT and MRI. Data collected from diffusion-weighted imaging (DWI) (3 patients), perfusion imaging and MR spectroscopy (2 patients), and DSA (4 patients) were also analyzed. Results: The tumors most frequently arose from the intracranial meninges (7/9), while the other lesions were intraventricular. Tumor size ranged from 2.5 to 10 cm (mean = 6.6 cm). They presented multilobular shape in 6/9 patients. Most ISFTs were heterogeneous (7/9) with areas of low T2 signal intensity that strongly enhanced after gadolinium administration (6/8). Erosion of the skull was present in about half of the cases (4/9). Components with decreased apparent diffusion coefficient were seen in 2/3 ISFTs on DWI. Spectroscopy revealed elevated peaks of choline and myo-inositol. MR perfusion showed features of hyperperfusion. Conclusion: ISFT should be considered in cases of extra-axial, supratentorial, heterogeneous, hypervascular tumor. Areas of low T2 signal intensity that strongly enhance after gadolinium injection are suggestive of this diagnosis. Restricted diffusion and elevated peak of myo-inositol may be additional valuable features.

262

The usefulness of nucleomedical procedures in diagnosis of fibrous dysplasia  

International Nuclear Information System (INIS)

Bone scintigraphy with 99mTc-phosphorous compounds and 67Ga scintigraphy were performed in 8 patients (monostotic 3 cases, polyostotic 5 cases) with fibrous dysplasia. The tendency toward abnormal accumulation of radioactivity on bone scintigraphy was high in the tibia, maxilla, mandibule and ribs. The characteristics of the scintigraphic image at the sites of bone lesion in fibrous dysplasia were judged to be marked (++), moderate (+) or poor or minimal (-), according to the degree of accumulation of radioactivity. Eleven sites of fibrous dysplasia showed marked accumulation and 5 sites showed moderate accumulation. Poor or minimal accumulation was not observed in any fibrous dysplasia lesions. Sclerotic changes on bone roentgenograms appeared as marked accumulation of radionuclides on bone scintigraphy in all cases. Cystic changes on roentgenograms showed a tendency toward moderate accumulation on scintigrams. 67Ga scans were also all positive for 2 experimental cases (3 sites) of bone lesions of fibrous dysplasia. Thus, bone and 67Ga scintigraphies appear to be useful and essential in evaluating the pathophysiology of fibrous dysplasia. (author)

263

Fibrous dysplasia of the maxillary sinus: case report  

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Full Text Available Introduction and objective: Fibrous dysplasia is a non-neoplastic lesion of unknown origin with one-fourth involving head and neck. The aim of this paper is to report a case of fibrous dysplasia of the maxillary sinus, describing its clinical presentation, radiological features, histopathological appearance and surgical management. Case report: 3-year-old female patient who presented with a history of fullness of the right cheek and intraoral swelling was diagnosed to have fibrous dysplasia of the maxilla with involvement of the maxillary sinus based on the radiological features.The case was managed surgicall yvia a conventional Caldwell-Luc approach.The histopathology of the excised tissue confirmed the diagnosis of fibrous dysplasia.Conclusion:Fibrous dysplasia is a benign non-neoplastic lesion of unknown origin that rarely involves the maxillary sinus.This case report highlights the clinical, radiological and pathological features of fibrous dysplasia and its surgical management.Conventional Caldwell-Luc approach allows more exposure and ensures complete removal of the lesion.

Vijayalakshmi Subramaniam

2010-07-01

264

Simulation and Analysis of Unbonded Nonwoven Fibrous Structures  

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Full Text Available In this work we report on our algorithm for generating 3-D virtual structures resembling un-bonded fibrous webs. The paper discusses short and infinitely long fibers, each emulating a category of nonwoven fibrous medium. The structure Solid Volume Fraction (SVF, being the most important characteristic of a fibrous porous medium, is calculated for different fiberwebs and discussed in details. It is shown that the SVF of the fibrous structures generated by our algorithm is independent of the basis weight. In other words, the porosity of the medium is only a function of the fiber properties – this is as expected. It is also demonstrated that by decreasing the fiber diameter while keeping other properties of the virtual fiberweb constant causes the SVF to decrease almost linearly. The same is not observed for the fiber rigidity. The capability of our algorithm for generating fibrous webs made up of layers of different fibers is demonstrated and their properties are discussed. The application of such virtual fibrous structures in modeling transport phenomena in nonwoven materials and their potential applications in load-deformation studies are discussed.

Behnam Pourdeyhimi

2006-11-01

265

The usefulness of nucleomedical procedures in diagnosis of fibrous dysplasia  

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Bone scintigraphy with {sup 99m}Tc-phosphorous compounds and {sup 67}Ga scintigraphy were performed in 8 patients (monostotic 3 cases, polyostotic 5 cases) with fibrous dysplasia. The tendency toward abnormal accumulation of radioactivity on bone scintigraphy was high in the tibia, maxilla, mandibule and ribs. The characteristics of the scintigraphic image at the sites of bone lesion in fibrous dysplasia were judged to be marked (++), moderate (+) or poor or minimal (-), according to the degree of accumulation of radioactivity. Eleven sites of fibrous dysplasia showed marked accumulation and 5 sites showed moderate accumulation. Poor or minimal accumulation was not observed in any fibrous dysplasia lesions. Sclerotic changes on bone roentgenograms appeared as marked accumulation of radionuclides on bone scintigraphy in all cases. Cystic changes on roentgenograms showed a tendency toward moderate accumulation on scintigrams. {sup 67}Ga scans were also all positive for 2 experimental cases (3 sites) of bone lesions of fibrous dysplasia. Thus, bone and {sup 67}Ga scintigraphies appear to be useful and essential in evaluating the pathophysiology of fibrous dysplasia. (author).

Otsuka, Nobuaki; Fukunaga, Masao; Ono, Shimato (Kawasaki Medical School, Kurashiki, Okayama (Japan)) (and others)

1989-09-01

266

Ultrasonographic features of fibrous hamartoma of infancy  

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To review imaging features of fibrous hamartoma of infancy (FHI), focusing on ultrasonography (US) findings. We retrospectively reviewed pediatric patients who were diagnosed with pathologically confirmed FHI in two children's hospitals from 2004 to 2013. Imaging features of US, Doppler US, and magnetic resonance imaging (MRI) were evaluated. Thirteen pediatric patients (M:F = 7:6; age 5-22 months, mean 11.3 months) were included. Mean lesion size was 3.2 cm (range, 0.7-8.0 cm). The tumors were located in the back (n = 4), scrotum (n = 2), scalp, shoulder, axilla, forearm, intergluteal cleft, inguinal area, and thigh. US was performed in 11 patients. With the exception of two scrotal masses, all masses were located in the dermal and subcutaneous layer. All masses demonstrated heterogeneous hyperechogenicity with a ''serpentine pattern'' of intervening hypoechoic portions in the hyperechoic mass. The margins were ill-defined (n = 9) or lobulated (n = 2). Doppler US was performed in nine patients and showed no (n = 6) or minimal (n = 3) vascularity. MRI was performed in five patients and the masses showed heterogeneous signal intensity with the presence of fat on T1- and T2-weighted images. FHI is a tumor that is typically located in the dermal and subcutaneous layer in young children less than 2 years old and presents as a heterogeneously hyperechoic mass with a ''serpentine pattern'' and ill-defined or lobulated margin on US and no remarkable vascularity on Doppler US. (orig.)

Lee, Seungsoo; Kim, Myung-Joon; Lee, Mi-Jung [Yonsei University College of Medicine, Department of Radiology and Research Institute of Radiological Science, Severance Children' s Hospital, Seoul (Korea, Republic of); Choi, Young-Hun; Cheon, Jung-Eun [Seoul National University Children' s Hospital, Department of Radiology, Seoul (Korea, Republic of); Koh, Myoung Ju [Yonsei University College of Medicine, Department of Pathology, Seoul (Korea, Republic of)

2014-05-15

267

Computed tomographic features of fibrous dysplasia of maxillofacial region  

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This study was to find the computed tomographic features of fibrous dysplasia of the maxillofacial region. All eight cases included in the study reported either to Government Dental College and Hospital or Nair Hospital Dental College, Mumbai between 2003 and 2009. The patients were prescribed computed tomogram in addition to conventional radiographs of maxillofacial region which were studied for characteristic features of fibrous dysplasia. The diagnosis of fibrous dysplasia was confirmed by histopathological report. All cases showed the ill-defined margins of lesions except in the region where the lesions were extending to cortex of the involved bone. Internal structure of all cases showed ground glass appearance. Four cases of maxillary lesion showed the displacement of maxillary sinus maintaining the shape of maxillary sinus. Two cases showed complete obliteration of maxillary sinus. Displacement of inferior alveolar canal did not follow any typical pattern in any of the cases but was displaced in different directions. The craniofacial type of fibrous dysplasia is as common as fibrous dysplasia of jaw. The margins, extent, internal structure and effect on surrounding structure are well detected on computed tomographic images.

Sontakke, Subodh Arun; Karjodka, Freny R [Nair Hospital Dental College, Mumba (India); Umarji, Hemant R [Government Dental College and Hospital, Mumbai (India)

2011-03-15

268

Recurring fibrous dysplasia of anthro maxillary with cranial base invasion  

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Full Text Available Introduction: Fibrous dysplasia is an osseous lesion with an unknown etiology. It is characterized by the osseous maturation insufficiency. It may affect any bone, but the affection of craniofacial bones is the most critical for otorhinolaryngology. Maxilla is the most affected facial bone and the orbitary invasion is an uncommon event. The symptoms are unspecific and for its low suspicion and uncommonness, the diagnosis is generally late. The monostotic form presents a slow growth and asymptomatic course and needs to be followed up. The polyostotic type has a progressive behavior and is associated to recurrence and complications. Objective: To present two cases of patients with fibrous dysplasia diagnosis and describe the clinical presentation, radiological findings and the treatment of this pathology. Cases Report: Two cases of fibrous dysplasia are reported, which initially presented unspecific symptomatology, but with characteristic radiologic signs. They were submitted to surgical treatment for resection of the lesions and evolved with frequent recurrences with extensive affection of the facial sinuses, one patient had cranial base invasion and frontal craniotomy was needed for tumoral excision. Final Comments: Fibrous dysplasia is an uncommon osteopathy. The tomography is the choice method for characterization of the tumoral expansion, and helps in the surgical planning. The surgical strategy is indicated for symptomatic lesions, functions alterations or anatomic disorders. This article describes two uncommon manifestations of recurrent fibrous dysplasia with an extensive affection of anthro maxillary, ethmoidal and sphenoid sinuses, in addition to orbitary and cranial base invasion.

Sousa, Kátia Maria Marabuco de

2009-09-01

269

Stress transfer through fibrous materials in wicking experiments  

Science.gov (United States)

Due to the recent progress in preparation of fibers and nanofibers with different properties, the idea of smart textiles attracts much attention. In many situations the probes and sensors are designed for bio fluid detection. The liquid penetration in fibrous materials causes their deformations including stretching, twisting, wrinkling, buckling etc. The most of researches on wicking properties of textiles are focused on determination of media permeability and ignore the specific features of fibrous materials. On the other hand the theoretical works on quantitative analysis of the deformation effects in porous materials filled with liquids are mostly focused on deformation of fully saturated samples. The fundamental understanding of the stress transfer through the fiber network is crucial for sensors development, but to the best of our knowledge, the stress analysis in the fibrous materials absorbing liquids has never been discussed in the literature. This paper sets a physical basis for analysis of absorption processes in nanotubular and nanofibrous materials. We study absorption of droplets by yarns and webs made of fibers, develop a theory which explains the stress distribution in fibrous materials and checked this theory on wicking experiments. The reported theory and experiments propose a new area of research on absorption-induced deformations of fibrous materials.

Monaenkova, Daria; Andrukh, Taras; Kornev, Konstantin

2009-11-01

270

Fibrous monolithic ceramics: 1. Fabrication, microstructure, and indentation behavior  

International Nuclear Information System (INIS)

Monolithic ceramics have been fabricated from coated green fibers to create fibrous microstructures. The fibrous monoliths consist of high aspect ratio polycrystalline regions (cells) of a primary phase separated by thin second-phase regions (cell boundaries) designed to improve fracture resistance. The cells are the remnants of the green fiber which consists of ceramic powder and a polymer binder. The coating applied on the green fiber forms the cell boundaries. Fabrication and microstructure are described for fibrous monoliths in the SiC/graphite, silicon nitride/BN, alumina/alumina-zirconia, alumina/aluminum titanate, alumina/nickel and Ce-TZP/alumina-Ce-zirconia systems. The SiC/graphite fibrous monolith displays noncatastrophic failure in flexure, with shear delamination along the weak graphite layers. Indentations in SiC/graphite cause cells to spall, with crack arrest and extrusion of graphite from the cell boundaries. Crack deflection and spalling of cells are also observed in alumina/alumina-zirconia fibrous monoliths. In the Ce-TZP/alumina system, transformed regions around indentations are significantly modified by the alumina-containing cell boundaries

271

Computed tomographic features of fibrous dysplasia of maxillofacial region  

International Nuclear Information System (INIS)

This study was to find the computed tomographic features of fibrous dysplasia of the maxillofacial region. All eight cases included in the study reported either to Government Dental College and Hospital or Nair Hospital Dental College, Mumbai between 2003 and 2009. The patients were prescribed computed tomogram in addition to conventional radiographs of maxillofacial region which were studied for characteristic features of fibrous dysplasia. The diagnosis of fibrous dysplasia was confirmed by histopathological report. All cases showed the ill-defined margins of lesions except in the region where the lesions were extending to cortex of the involved bone. Internal structure of all cases showed ground glass appearance. Four cases of maxillary lesion showed the displacement of maxillary sinus maintaining the shape of maxillary sinus. Two cases showed complete obliteration of maxillary sinus. Displacement of inferior alveolar canal did not follow any typical pattern in any of the cases but was displaced in different directions. The craniofacial type of fibrous dysplasia is as common as fibrous dysplasia of jaw. The margins, extent, internal structure and effect on surrounding structure are well detected on computed tomographic images.

272

Electrospun nanocomposite fibrous polymer electrolyte for secondary lithium battery applications  

Energy Technology Data Exchange (ETDEWEB)

Hybrid nanocomposite [poly(vinylidene fluoride -co- hexafluoropropylene) (PVdF-co-HFP)/magnesium aluminate (MgAl{sub 2}O{sub 4})] fibrous polymer membranes were prepared by electrospinning method. The prepared pure and nanocomposite fibrous polymer electrolyte membranes were soaked into the liquid electrolyte 1M LiPF{sub 6} in EC: DEC (1:1,v/v). XRD and SEM are used to study the structural and morphological studies of nanocomposite electrospun fibrous polymer membranes. The nanocomposite fibrous polymer electrolyte membrane with 5 wt.% of MgAl{sub 2}O{sub 4} exhibits high ionic conductivity of 2.80 × 10{sup ?3} S/cm at room temperature. The charge-discharge capacity of Li/LiCoO{sub 2} coin cells composed of the newly prepared nanocomposite [(16 wt.%) PVdF-co-HFP+(5 wt.%) MgAl{sub 2}O{sub 4}] fibrous polymer electrolyte membrane was also studied and compared with commercial Celgard separator.

Padmaraj, O.; Rao, B. Nageswara; Jena, Paramananda; Satyanarayana, N., E-mail: nallanis2011@gmail.com [Department of Physics, Pondicherry University, Pondicherry-605014 (India); Venkateswarlu, M. [R and D, Amaraja batteries, Thirupathi-517501 (India)

2014-04-24

273

Mesotheliomas induced in rats by the fibrous mineral erionite are independent from p53 alterations.  

Science.gov (United States)

The development of human malignant mesothelioma (MM) is strongly associated with occupational or environmental exposure to certain natural mineral fibers, although the genetic mechanisms underlying this malignancy remain unclear. Although the p53 gene is frequently mutated in various tumors, human asbestos-associated MMs appear to develop independently from p53 alterations. The high mesotheliomagenic potency of natural fibrous mineral erionite is well established in humans and rodents, but no data regarding genetic alterations in erionite-associated tumors are currently available. Previous speculations that the oncogenic mechanisms underlying asbestos and erionite carcinogenesis may differ led us to examine whether the p53 gene is targeted in erionite carcinogenesis. Fifteen erionite-induced rat MMs as well as six cell lines derived from asbestos-induced and spontaneous rat MM were analyzed for p53 mutations by direct DNA sequencing and immunohistochemical analysis. Both approaches did not reveal p53 alterations in rat MM samples used in the study indicating that, similar to asbestos carcinogenesis, erionite carcinogenesis does not target the p53 tumor suppressor gene. PMID:10660089

Kleymenova, E V; Horesovsky, G; Pylev, L N; Everitt, J

1999-12-01

274

Pedunculated malignant melanoma  

Directory of Open Access Journals (Sweden)

Full Text Available Pedunculated malignant melanoma is a rare occurrence. A 29 year old woman presented with a pedunculated malignant melanoma on a congenital melanocytic naevus with halo. Pedunculated malignant melanoma is known to have a high incidence of metastasis. The absence of metastasis and the presence of halo, in the case presented, suggests, that the body?s immunological process may have arrested the spread of the melanoma.

Bhat Ramesha

1994-01-01

275

Malignant focal liver lesions; Maligne fokale Leberlaesionen  

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Focal liver lesions are a very common occurrence. The detection and differentiation of such lesions is particularly important for the management of oncology patients and is a core task for radiology. The early and conclusive detection of malignant liver processes in a cost-efficient manner and with a low radiation dose for the patient requires systematic and skillful use of the various radiological methods. This review explains the application of current radiological methods for the detection and differentiation of malignant liver lesions and the typical appearance of the most commonly found liver malignancies. (orig.) [German] Fokale Leberlaesionen sind eine sehr haeufige Entitaet. Die Detektion und Differenzierung solcher Laesionen ist insbesondere fuer das onkologische Patientenmanagement von groesster Wichtigkeit und stellt eine der zentralsten Aufgaben der Radiodiagnostik dar. Die fruehe und sichere Erkennung maligner Leberprozesse bei hoher Kosteneffizienz und niedriger Strahlendosis erfordert einen systematischen Einsatz der verschiedenen Bildgebungstechniken. Der vorliegende Beitrag erlaeutert den Einsatz gaengiger radiologischer Verfahren zur Detektion und Differenzierung maligner Leberlaesionen und deren typisches Erscheinungsbild. (orig.)

Moritz, T.; Prosch, H.; Ba-Ssalamah, A. [Allgemeines Krankenhaus, Medizinische Universitaet Wien, Univ.-Klinik fuer Radiodiagnostik, Wien (Austria); Schuster, H. [Wilhelminenspital Wien, Institut fuer Diagnostische und Interventionelle Radiologie, Wien (Austria)

2011-08-15

276

Efficacy of trabectedin in metastatic solitary fibrous tumor  

Directory of Open Access Journals (Sweden)

Full Text Available Solitary fibrous tumor is a rare tumor type and has an unpredictable course. Local recurrence rate varies between 9 and 19 %, and rate of metastatic involvement between 0 and 36 %. It is characterized by a typical architecture and immuno-histochemistry tests. The most important prognostic factor is the complete resection of primary tumor. Treatment of recurrences is not clearly established. If a solitary fibrous tumor is too advanced to allow surgical resection, radiotherapy and chemotherapy may be used. The most often used drugs are doxorubicine andor ifosfamide. We report the case of man with metastatic solitary fibrous tumor treated with trabectedin, administered at a dose of 1.5 mg/m² every 3 weeks. After 3 cycles, metastases had significantly decreased. Recurrence of the disease was demonstrated 8 months after the start of trabectedin. This case shows that trabectedin is a possible treatment option.

Xavier Pivot

2011-07-01

277

Efficacy of trabectedin in metastatic solitary fibrous tumor.  

Science.gov (United States)

Solitary fibrous tumor is a rare tumor type and has an unpredictable course. Local recurrence rate varies between 9 and 19%, and rate of metastatic involvement between 0 and 36 %. It is characterized by a typical architecture and immuno-histochemistry tests. The most important prognostic factor is the complete resection of primary tumor. Treatment of recurrences is not clearly established. If a solitary fibrous tumor is too advanced to allow surgical resection, radiotherapy and chemotherapy may be used. The most often used drugs are doxorubicine and\\or ifosfamide. We report the case of man with metastatic solitary fibrous tumor treated with trabectedin, administered at a dose of 1.5 mg/m² every 3 weeks. After 3 cycles, metastases had significantly decreased. Recurrence of the disease was demonstrated 8 months after the start of trabectedin. This case shows that trabectedin is a possible treatment option. PMID:22066036

Chaigneau, Loïc; Kalbacher, Elsa; Thiery-Vuillemin, Antoine; Fagnoni-Legat, Christine; Isambert, Nicolas; Aherfi, Lionel; Pauchot, Julien; Delroeux, Delphine; Servagi-Vernat, Stephanie; Mansi, Laura; Pivot, Xavier

2011-07-11

278

Intramedullary solitary fibrous tumor of cervicothoracic spinal cord.  

Science.gov (United States)

Solitary fibrous tumor is rare benign mesenchymal neoplasm. The spinal solitary fibrous tumor is extremely rare. The authors experienced a case of intramedullary solitary fibrous tumor of cervicothoracic spinal cord in a 48-year-old man with right lower extremity sensory disturbance. Spinal MRI showed intradural mass lesion in the level of C7-T1, the margin between the spinal cord and tumor was not clear on MRI. A Left unilateral laminectomy and mass removal was performed. Intra operative finding, the tumor boundary was unclear from spinal cord and it had intramedullary and extramedullary portion. After surgery, patient had good recovery and had uneventful prognosis. Follow up spinal MRI showed no recurrence of tumor. PMID:25368773

Hwang, Ui Seung; Kim, Sung Bum; Jo, Dae Jean; Kim, Sung Min

2014-09-01

279

Natural, forced and mixed convection in fibrous insulation  

International Nuclear Information System (INIS)

A numerical solution of flow and temperature distribution in fibrous insulation has been obtained. Rectangular and cylindrical geometries have been modeled. Boundary conditions included permeable hot wall and convective heat transfer at the walls. Good agreement has been obtained with published experimental and numerical values on rectangular cavities. The computed velocity and temperature profiles gave a better understanding of flow and heat transfer phenomena in fibrous insulation. Local cold wall and average Nusselt numbers presented, provide useful information in the design of the fibrous insulation for concrete reactor vessel and primary coolant piping of the gas cooled nuclear power plants. Average Nusselt number has been correlated with Rayleigh number when only natural convection is present, and with Rayleigh and Reynolds numbers when a combination of natural and forced convection is present

280

A solitary fibrous tumor of the retroperitoneum: CT findings  

International Nuclear Information System (INIS)

The solitary fibrous tumor is a rare spindle cell neoplasm of mesodermal origin. It usually arises in the pleura, though has recently been reported in the peritoneum and at nonserosal sites ; it is, however, extremely rare in the retroperitonum. The authors describe one case of a solitary fibrous tumor that occurred as a huge complex mass in the retroperitoneum of an adult. Preenhanced CT scans showed that the mass was sharply delineated from surrounding organs and that tumor density was the same as that of surrounding musculature. Peripheral Calcifications were noted, and postenhanced scans showed intense, gradual enhancement of solid portions of the mass, with nonenhanced cystic portions. Although not specific, solitary fibrous tumors must be included in the differential diagnosis of a large retroperitoneal tumor of complex consistency and with internal calcification

 
 
 
 
281

A solitary fibrous tumor of the retroperitoneum: CT findings  

Energy Technology Data Exchange (ETDEWEB)

The solitary fibrous tumor is a rare spindle cell neoplasm of mesodermal origin. It usually arises in the pleura, though has recently been reported in the peritoneum and at nonserosal sites ; it is, however, extremely rare in the retroperitonum. The authors describe one case of a solitary fibrous tumor that occurred as a huge complex mass in the retroperitoneum of an adult. Preenhanced CT scans showed that the mass was sharply delineated from surrounding organs and that tumor density was the same as that of surrounding musculature. Peripheral Calcifications were noted, and postenhanced scans showed intense, gradual enhancement of solid portions of the mass, with nonenhanced cystic portions. Although not specific, solitary fibrous tumors must be included in the differential diagnosis of a large retroperitoneal tumor of complex consistency and with internal calcification.

Lee, Jeong Min; Kim, Chong Soo; Lee, Dong Keun; Cho, Baek Hwan [Chonbuk National Univ. College of Medicine, Chunju (Korea, Republic of); Han, Hyun Young [Euljy Mecical School, Seoul (Korea, Republic of)

1999-01-01

282

Polyostotic Fibrous Dysplasia of Cranio-Maxillofacial Area  

Energy Technology Data Exchange (ETDEWEB)

Fibrous dysplasia is believed to be a hamartomatous developmental lesion of unknown origin. This disease is divided into monostotic and polyostotic fibrous dysplasia. Polyostotic type can be divided into craniofacial type, Lichtenstein-Jaffe type, and McCune-Albright syndrome. In this case, a 31-year-old female presented spontaneous loss of right mandibular teeth before 5 years and has shown continuous expansion of right mandibular alveolus. Through the radiographic view, the coarse pattern of the mixed radiopaque-lucent lesion was seen on the right mandibular body, and there was diffuse pattern of the mixed radiopaque-lucent lesion with ill-defined margin in the left mandibular body. In the right calvarium, the lesion had cotton-wool appearance. Partial excision for contouring, multiple extraction, and alveoloplasty were accomplished under general anesthesia for supportive treatment. Finally we could conclude this case was polyostotic fibrous dysplasia of cranio-maxillofacial area based on the clinical, radiologic finding, and histopathologic examination.

Han, Jin Woo; Kwon, Hyuk Rok; Lee, Jin Ho; Park, In Woo [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Kangnung National University, Kangnung (Korea, Republic of)

2000-06-15

283

Radiological analysis of polyostotic fibrous dysplasia in skeletal system  

International Nuclear Information System (INIS)

Over a period of recent 3 years, the 5 cases of polyostotic fibrous dysplasia were proven histologically at National Medical Center, and they were evaluated and analyzed radiologically and clinically. The results were as follows: 1. The age of 5 patients ranged from 12 to 21. 2. In general, clinical symptoms of these patients were pain of affected sites and swelling , fracture, walking disturbance of lower extremities. 3. The order of frequent site of polyostotic fibrous dysplasia was skull (4 cases), femur (3 cases), maxilla (2 case), humerus, tibia, rib, radius, metacarpal bone and phalanx. 4. The characteristic radiological findings of polyostotic fibrous dysplasia were multicystic lesions with ground glass appearance, osteosclerosis, cortical thinning and pathologic fracture and deformity of long bones. Particularly, in the extremities, multicystic radiolucencies, groud glass appearance, shepherd's crook and coxa vara deformities were noticed, and in the skull and maxilla, sclerotic changes were principally demonstrated.

284

Magnetoelectric effects in multiferroic fibrous composite with imperfect interface  

International Nuclear Information System (INIS)

This paper investigates the magnetoelectroelastic responses of multiferroic fibrous composites with imperfectly bonded interface under longitudinal shear. The proposed imperfect interface model is a natural generalization of the shear lag (or the spring layer) model. By virtue of the complex variable method, we first consider the case where an isolated circular multiferroic fiber is imperfectly bonded to an infinite multiferroic matrix. Very concise expressions for the complex field potentials characterizing the magnetoelectroelastic fields inside and outside the circular fiber are obtained when the matrix is subjected to the remote uniform magnetoelectroelastic loading. The Mori-Tanaka mean-field method is then employed to derive the effective moduli of the multiferroic fibrous composite made of randomly distributed fibers reinforced to the matrix. Particularly we demonstrate that the interfacial imperfection in elasticity, electricity, and magnetism will always cause a significant reduction in the magnetoelectric coefficient of the BaTiO3-CoFe2O4 fibrous composite

285

Polyostotic Fibrous Dysplasia of Cranio-Maxillofacial Area  

International Nuclear Information System (INIS)

Fibrous dysplasia is believed to be a hamartomatous developmental lesion of unknown origin. This disease is divided into monostotic and polyostotic fibrous dysplasia. Polyostotic type can be divided into craniofacial type, Lichtenstein-Jaffe type, and McCune-Albright syndrome. In this case, a 31-year-old female presented spontaneous loss of right mandibular teeth before 5 years and has shown continuous expansion of right mandibular alveolus. Through the radiographic view, the coarse pattern of the mixed radiopaque-lucent lesion was seen on the right mandibular body, and there was diffuse pattern of the mixed radiopaque-lucent lesion with ill-defined margin in the left mandibular body. In the right calvarium, the lesion had cotton-wool appearance. Partial excision for contouring, multiple extraction, and alveoloplasty were accomplished under general anesthesia for supportive treatment. Finally we could conclude this case was polyostotic fibrous dysplasia of cranio-maxillofacial area based on the clinical, radiologic finding, and histopathologic examination.

286

Solitary fibrous tumor arising in the mesentery: a case report  

Directory of Open Access Journals (Sweden)

Full Text Available Abstract Background Solitary fibrous tumor (SFT is a rare mesenchymal neoplasm usually found in the pleura, soft tissues and visceral organs. We describe one case arising in the mesentery, which is an exceptional localization. Case presentation A 71-year-old man was referred to our establishment for a painless hypogastric mass. Further investigation revealed a vascular tumor, which was resected en bloc. Pathological findings confirmed solitary fibrous tumor of the mesentery. Conclusion This is the second case of solitary fibrous tumor of the small intestine mesentery ever reported. It was managed by en bloc resection and close follow up considering the high risk of recurrence. Investigation should be made regarding the use of adjuvant systemic therapy to improve long-term survival for these patients.

Bouhabel Sarah

2011-10-01

287

Desmoplastic malignant mesothelioma of the pericardium: Description of a case and review of the literature  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Desmoplastic mesothelioma (DMM) is a rare and highly lethal subtype of diffuse malignant mesothelioma and is often difficult to distinguish from reactive pleural fibrosis. The term “desmoplastic” refers to the growth of fibrous or connective tissue. We report the clinical, radiological, and pathological features of a primary DMM of the pericardium and a short review of the literature. A 72-year-old man was admitted presenting shortness of breath, cough, and asthenia. Computed tomography s...

Nicolini, Antonello; Perazzo, Alessandro; Lanata, Sergio

2011-01-01

288

Rare primary malignant tumors of the liver. Tumeurs malignes primitives rares du foie  

Energy Technology Data Exchange (ETDEWEB)

Angiosarcoma, epithelioid hemangio-endothelioma (EHE) and fibrolamellar carcinoma (FLC) are far less frequent malignant primary tumors of the liver than liver-cell carcinoma, and usually do not occur in a chronic liver disease. Their diagnosis is histological but a few radiological criteria are suggestive: in younger subjects, a solitary, hypervascularized mass containing calcifications and/or a central fibrous scar suggests an FLC; nodular lesions merging into patches, scattered about the periphery, containing calcified clusters and showing a low and late contrast enhancement after injections suggest an EHE; lastly, in case of occupational exposure, an heterogeneous, hypervascularized mass with a centripetal blush but containing central areas that are opacified early should suggest angiosarcoma. (4 figs).

Dahan, H.; Zoppardo, P.; Chagnon, S.; Vilgrain, V.; Blery, M. (Hopital Lariboisiere, 75 - Paris (FR))

1991-01-01

289

Spatial variability of void structure in thin stochastic fibrous materials  

International Nuclear Information System (INIS)

Theory is presented for the distributions of local process intensity and local average pore dimensions in random fibrous materials. For complete partitioning of the network into contiguous square zones, the variance of local process intensity is shown to be proportional to the mean process intensity and inversely proportional to the zone size. The coefficient of variation of local average pore area is shown to be approximately double that of the local average pore diameter with both properties being inversely proportional to the square root of zone size and mean process intensity. The results have relevance to heterogeneous near-planar fibrous materials including paper, nonwoven textiles, nanofibrous composites and electrospun polymer fibre networks

290

Spatial variability of void structure in thin stochastic fibrous materials  

Science.gov (United States)

Theory is presented for the distributions of local process intensity and local average pore dimensions in random fibrous materials. For complete partitioning of the network into contiguous square zones, the variance of local process intensity is shown to be proportional to the mean process intensity and inversely proportional to the zone size. The coefficient of variation of local average pore area is shown to be approximately double that of the local average pore diameter with both properties being inversely proportional to the square root of zone size and mean process intensity. The results have relevance to heterogeneous near-planar fibrous materials including paper, nonwoven textiles, nanofibrous composites and electrospun polymer fibre networks.

Sampson, W. W.

2012-01-01

291

Fibrous dysplasia localized to spine: a diagnostic dilemma  

Energy Technology Data Exchange (ETDEWEB)

Fibrous dysplasia of the spine is uncommon, especially in monostotic form. Isolated vertebral involvement in polyostotic form is very rare. We report a case of polyostotic fibrous dysplasia with lesions localized to dorso-lumbar spine in a 45-year-old rheumatoid arthritis patient. No associated appendicular lesions, cutaneous manifestations or endocrinopathies were seen. The extreme rarity of this type of lesion can pose a diagnostic dilemma, and biopsy is required for diagnosis. The association with rheumatoid arthritis in our case seems to be a chance occurrence. (orig.)

Gogia, Nidhi; Gulati, Manpreet [All India Institute of Medical Sciences, Department of Radiology, New Delhi (India); Marwaha, V. [All India Institute of Medical Sciences, Department of Radiology, New Delhi (India); All India Institute of Medical Sciences, Department of Medicine, New Delhi (India); Atri, S. [All India Institute of Medical Sciences, Department of Pathology, New Delhi (India); Gupta, Rajiva [All India Institute of Medical Sciences Ansari Nagar, Department of Medicine, Division of Rheumatology and Clinical Immunology, New Delhi (India)

2007-06-15

292

Cystic fibrous dysplasia mimicking giant cell tumor: MRI appearance  

Energy Technology Data Exchange (ETDEWEB)

We report the case of a 43-year-old man who presented with an osteolytic and expansive lesion in the left distal femur mimicking a giant cell tumor. Magnetic resonance imaging (MRI) showed that most of the lesion was cystic, and histological examination revealed fibrous dysplasia with marked cystic degeneration. Radiographic findings of cystic fibrous dysplasia in the end of a long bone may be similar to those of a giant cell tumor, and a biopsy is essential for the final diagnosis. (orig.)

Okada, Kyoji; Yoshida, Sumiko [Department of Orthopaedics, Akita University School of Medicine, Akita (Japan); Okane, Kumiko [Department of Radiology, Akita University School of Medicine, Akita (Japan); Sageshima, Masato [Division of Clinical Pathology, Akita University Hospital, Akita (Japan)

2000-01-01

293

A case of monostotic fibrous dysplasia of the maxillary sinus.  

Science.gov (United States)

Fibrous dysplasia is an uncommon benign disease of the bone, with slow progression. Monostotic involvement of the paranasal sinuses is rare. We report a 54-year-old woman who had complaints of facial asymmetry, chronic sinusitis, recurrent headaches, and nasal obstruction for two years. Conventional radiography showed opacification and expansion of the maxillary sinus. Axial and coronal computed tomography scans showed a heterogeneous mass that expanded the right maxillary sinus, leading to nasal obstruction and cortical thickening of the maxilla. No signs of destruction or erosion in the cortical bone were identified. An endonasal endoscopic biopsy was performed and the diagnosis of fibrous dysplasia was confirmed histologically. PMID:12970595

Erdem, L Oktay; Erdem, C Zuhal; Kargi, Sebnem

2003-05-01

294

Fibrous dysplasia of the jaws associated with secondary hyperparathyroidism: a case report  

Energy Technology Data Exchange (ETDEWEB)

There have been few reports on fibrous dyplasia associated with secondary hyperparathyroidism. We report a case of a hemodialysis patient with secondary hyperparathyroidism concomitant with fibrous dysplasia of the jaws causing an abnormal deformity.

Whi, Jung Hyun; Kim, Young Joo; Chun, Kyung Ah; Kim, Ki Tae; Chang, Eun Deok; Kim, Young Ok; Lee, Won [The Catholic University of Korea, Uijongbu (Korea, Republic of)

2007-06-15

295

Primary ovarian malignant melanoma  

Directory of Open Access Journals (Sweden)

Full Text Available Background. Primary ovarian malignant melanoma is extremely rare. It usually appears in the wall of a dermoid cyst or is associated with another teratomatous component. Metastatic primary malignant melanoma to ovary from a primary melanoma elsewhere is well known and has been often reported especially in autopsy studies. Case report. We presented a case of primary ovarian malignant melanoma in a 45- year old woman, with no evidence of extraovarian primary melanoma nor teratomatous component. The tumor was unilateral, macroscopically on section presented as solid mass, dark brown to black color. Microscopically, tumor cells showed positive immunohistochemical reaction for HMB-45, melan-A and S-100 protein, and negative immunoreactivity for estrogen and progesteron receptors. Conclusion. Differentiate metastatic melanoma from rare primary ovarian malignant melanoma, in some of cases may be a histopathological diagnostic problem. Histopathological diagnosis of primary ovarian malignant melanoma should be confirmed by immunohistochemical analyses and detailed clinical search for an occult primary tumor.

Kostov Miloš

2010-01-01

296

Unusual Malignant Breast Lesions  

Directory of Open Access Journals (Sweden)

Full Text Available Numerous unusual benign and malignant breast le-sions may be seen occasionally or rarely. Some of these lesions are distinctive and easily recognized be-cause of diagnostic clinical or radiographic criteria such as inflammatory carcinoma or Paget's disease, which are primarily a clinical diagnosis. Most of the unusual malignant breast lesions have no specific di-agnostic signs and may show the mammographic or ultrasonic findings of benign lesions. Although most radiologists may never see many of the unusual ma-lignant breast tumors, but it is important to be aware of these malignant lesions. In this article, we will present our 10-years experi-ence about unusual malignant breast lesions that in-clude breast sarcoma, phylloides tumor, Inflamma-tory carcinoma, intracystic carcinoma, Paget's dis-ease, primary lymphoma of the breast, breast metas-tasis and breast carcinoma in women less than 25 years old.

D. Farrokh

2007-05-01

297

Consideraciones actuales en hiperplasia fibrosa inflamatoria / Current considerations in inflammatory fibrous hyperplasia  

Scientific Electronic Library Online (English)

Full Text Available SciELO Venezuela | Language: Spanish Abstract in spanish El objetivo de esta investigación es evaluar los aspectos clínicos, histológicos y las posibilidades de tratamiento de la hiperplasia fibrosa inflamatoria (HFI). Esta lesión se origina frecuentemente a partir de prótesis totales o parcial mal adaptadas, las cuales generan un traumatismo crónico de b [...] aja intensidad. Se han descrito lesiones en mandíbula y maxila, no existiendo predilección por ninguna de las arcadas dentales. Lesiones pequeñas pueden ser tratadas de manera conservadora, con remoción del agente causal o mediante atrofia por presión con nuevas prótesis, mientras que lesiones extensas y de larga evolución necesitarán de escisión quirúrgica. Si el tratamiento quirúrgico es considerado, éste debe incluir la remoción total de la lesión, usando diversas técnicas como bisturí “frío” (lámina), láser o electrocirugía.La remoción quirúrgica es necesaria, pues restaura el contorno normal del tejido y la adaptación protética. Algunos autores han reportado alteraciones displásicas en la HFI, pero la posibilidad de que ésta sufra una transformación maligna aún es muy discutida. Abstract in english The objective of this research is an evaluate of clinical and histologic aspects of fibrous inflammatory hyperplasia and the possibilities of its treatment. This lesion is frequently originated for using total or partial prosthesis which are inadequate adapted generating a chronic traumatism of low [...] intensity. Clinical cases in jaw and maxila have been reported, not existing predilection for any dental arches. Small lesions can be treated by the conservative way that means removing the causal agent or atrophying by putting pressure with a new prosthesis, whereas extensive lesions of large evolution need surgical excision. If the surgical treatment is considered, this should include the total removal of the lesion, using varieties of techniques such as “cold” scalpel, laser or electrosurgical techniques. The surgical removal is necessary because recover the normal contour of tissue and the prosthetic adaptation. reports exist about dysplasic alterations related to fibrous inflammatory hyperplasia, but the possibility of a malignant transformation is actually controversial.

Jose luis, Muñante-Cárdenas; Jaimes, Miguel; Olate, Sergio; José Ricardo, Albergaria-Barbosa.

298

Fibrous dysplasia of Faciomaxillary region case reports and review of literature  

Directory of Open Access Journals (Sweden)

Full Text Available This article discusses the author's experience in managing fibrous dysplasia of faciomaxillary region. Data was accumulated from 2005 – 2011. All these cases were managed by the author.Commonest bone involved by fibrous dysplasia was maxilla (Literature search did not reveal any female preponderance in monostotic fibrous dysplasia15In the author's series all of them were females. All of them were monostotic fibrous dysplasia.

Balasubramanian Thiagarajan

2011-12-01

299

Positive gallium-67 citrate uptake in a patient with polyostotic fibrous dysplasia  

International Nuclear Information System (INIS)

Fibrous dysplasia is an uncommon bone condition with characteristic radiologic features. It is well known that there is increased uptake of Tc-99m hydroxymethylene diphosphonate (HMDP) and methylene diphosphonate (MDP) in fibrous dysplasia. There are no reports of uptake of Ga-67 citrate by fibrous dysplasia. A case is reported in which positive Ga-67 uptake was seen in a patient with polyostotic fibrous dysplasia

300

Genetics Home Reference: Malignant hyperthermia  

Science.gov (United States)

... Recent literature OMIM Genetic disorder catalog Conditions > Malignant hyperthermia On this page: Description Genetic changes Inheritance Diagnosis ... Glossary definitions Reviewed October 2007 What is malignant hyperthermia? Malignant hyperthermia is a severe reaction to particular ...

 
 
 
 
301

Fibrous dysplasia complicated by aneurysmal bone cyst formation affecting multiple cervical vertebrae.  

Science.gov (United States)

Fibrous dysplasia is a well-known benign dysplastic process of bone. However, fibrous dysplasia is very uncommon in the spine. Further, to our knowledge, coexistence of fibrous dysplasia and aneurysmal bone cyst in the spine has not been reported. This manuscript presents a patient who had both processes involving the cervical spine. PMID:12898056

Lomasney, L M; Basu, A; Demos, T C; Laskin, W

2003-09-01

302

Fibrous dysplasia complicated by aneurysmal bone cyst formation affecting multiple cervical vertebrae  

International Nuclear Information System (INIS)

Fibrous dysplasia is a well-known benign dysplastic process of bone. However, fibrous dysplasia is very uncommon in the spine. Further, to our knowledge, co-existence of fibrous dysplasia and aneurysmal bone cyst in the spine has not been reported. This manuscript presents a patient who had both processes involving the cervical spine. (orig.)

303

Fibrous dysplasia complicated by aneurysmal bone cyst formation affecting multiple cervical vertebrae  

Energy Technology Data Exchange (ETDEWEB)

Fibrous dysplasia is a well-known benign dysplastic process of bone. However, fibrous dysplasia is very uncommon in the spine. Further, to our knowledge, co-existence of fibrous dysplasia and aneurysmal bone cyst in the spine has not been reported. This manuscript presents a patient who had both processes involving the cervical spine. (orig.)

Lomasney, L.M.; Demos, T.C. [Dept. of Radiology, Loyola Univ. Medical Center, Maywood, IL (United States); Basu, A. [Stritch School of Medicine, Chicago, IL (United States); Laskin, W. [Dept. of Pathology, Northwestern Univ. Medical Center, Chicago, IL (United States)

2003-09-01

304

An improved automotive brake lining using fibrous potassium titanate  

Science.gov (United States)

Simultaneous fade reduction and wear improvement of a commercial automotive brake lining were achieved by adding fibrous potassium titanate. The dependence of friction and wear characteristics on quantitative variations in potassium titanate, asbestos, phenolic binder, and organic and inorganic modifiers was evaluated.

Mansfield, J. A.; Halberstadt, M. L.; Riccitiello, S. R.; Rhee, S. K.

1976-01-01

305

Deposition of fibrous nanostructure by ultrafast laser ablation  

Science.gov (United States)

This research work demonstrated that laser-induced reverse transfer (LIRT) can be used for controllable site-specific deposition of fibrous nanostructure. The LIRT method makes it possible to generate and deposit the fibrous nanostructure of a wide variety of materials on a transparent acceptor in a single-step process at an ambient condition. The deposition of fibrous nanostructures was conducted using ultrafast laser ablation of silicon and aluminum targets placed behind a glass acceptor. Femtosecond laser pulses pass through the transparent acceptor and hit the bulk donor. Consequently a mass quantity of nanoparticles ablates from the donor and then aggregates and forms a porous fibrous nanostructure on the transparent acceptor. Our experiments demonstrated that the gap between the target and the glass acceptor was critical in the formation and accumulation of nanofibers and it determines the density of the formed nanostructure. The formation mechanism of the nanostructures can be explained by the well-established theory of vapor condensation within the plume induced by ultrafast laser ablation. Experimental results also show that the length of the nanostructure can be controlled by the gap between the target and glass acceptor. Lastly, energy-dispersive x-ray spectroscopy (EDS) analysis shows the oxygen concentration in the nanofibrous structure which is associated with oxidation of ablated material at ambient atmosphere.

Tavangar, Amirhossein; Tan, Bo; Venkatakrishnan, K.

2010-05-01

306

Examination of compression and resilience characteristics of fibrous insulation blankets  

International Nuclear Information System (INIS)

Load-deflection characteristics of alumina and alumino-silicate fibrous blankets were experimentally determined. Load retention and springback capability of combinations of these materials were measured in a 10,000-hour test at surface temperatures of 650 to 10000C (1200 to 18320F). Experimental results are presented and future testing plans are discussed

307

Ultrasonographic Localization of Solitary Fibrous Tumor of Pleura: Case Report  

Energy Technology Data Exchange (ETDEWEB)

Plain radiography and computed tomography are widely used in the field of chest disease. Yet ultrasonography has a limitation as a diagnostic tool, except in the case of pleural effusion and chest wall lesion. We experienced a case of solitary fibrous tumor of the diaphragmatic pleura, and the origin of this tumor could be exactly localized by ultrasonography, but not by other imaging modalities

Kim, Kyoung Tae; Jeon, Yong Sun; Cho, Soon Gu; Kim, Kwang Ho; Lee, Kyung Hee [Inha University School of Medicine, Incheon (Korea, Republic of)

2010-03-15

308

Mechanical and wettable behavior of polyacrylonitrile reinforced fibrous polystyrene mats.  

Science.gov (United States)

In this study, we have fabricated the polyacrylonitrile (PAN) reinforced super-hydrophobic fibrous polystyrene (PS) mats via a multi-syringe electrospinning technique. The composition ratio of PS/PAN in the blend mats could be controlled by tuning the number ratios of syringes of PS/PAN. The water contact angles (WCAs) of resultant fibrous mats was decreased from 155 degrees to 143 degrees with the decreasing the number ratios of syringes of PS/PAN from 4/0 to 1/3. The addition of the component of PAN nanofibers in fibrous PS mats significantly improved the mechanical properties of PS mats. At a critical syringe ratio of 3/1 (PS/PAN), the mat surface showed a WCA of 150 degrees with a three times increased tensile strength compared with the pure PS mats. Additionally, the results of field emission scanning electron microscopy (FE-SEM), Fourier transform infrared (FT-IR), and mechanical properties indicated the multi-syringe electrospinning technique is an effective approach to fabricate the large-scale well-dispersed blend fibrous mats. PMID:20362298

Sun, Min; Li, Xiaohong; Ding, Bin; Yu, Jianyong; Sun, Gang

2010-07-01

309

Failure Regimes in (1+1)d in Fibrous Materials  

CERN Document Server

In this work, we introduce a model for fracture in fibrous materials which take into account the rupture height of the fibers, in contrast with previous models. Thus, we obtain the profile of the fracture and calculate its roughness, defined as the variance around the mean height. We investigate the relationship between the fracture roughness and the fracture toughness.

Menezes-Sobrinho, I L; Moreira, J G

2001-01-01

310

Thermal protection studies of plastic films and fibrous materials  

Science.gov (United States)

The thermal protection properties of various film and woven materials were studied using an experimental method of radiant heating. The materials studied included aluminized and unaluminized synthetic plastic films and fibrous materials like silicon carbide and phenolic novolac. It is shown that a thin metallized coating with good reflectivity significantly enhances the heat blocking capability of a variety of insulative materials.

Saad, Michel A.; Altman, Robert L.

1988-01-01

311

Myxofibrosarcoma arising in the maxillary sinus: a case report with a review of the ultrastructural findings and differential diagnoses.  

Science.gov (United States)

This is a case report of a patient presenting with a destructive lesion with histologic features of a low grade malignancy in a predominantly myxoid matrix. Various low grade myxoid malignancies were considered in the differential diagnosis of which an overview is presented. A literature review of the ultrastructural findings and possible histogenesis is discussed along with the diagnostic criteria and recent change in the terminology regarding the malignancies previously diagnosed as myxoid malignant fibrous histiocytomas. A final diagnosis of a myxofibrosarcoma was only possible after assessing the immuno-histochemical profile, results of histochemical stains and ultrastructural features of this lesion. PMID:23204750

Norval, Ernst J G; Raubenheimer, Erich J

2011-12-01

312

Observation, Radiation Therapy, Combination Chemotherapy, and/or Surgery in Treating Young Patients With Soft Tissue Sarcoma  

Science.gov (United States)

Adult Alveolar Soft-part Sarcoma; Adult Angiosarcoma; Adult Epithelioid Sarcoma; Adult Extraskeletal Chondrosarcoma; Adult Extraskeletal Osteosarcoma; Adult Fibrosarcoma; Adult Leiomyosarcoma; Adult Liposarcoma; Adult Malignant Fibrous Histiocytoma; Adult Malignant Hemangiopericytoma; Adult Malignant Mesenchymoma; Adult Neurofibrosarcoma; Adult Synovial Sarcoma; Childhood Alveolar Soft-part Sarcoma; Childhood Angiosarcoma; Childhood Epithelioid Sarcoma; Childhood Fibrosarcoma; Childhood Leiomyosarcoma; Childhood Liposarcoma; Childhood Malignant Mesenchymoma; Childhood Neurofibrosarcoma; Childhood Synovial Sarcoma; Dermatofibrosarcoma Protuberans; Metastatic Childhood Soft Tissue Sarcoma; Nonmetastatic Childhood Soft Tissue Sarcoma; Stage I Adult Soft Tissue Sarcoma; Stage II Adult Soft Tissue Sarcoma; Stage III Adult Soft Tissue Sarcoma; Stage IV Adult Soft Tissue Sarcoma

2014-09-08

313

Postradiation sarcomas of bone  

Energy Technology Data Exchange (ETDEWEB)

Fifty-nine patients with osteogenic sarcomas arising in bones following exposure to x rays and 20 patients with postradiation malignant fibrous histiocytomas of bone arising as a direct consequence of irradiation were studied. These represent 5.5% of all osteogenic sarcomas and 4.9% of all malignant fibrous histiocytomas of bones. The sarcomas may affect any skeletal site, but most commonly they arose in bones of the pelvic and shoulder girdles or the distal end of the femur. Grounds for irradiation were either nonosseous conditions or preexistent skeletal lesions. Reasons for incidental osseous irradiation included Hodgkin's disease, carcinoma of cervix, breast or lung; bilateral retinoblastoma and others, and giant cell tumor predominated among the irradiated skeletal lesions. The mean and the median radiation doses were 6040 cGy (rad) and 5700 cGy (rad), respectively. The period of latency between irradiation and the appearance of the bone sarcoma ranged from 3.5 to 47 y with a mean of 16.5 and median of 14.5, respectively. The cumulative disease-free survival rate for malignant fibrous histiocytoma patients at 3 y was 58%. The cumulative disease-free survival rate at 5 y for patients with osteogenic sarcoma was 17%, with a median survival estimate of 1 y. Although all patients with malignant fibrous histiocytoma who received their radiation therapy for a preexistent bone lesion survived, only 27% of the patients whose bone was normal at the time of irradiation are alive and well at the 3-y mark.

Huvos, A.G.; Woodard, H.Q.

1988-10-01

314

Postradiation sarcomas of bone  

International Nuclear Information System (INIS)

Fifty-nine patients with osteogenic sarcomas arising in bones following exposure to x rays and 20 patients with postradiation malignant fibrous histiocytomas of bone arising as a direct consequence of irradiation were studied. These represent 5.5% of all osteogenic sarcomas and 4.9% of all malignant fibrous histiocytomas of bones. The sarcomas may affect any skeletal site, but most commonly they arose in bones of the pelvic and shoulder girdles or the distal end of the femur. Grounds for irradiation were either nonosseous conditions or preexistent skeletal lesions. Reasons for incidental osseous irradiation included Hodgkin's disease, carcinoma of cervix, breast or lung; bilateral retinoblastoma and others, and giant cell tumor predominated among the irradiated skeletal lesions. The mean and the median radiation doses were 6040 cGy (rad) and 5700 cGy (rad), respectively. The period of latency between irradiation and the appearance of the bone sarcoma ranged from 3.5 to 47 y with a mean of 16.5 and median of 14.5, respectively. The cumulative disease-free survival rate for malignant fibrous histiocytoma patients at 3 y was 58%. The cumulative disease-free survival rate at 5 y for patients with osteogenic sarcoma was 17%, with a median survival estimate of 1 y. Although all patients with malignant fibrous histiocytoma who received their radiation therapy for a preexistent bone lesion survived, only 27% of the patients whose bone was normal at the time of irradiation are alive and well at the 3-y mark

315

Myxofibrosarcoma: a diagnostic pitfall.  

Science.gov (United States)

Myxofibrosarcoma (MFS) is a variant of the group of malignant fibrous histiocytomas. It is one of the most aggressive types of soft tissue neoplasms. The clinical presentation is not pathognomonic and the histological aspects are highly heterogenous, frequently delaying the diagnosis or leading to misdiagnosis. Complementary histochemical and immunohistochemical stainings are mandatory to achieve the diagnosis of MFS. A 78-year-old male patient is presented illustrating this diagnostic pitfall. Extensive surgery followed by radiotherapy is the first choice treatment. PMID:23888215

Castronovo, Charlotte; Arrese, Jorge E; Quatresooz, Pascale; Nikkels, Arjen F

2013-04-15

316

[99mTc-pertechnetate scintigraphy in three cases with soft tissue tumors].  

Science.gov (United States)

Three soft tissue tumors were studied with 99mTc-pertechnetate scintigraphy, 67Ga-citrate scintigraphy and MRI. These tumors included schwannoma, neurofibromatosis and malignant fibrous histiocytoma. On 99mTc-pertechnetate scintigram all patients showed more increased accumulation corresponding to the tumor than on 67Ga-citrate scintigram. In conclusion, 99mTc-pertechnetate scintigraphy may be useful in detection of soft tissue tumors. PMID:8072235

Oouchi, Y; Iwamiya, T; Suto, Y; Ohta, Y

1994-06-01

317

Lethal mass mimicking myxoma in the heart.  

Science.gov (United States)

A 70-year-old man presented in advanced heart failure with jaundice. Transthoracic echocardiography revealed a 21?×?24-mm mass in the left atrium attached to the posterior mitral valve leaflet. Surgical excision was attempted, but the tumor had infiltrated the entire left atrial wall and was deemed too extensive to be resectable. Histology confirmed a high-grade pleomorphic sarcoma with malignant fibrous histiocytoma-like features. Liver biopsy revealed a high-grade liver sarcoma. PMID:24887828

Soo, Wern Miin; Pang, Yin Huei; Poh, Kian-Keong

2014-10-01

318

Procaine in Malignant Hyperpyrexia  

Science.gov (United States)

The caffeine contracture of normal human muscle, which has been used as a model for malignant hyperpyrexia, is greatly potentiated by halothane. Prior administration of procaine markedly reduces the halothane-potentiated caffeine contracture, and procaine given at the height of the contracture induces relaxation. Lignocaine, on the other hand, produces a variable response and sometimes increases the contracture. The muscle from a patient with an inherited susceptibility to malignant hyperpyrexia contracted spontaneously with halothane alone, and this contracture was reversed by procaine. These experiments support the therapeutic use of procaine in malignant hyperpyrexia. PMID:4642792

Moulds, R. F. W.; Denborough, M. A.

1972-01-01

319

Malignant focal liver lesions  

International Nuclear Information System (INIS)

Focal liver lesions are a very common occurrence. The detection and differentiation of such lesions is particularly important for the management of oncology patients and is a core task for radiology. The early and conclusive detection of malignant liver processes in a cost-efficient manner and with a low radiation dose for the patient requires systematic and skillful use of the various radiological methods. This review explains the application of current radiological methods for the detection and differentiation of malignant liver lesions and the typical appearance of the most commonly found liver malignancies. (orig.)

320

Malignant Proliferating Trichilemmal Tumor  

Science.gov (United States)

Proliferating trichilemmal tumor (PTT) is a benign tumor originating from the outer root sheath of a hair follicle. Malignant transformation in case of PTT is very rare and unusual finding. It is usually confused with squamous cell carcinoma both sharing many common features. So the identification of malignant PTT is very essential. Only 39 well-documented cases of malignant proliferating trichilemmal cyst have been published to date in the English language literature. We hereby present a case of a 75-year-old female patient with a rapidly growing swelling on the scalp. PMID:22470211

Goyal, Snigdha; Jain, Bhawna Bhutoria; Jana, Sritanu; Bhattacharya, Subodh K

2012-01-01

 
 
 
 
321

Malignant Pleural Effusion  

Science.gov (United States)

... 16/2014 Cardiopulmonary Syndromes (PDQ®) Cardiopulmonary Syndrome Overview Dyspnea During Advanced Cancer Chronic Coughing Malignant Pleural Effusion ... Chronic cough may cause severe pain, trouble sleeping, dyspnea , or fatigue . The causes of chronic coughing are ...

322

Keratomycotic malignant glaucoma  

Directory of Open Access Journals (Sweden)

Full Text Available Malignant Glaucoma due to Keratomycosis is a devastating and poorly recognised complication occurring in a small percentage of treated patients. It is characterized, in cases of Keratomycosis by a raised tension, uniform shallowing of the anterior chamber and a fungus-exudate-iris mass covering the pupillary area. Three cases of ?Keratomycotic Malignant Glaucoma? are discussed here. Two of these were successfully treated with therapeutic keratoplasty, extracapsular lens extraction and systemic antifungals. The development of malignant glaucoma after a therapeutic keratoplasty which occurred in one case has not previously been reported. All the three cases which developed malignant glaucoma had a pupillary size of 4 mm diameter or less and grew Fusarium from the cornea and anterior chamber.

Kuriakose Thomas

1991-01-01

323

Disseminated malignant melanoma  

Directory of Open Access Journals (Sweden)

Full Text Available A 25-year-old man had multiple asymptomatic, nodular lesions on the trunk, extremities and the face for 3 months. He also had left facial palsy with severe headache and vomiting. There were no other systemic or constitutional symptoms. Skin biopsy from a nodular lesion showed features of malignant melanoma, confirmed by Fontana Masson and S-100 protein staining. A diagnosis of disseminated malignant melanoma was made and the patient was treated symptomatically. The patient died in 4 months.

Verma Kaushal

1999-01-01

324

Håndens maligne tumorer  

DEFF Research Database (Denmark)

Malignant tumours of the hand are rare and are often misdiagnosed. A painful swelling of the hand or digits are often diagnosed with an infection, benign tumours such as ganglion cysts, or arthritis. Wounds that do not heal despite adequate treatment should be biopsied to rule out malignancy. A correct diagnosis without delay is important because the life expectancy, due to a metastasis on the hand or fingers is approximately six months.

Knudsen, Britt Mejer; Rasmussen, Per Joen Svabo

2011-01-01

325

Temozolomide in malignant glioma  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Gregor DresemannCenter for Neurooncology at Aerztehaus Velen, Velen, GermanyAbstract: Glioblastoma multiforme WHO grade IV (GBM) is the most aggressive ­malignant glioma and the most frequent primary tumor of the central nervous system. The median ­survival of newly diagnosed GBM patients was between 9 to 12 months prior to treatment with ­temozolomide being introduced. Primary resection that is as complete as possible is recommended for malignant glioma. Conventional ...

Gregor Dresemann

2010-01-01

326

Malignant chondroid syringoma  

Directory of Open Access Journals (Sweden)

Full Text Available An adult female presented with a painful recurrent swelling on the posterior aspect of the scalp of six months? duration, which was clinically diagnosed as fibroma. An excision biopsy showed anaplastic epithelial cells arranged in irregular cords and trabeculae, mitosis, malignant chondroid areas, desmoplasia and perineural invasion, suggesting malignancy. Wide excision of the tumor was the only treatment given since there was no metastasis.

Shashikala P

2004-05-01

327

Enzyme histochemical study on bone tumors.  

Directory of Open Access Journals (Sweden)

Full Text Available A total of 19 cases with bone tumors, including six osteosarcomas. three giant cell tumors of bone, one malignant fibrous histiocytoma, four nonossifying fibromas, four chondromas and one chondrosarcoma, were examined as to enzyme histochemistry; the enzymes consisted of alkaline phosphatase (ALPase, acid phosphatase (ACPase, nonspecific esterase (NSE, adenosine triphosphatase (ATPase, 5'-nucleotidase (5'-Nucl and beta-glucuronidase (beta-Gl. Osteosarcoma was strongly positive for ALPase followed by 5'-Nucl. Giant cell tumor, malignant fibrous histiocytoma and nonossifying fibroma showed enzyme histochemistry similar to each other: multinucleated giant cells and round cells in these tumors were strongly positive for ACPase, NSE, ATPase and 5'-Nucl simulating osteoclasts and histiocytes, whereas spindle cells were positive for ATPase and 5'-Nucl in their cytoplasm and weakly positive for ACPase. Chondroma and chondrosarcoma were focally positive for ACPase and NSE; the ACPase was sensitive to tartaric acid treatment. These observations showed that ALPase activity is very characteristic to osteosarcoma, and is useful for its diagnosis. From enzyme histochemistry, giant cell tumor, malignant fibrous histiocytoma and nonossifying fibroma can be regarded as a histiocyte-derived tumor of bone in contrast to osteosarcoma and cartilaginous tumors.

Yoshida,Haruhiko

1982-12-01

328

[Malignant nail tumors].  

Science.gov (United States)

Because of the large number of different tissues making up the distal phalanx of fingers and toes, a large variety of malignant tumors can be found in and around the nail apparatus. Bowen disease is probably the most frequent nail malignancy. It is usually seen as a verrucous plaque of the nail fold and nail bed in persons above the age of 40 years. It slowly grows over a period of years or even decades before degenerating to an invasive squamous cell carcinoma. The latter may also occur primarily often as a weeping onycholysis. The next most frequent nail malignancy is ungual melanoma. Those arising from the matrix are usually pigmented and often start with a longitudinal melanonychia whereas those originating from the nail bed remain amelanotic, are often nodular and mistaken for an ingrown nail in an elderly person. The treatment of choice for in situ and early invasive subungual melanomas is generous extirpation of the nail apparatus whereas distal amputation is only indicated for advanced melanomas. In addition to these frequent nail malignancies, nail-specific carcinomas, malignant vascular and osseous tumors, other sarcomas, nail involvement in malignant systemic disorders and metastases may occur. In most cases, they cannot be diagnosed accurately on clinical grounds. Therefore, a high degree of suspicion is necessary in all isolated or single-digit proliferations that do not respond to conservative treatment. PMID:24718507

Haneke, E

2014-04-01

329

Malignant eccrine poroma.  

Directory of Open Access Journals (Sweden)

Benign eccrine poroma arises from the intraepidermal portion of the eccrine gland duct. Malignant transformation is rare and should be suspected when these lesions present with pain, bleeding or itching. We report a 44-year-old male patient who presented primarily with a lesion diagnostic of benign eccrine poroma of the right foot sole with no clear evidence of malignancy, which was incompletely excised, followed 5 months later by local recurrence, ulceration, occasional bleeding and right inguinal lymphadenopathy. Incomplete excision of the primary tumor as well as excision of a skin lesion on the right knee joint revealed malignant eccrine poroma with aggressive histology, lymphovascular and perineural invasion. Investigations revealed no evidence of distant metastasis. This tumor might be malignant at the first presentation, which was not confirmed histopathologically considering the short duration of only 5 months for malignant transformation. The patient received 3 cycles of Docetaxel Taxotere, Cisplatin combination chemotherapy with partial response. The management of metastatic malignant eccrine poroma is difficult. It has proven resistant to many chemotherapeutic agents and radiotherapy.

Mahmoud S. Al-Ahwal

2005-05-01

330

Management of malignant pleural effusions.  

LENUS (Irish Health Repository)

Malignant pleural effusions are a common clinical problem in patients with primary thoracic malignancy and metastatic malignancy to the thorax. Symptoms can be debilitating and can impair tolerance of anticancer therapy. This article presents a comprehensive review of pharmaceutical and nonpharmaceutical approaches to the management of malignant pleural effusion, and a novel algorithm for management based on patients\\' performance status.

Uzbeck, Mateen H

2010-06-01

331

Clinicopathological findings in a case series of extrathoracic solitary fibrous tumors of soft tissues  

Directory of Open Access Journals (Sweden)

Full Text Available Abstract Background Solitary fibrous tumors (SFT represent a rare entity of soft tissue tumors. Previously considered being of serosal origin and solely limited to the pleural cavity the tumor has been described in other locations, most particularly the head and neck. Extrathoracic SFT in the soft tissues of the trunk and the extremities are very rare. Nine cases of this rare tumor entity are described in the course of this article with respect to clinicopathological data, follow-up and treatment results. Methods Data were obtained from patients' records, phone calls to the patients' general practitioners, and clinical follow-up examination, including chest X-ray, abdominal ultrasound, and MRI or computed tomography. Results There were 6 females and 3 males, whose age at time of diagnosis ranged from 32 to 92 years (mean: 62.2 years. The documented tumors' size was 4.5 to 10 cm (mean: 7 cm. All tumors were located in deep soft tissues, 3 of them epifascial, 2 subfascial, 4 intramuscular. Four tumors were found at the extremities, one each at the flank, in the neck, at the shoulder, in the gluteal region, and in the deep groin. Two out of 9 cases were diagnosed as atypical or malignant variant of ESFT. Complete resection was performed in all cases. Follow-up time ranged from 1 to 71 months. One of the above.mentioned patients with atypical ESFT suffered from local relapse and metastatic disease; the remaining 8 patients were free of disease. Conclusion ESFT usually behave as benign soft tissue tumors, although malignant variants with more aggressive local behaviour (local relapse and metastasis may occur. The risk of local recurrence and metastasis correlates to tumor size and histological status of surgical resection margins and may reach up to 10% even in so-called "benign" tumors. Tumor specimens should be evaluated by experienced soft tissue pathologists. The treatment of choice is complete resection followed by extended follow-up surveillance.

Steinau Hans-Ulrich

2006-07-01

332

Myxoid solitary fibrous tumor: a study of seven cases with emphasis on differential diagnosis.  

Science.gov (United States)

Focal myxoid change is a well-recognized feature of solitary fibrous tumor (SFT), but to date, predominantly myxoid examples of SFT have not been reported. We describe seven cases of SFT in which stromal myxoid change affected 50% or more of the tumor examined, thus obscuring typical diagnostic features. Patients ranged in age from 35 to 68 years old (median, 45 yr), with an equal sex distribution. Tumor locations included pleura, orbit, and periparotid subcutaneous tissue, as well as four cases in deep soft tissue (two in the abdominal wall and one each in the chest wall and thigh). Myxoid areas were identified grossly in four cases. Histologically, the lesions were composed of bland spindle cells disposed haphazardly or with a lacy or reticulated appearance in a myxoid, richly vascularized stroma These myxoid areas were punctuated by small cellular aggregates in four cases, and areas showing diagnostic features of SFT were present in five of seven primary excision specimens. Atypical features suggestive of malignancy were not present in any of the cases. Immunohistochemically, all of the seven cases stained positively for CD34 and CD99 (013), and all were negative for smooth muscle actin, desmin, S-100 protein, epithelial membrane antigen, and pan-keratin. There were no recurrences or metastases reported in four patients with limited follow-up (median duration, 19 mo). Recognition of this uncommon morphologic subset of SFT is important because of possible confusion, particularly in small biopsy specimens, with a variety of myxoid spindle cell neoplasms with different biologic potential. These include low-grade fibromyxoid sarcoma, myxoid synovial sarcoma, malignant peripheral nerve sheath tumor, low-grade myxofibrosarcoma, myxoid liposarcoma, myxoid spindle cell lipoma, myxoid neurofibroma, and so-called "hemangiopericytoma." PMID:10349983

de Saint Aubain Somerhausen, N; Rubin, B P; Fletcher, C D

1999-05-01

333

FIBROUS DYSPLASIA OF MAXILLARY BONES. 2 CASE REPORTS  

Directory of Open Access Journals (Sweden)

Full Text Available Fibrous dysplasia has been identified for more than a century, however the scientific and clinical interest for this pathology has been relatively low, probably because of its reduced incidence. The recent genetic investigations per? mitted to recognize the etiology of this malady, seen as uncertain and controversial for a long time. The study analyzes the cases of 2 patients with fibrous dysplasia at the level of the viscero?cranium bone, subjected to surgical interventions of modelling resections of the pathological bone tissue, the pieces being examined histopathologically. Analysis of the 2 cases attempted at elucidating the etiolo? gical character of this genetically?determined malady, with no traumatic, reactive or amartomatous origin.

V. IBRIC?CIORANU

2013-07-01

334

3D CHARACTERIZATION OF WOOD BASED FIBROUS MATERIALS: AN APPLICATION  

Directory of Open Access Journals (Sweden)

Full Text Available Morphological characterization of wood based fibrous materials is carried out using X-ray tomography. This technique allows the non destructive observation at the scales of a fibre (microscopic scale and of a network of fibres (mesoscopic scale. The 3D images are processed using classical tools of mathematical morphology. Measures of porosities and estimations of the size distributions of fibres and pores are carried out and compared to other results. An alternative method for the calculation of the local orientation of the fibres is also described to quantify the anisotropy of the fibres network. Finally, the individualization of the fibres is obtained from the representation of the fibrous network as a 3D skeleton, making possible further measurements on the isolated fibres.

Jérôme Lux

2011-05-01

335

The surgical management of fibrous dysplasia of bone  

Directory of Open Access Journals (Sweden)

Full Text Available Abstract The surgical management of Polyostotic Fibrous Dysplasia (FD of bone is technically demanding. The most effective methods to manage the associated bone deformity remain unclear. The marked variation in the degree and pattern of bone involvement has made it difficult to acquire data to guide the surgeon’s approach to these patients. In light of the paucity of data, but need for guidance, recognized experts in the management of these patients came together at the National Institutes of Health in Bethesda, Maryland as part of an International meeting to address issues related to fibrous dysplasia of bone to discuss and refine their recommendations regarding the surgical indications and preferred methods for the management of these challenging patients. The specific challenges, recommended approaches, and “lessons learned” are presented in hopes that surgeons faced with typical deformities can be guided in the surgical reconstruction of both children and adults with FD.

Stanton Robert P

2012-05-01

336

MRI of fibrous cortical defect of the femur  

International Nuclear Information System (INIS)

The MR imaging findings of 10 cases of fibrous cortical defect of the femur are presented. Although surgical biopsy was not available in the 10 cases, clinical follow-up confirmed the diagnosis. Most of the lesions were located on the posteromedial aspect of the distal femur, corresponding to the site of attachment of the extensor tendon of the adductor magnus muscle or the medial head of the gastrocnemius. They were oval in shape, and their diameter ranged from 29 x 15 mm to 8 x 6 mm, with an average of 14 mm. With MR, most of the fibrous cortical defects were imaged with iso-signal intensity to muscle on T1-weighted images and high signal intensity on T2*-weighted images. They were invariably surrounded by low signal intensity rims on both sequences, representing marginal sclerosis. The appearance seemed to be sufficiently diagnostic to obviate the need for biopsy. (author)

337

Primary Malignant Tumours of Bone Following Previous Malignancy  

Directory of Open Access Journals (Sweden)

Full Text Available Destructive bone lesions occurring in patients who have previously had a malignancy are generally assumed to be a metastasis from that malignancy. We reviewed 60 patients with a previous history of malignancy, who presented with a solitary bone lesion that was subsequently found to be a new and different primary sarcoma of bone. These second malignancies occurred in three distinct groups of patients: (1 patients with original tumours well known to be associated with second malignancies (5%; (2 patients whose second malignancies were likely to be due to the previous treatment of their primary malignancy (40%; (3 patients in whom there was no clearly defined association between malignancies (55%. The purpose of this study is to emphasise the necessity for caution in assuming the diagnosis of a metastasis when a solitary bone lesion is identified following a prior malignancy. Inappropriate biopsy and treatment of primary bone sarcomas compromises limb salvage surgery and can affect patient mortality.

R. J. Grimer

2008-04-01

338

High strength and ductile fibrous concrete of enhanced fire resistance  

Digital Repository Infrastructure Vision for European Research (DRIVER)

In the present work a Fiber Reinforced Concrete of Enhanced Fire Resistance (FRCEFR) was developed and its properties are characterized by experimental research. This concrete is intended to have enough resistance for the most structural engineering applications and is reinforced with a fibrous system to assure the necessary ductility and to improve its fire resistance. Two types of fibers are used to accomplish the aforementioned requisites for the concrete. The research perfo...

Lourenc?o, Lu?cio; Barros, Joaquim A. O.; Santos, S. P. F.

2007-01-01

339

Electrospun Fibrous Scaffolds with Multi-scale and Photopatterned Porositya  

Digital Repository Infrastructure Vision for European Research (DRIVER)

The structural and mechanical properties of tissue engineered environments are crucial for successful cellular growth and tissue repair. Electrospinning is gaining wide attention for the fabrication of tissue engineered scaffolds, but the small pore sizes of these scaffolds limit cell infiltration and construct vascularization. To address this problem, we have combined electrospinning with photopatterning to create multi-scale porous scaffolds. This process retains the fibrous nature of the s...

Sundararaghavan, Harini G.; Metter, Robert B.; Burdick, Jason A.

2010-01-01

340

Characterization of the thermal conductivity for fibrous refractory composite insulations  

Science.gov (United States)

Thermal conductivity for a family of fibrous, refractory composite insulations are characterized through the use of an engineering model and arc-jet data. The model defines the composite as a uniform pore material using measured physical and mechanical properties. Efficiency parameters assigned to the solid and radiation conduction terms in the thermal conductivity equation were found to be dependent only on solid volume fraction and porosity.

Stewart, D. A.; Leiser, D. B.

1985-01-01

 
 
 
 
341

Carbon-based fibrous EDLC capacitors and supercapacitors  

Digital Repository Infrastructure Vision for European Research (DRIVER)

This paper investigates electrochemical double-layer capacitors (EDLCs) including two alternative types of carbon-based fibrous electrodes, a carbon fibre woven fabric (CWF) and a multiwall carbon nanotube (CNT) electrode, as well as hybrid CWF-CNT electrodes. Two types of separator membranes were also considered. An organic gel electrolyte PEO-LiCIO4-EC-THF was used to maintain a high working voltage. The capacitor cells were tested in cyclic voltammetry, charge-discharge, and impedance test...

Watts, J. F.; Andrews, T.; Markoulidis, F.; Moudam, O.; Lekakou, C.; Reed, G. T.

2011-01-01

342

Solitary fibrous tumour of the adrenal gland associated with pregnancy.  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Solitary fibrous tumour (SFT), first described as a pleural lesion, has been reported in several extrathoracic sites over the past 10 years. We describe a SFT of the left adrenal gland incidentally discovered in a 23-year-old, 22-week pregnant woman and characterised by a rapid growth during the third trimester of pregnancy. Elevated serum and urinary levels of cortisol and elevated blood levels of delta 4 androstendione and 17-OH progesterone were observed. After spontaneous delivery, the pa...

Morino, Mario

2000-01-01

343

Total hip arthroplasty and polyostotic fibrous dysplasia: a case report.  

Science.gov (United States)

Polyostotic fibrous dysplasia with Albright's syndrome causes progressive skeletal lesions which require orthopaedic surgical management. A case is presented of a 43-year-old woman with a history of multiple proximal femoral osteotomies with iliac bone grafting who developed a degenerative hip joint. A total hip arthroplasty was performed and a specially designed Charnley-Mueller type of prosthesis implanted. The patient is asymptomatic eight years postoperatively. PMID:3038228

Matlen, J A; Hupfer, T A; Castle, M E; Reyman, T A

1987-01-01

344

Solitary Fibrous Tumor Arising from the Sphenoid Sinus  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Solitary fibrous tumor (SFT) is an uncommon neoplasm that usually arises from the pleura. To our knowledge, only 30 cases of SFTs in the nasal cavity and paranasal sinuses have been reported in the literature. We describe an SFT that arose from the right sphenoid sinus and extended to the nasal cavity and epipharynx. The tumor was completely removed by endoscopic sinus surgery without complication. The patient is taking an uneventful course without any evidence of recurrence of the disease 8 ...

Haruo Takahashi; Naoe Kinoshita; Tomayoshi Hayashi; Takeshi Watanabe; Kenji Takasaki; Hidetaka Kumagami

2009-01-01

345

Fibrous dysplasia mimicking bone metastasis on both bone scintigraphy and 18F FDG PET CT: Diagnostic dilemma in a patient with breast cancer  

International Nuclear Information System (INIS)

Bone is the most common distant site to which breast cancer metastasizes. Commonly used imaging modalities for imaging bone metastasis are bone scintigraphy, plain radiography, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET). Although bone scintigraphy gas high sensitivity for detecting bone metastasis, its specificity is low. This is because of the fact that bone scintigraphy images secondary changes in bone rather than just tumor cells 18F fluorodeoxyglucose (18F FDG) PET CT, on the other hand, directly images the tumor cells' glucose metabolism. Unfortunately, similar to bone scintigraphy, benign bone conditions can also show increased 18F FDG uptake on PET CT, and PET positive asymptomatic fibrous dysplasia can be misinterpreted as a metastasis. Fibrous dysplasia of bone has wide skeletal distribution, with variability of 18F FDG uptake and CT appearance. It is therefore important to recognize the characteristics of this skeletal dysplasia, to allow differentiation from skeletal metastasis. Bone lesions with 18F FDG uptake need to be carefully interpreted when evaluating patients with known malignancy. In doubtful cases, fibrous dysplasia should be given as a differential diagnosis and histopathological diagnosis may be warranted, as highlighted in the present case

346

Fibrous dysplasia mimicking bone metastasis on both bone scintigraphy and {sup 18}F FDG PET CT: Diagnostic dilemma in a patient with breast cancer  

Energy Technology Data Exchange (ETDEWEB)

Bone is the most common distant site to which breast cancer metastasizes. Commonly used imaging modalities for imaging bone metastasis are bone scintigraphy, plain radiography, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET). Although bone scintigraphy gas high sensitivity for detecting bone metastasis, its specificity is low. This is because of the fact that bone scintigraphy images secondary changes in bone rather than just tumor cells {sup 18}F fluorodeoxyglucose ({sup 18}F FDG) PET CT, on the other hand, directly images the tumor cells' glucose metabolism. Unfortunately, similar to bone scintigraphy, benign bone conditions can also show increased {sup 18}F FDG uptake on PET CT, and PET positive asymptomatic fibrous dysplasia can be misinterpreted as a metastasis. Fibrous dysplasia of bone has wide skeletal distribution, with variability of {sup 18}F FDG uptake and CT appearance. It is therefore important to recognize the characteristics of this skeletal dysplasia, to allow differentiation from skeletal metastasis. Bone lesions with {sup 18}F FDG uptake need to be carefully interpreted when evaluating patients with known malignancy. In doubtful cases, fibrous dysplasia should be given as a differential diagnosis and histopathological diagnosis may be warranted, as highlighted in the present case.

KC, Sud Hir Suman; Sharma, Punit; Singh, Har Man Deep; Bal, Chand Rasekhar; Kumar, Rake Sh [India Institute of Medical Sciences, New Delhi (India)

2012-12-15

347

[Diabetes mellitus and malignancies].  

Science.gov (United States)

The epidemiological studies have proven an increased incidence of cancer in patients with diabetes and the ne-gative effect of diabetes on their prognosis. The relation to type 2 diabetes was found in hepatic, pancreatic and endometrial malignancies, in colorectal, breast and bladder cancers. Diabetes as well as malignancies are multifactorial diseases with a number of common risk factors: age, gender, race, overweight and obesity, diet, physical activity. A higher incidence of malignancies in diabetic patients is not only a result of sharing these risk factors, as diabetes itself predisposes to carcinoma development. Possible mechanisms producing this effect include hyperinsulinemia, hyperglycemia, oxidative stress, chronic inflammation, obesity related factors and effect of diabetic complications. The development of malignancies in diabetics is also affected by the diabetes treatment. Exogenous insulin and its analogues and stimulators of insulin secretion are linked to an increased risk of cancer while insulin sensitizers to its decrease. Special attention is given to metformin which, apart from the indirect effect by influencing the levels of insulin and glycemia, has a direct anticancerogenic effect. In the clinical practice, it is ne-cessary to give attention to the screening of diabetes related tumours, consistent glycemic control and choice of appropriate diabetes treatment in patients with a high cancer risk.Key words: clinical practice - diabetes mellitus - effects of diabetes treatment - malignancies. PMID:25389098

Petera, Ji?í; Smahelová, Alena

2014-01-01

348

Intramuscular myxoma and fibrous dysplasia of bone - Mazabraud`s syndrome  

Energy Technology Data Exchange (ETDEWEB)

We present a case of Mazabroud`s syndrome, a rare benign disease, with multiple intramuscular myxomas of the thoracic wall associated with fibrous dysplasia of bone. CT, MR imaging and ultrasonography (US) of the thorax showed 2 well circumscribed homogeneous intramuscular tumors. A US-guided needle biopsy with a large-core needle (2.0 mm) and a fine needle (0.8 mm) showed that the tumors were intramuscular myxomas with no sign of malignancy. {sup 99m}Tc bone scintigraphy showed a markedly increased uptake in the right lower skull, and multiple smaller foci. CT of the skull revealed a right-sided unilateral bone thickening of the orbit and the ethomoidal cells, and right-sided exophthalmia. This case history suggests that patients with multiple intramuscular myxomas should be preoperatively examined for osseous lesions. A postoperative follow-up should also be performed to detect other soft-tissue myxomas not as yet clinically detectable, or rare osseous complications. (orig.).

Court-Payen, M. [Copenhagen Univ. (Denmark). Dept. of Ultrasound; Ingemann Jensen, L. [Copenhagen Univ. (Denmark). Dept. of Radiology; Bjerregaard, B. [Copenhagen Univ. (Denmark). Dept. of Pathology; Schwarz Lausten, G. [Copenhagen Univ. (Denmark). Dept. of Orthopedics; Skjoldbye, B. [Copenhagen Univ. (Denmark). Dept. of Ultrasound

1997-05-01

349

Analysis of effective thermal conductivity of fibrous materials  

Science.gov (United States)

The objective of this research is to gain a better understanding of the various mechanisms of heat transfer through fibrous materials and to gain insight into how fill-gas pressure influences the effective thermal conductivity. By way of first principles and some empiricism, two mathematical models are constructed to correlate experimental data. The data are obtained from a test series measuring the effective thermal conductivity of Nomex using a two-sided guarded hot-plate heater apparatus. Tests are conducted for certain mean temperatures and fill-gases over a range of pressures varying from vacuum to atmospheric conditions. The models are then evaluated to determine their effectiveness in representing the effective thermal conductivity of a fibrous material. The models presented herein predict the effective thermal conductivity of Nomex extremely well. Since the influence of gas conduction is determined to be the most influential component in predicting the effective thermal conductivity of a fibrous material, an improved representation of gas conduction is developed. Finally, some recommendations for extension to other random-oriented fiber materials are made concerning the usefulness of each model depending on their advantages and disadvantages.

Futschik, Michael W.; Witte, Larry C.

1993-01-01

350

Solitary fibrous tumor of the tentorium cerebelli. Case report.  

Science.gov (United States)

Solitary fibrous tumor (SFT) is a mesenchymal neoplasm that has been recognized to occur almost all along the organism. Since its description in 1996 at the meninges, a total of 59 cases of meningeal SFT have been reported. Different authors have emphasized the difficulties in the differential diagnosis with other more frequent meningeal neoplasms such as meningioma or hemangiopericytoma, as the clinico-radiological characteristics of this lesion seem to be non specific and the morphological features on pathological study may resemble other spindle cell neoplasms. The diffuse and strong reactivity for CD34 and the negativity for EMA and S-100 are data allowing the diagnosis of SFT. We report the case of a 50-year-old woman suffering from headache, in whom MRI study showed a tentorial lesion initially thought to be a meningioma. In spite of morphological similarities with a fibrous meningioma, inmunohistochemical study finally led to the diagnosis of SFT. As occurred in previous cases, the findings in our patient reflect the similarities in clinico-radiological and pathological characteristics between meningeal SFT and other spindle cell meningeal neoplasms, mainly fibrous meningioma. When a clear diagnosis cannot be done based on typical findings on conventional hematoxylin-eosin study, inmunohistochemical study should be performed in meningeal spindle cell lesions to exclude SFT. PMID:15550899

Pérez-Núñez, A; Rivas, J J; Ricoy, J R; Miranda, P; Arrese, I; Lobato, R D; Ramos, A

2004-06-01

351

PET in uterine malignancies  

Directory of Open Access Journals (Sweden)

Full Text Available Positron Emission Tomography (PET or integrated PET/Computed Tomography (PET/CT with 18F-Fluoro-Deoxy-Glucose (18F-FDG is a functional imaging modality, useful in the characterization of undetermined morphological findings, and in the staging/re-staging of a large number of malignancies. Although its use in uterine malignancies has been poorly investigated, in recent years the employment of this technique has constantly increased. In this review, we evaluate the role of PET (/CT with 18FFDG in uterine malignancies (cervical and endometrial cancers as well as uterine sarcomas, underlying its advantages and discussing its limitations. Metabolic and anatomic information given by PET/CT with 18F-FDG could be useful in the evaluation of local and distant disease involvement at the staging, in the detection of disease recurrence, and in the evaluation of the response after chemotherapy and/or radio-therapy.

Valeria Pirro

2010-07-01

352

Malignant salivary gland tumours  

International Nuclear Information System (INIS)

The most frequent malignant salivary gland tumours are the mucoepidermoid tumour, adenoid cystic carcinoma and adenocarcinoma. The major salivary glands and the minor glands of the mouth and upper respiratory tract may potentially develop any of these malignant lesions. Malignant lesions most frequently present as a palpable mass and tend to enlarge more rapidly than benign neoplasms. Pain, paresthesia, muscle paralysis and fixation to surrounding tissue are all ominous signs and symptoms. The only reliable means of differential diagnosis of these lesions is biopsy and histologic analysis. Therapy involves surgery or a combination of surgery and radiation therapy. The ultimate prognosis is governed by the intrinsic biologic behaviour of the neoplasms, the extent of disease and adequate clinical therapy

353

Malignant system diseases  

International Nuclear Information System (INIS)

Following a brief survey on the not entirely clear aetiology of the malignant system diseases, their epidemiology and histology, as well as the clinic and treatment fundamentals. The author deals with malignant lymphoma and the myeloproliferative diseases in two special sections. In the case of lymphoma he distinguishes between the treatment of Hodgkin lymphoma and non-Hodgkin lymphoma and gives a survey on the histology, various stages, performance of radiotherapy with therapy plan, as well as prognoses and results. The myeloproliferative diseases are treated according to their individual forms (acute, chronic, myeloic leukemia and chronic lymphatic leukemia, osteomyelosklerosis, polycythaemic vera, plasmocytoma and eosinophile granulom) and the corresponding form of radiotherapy. (MG)

354

Malignant pleural mesothelioma  

International Nuclear Information System (INIS)

In 34 patients with suspected malignant pleural mesothelioma the results of computed tomography are compared with the findings of 67Ga-scintigraphy. The differential diagnosis of 14 pleural mesotheliomas, 7 pleural carcinoses, 10 inflammatory and 3 other pleural diseases is performed more accurately by CT than by scintigraphy. 67Ga uptake depends on the thickness of inflammatory as well as malignant lesions. Thus, numerous pleural processes that can be localised by CT escape scintigraphic detection, CT is indicated if there is clinical and radiological suspicion of pleural mesothelioma; in that case, there is hardly any indication for 67Ga scintigraphy. (orig.)

355

Juvenile thyroid malignancy  

Directory of Open Access Journals (Sweden)

Full Text Available Thyroid malignancy is an uncommon tumor of the pediatric population. Patients can present with asymptomatic thyroid nodule and it requires thorough work up to rule out the malignancy. Radiological and pathological procedures are a standard part of the management. A 10-year-old girl had asymptomatic thyroid nodule; the cytological examination and the frozen section and final histology of the nodule was different each time. The girl had to undergo total thyroidectomy on the basis of histology of the nodule which was well differentiated papillary carcinoma of thyroid and is under regular follow-up for last two years on thyroid supplementation.

Parelkar Sandesh

2009-01-01

356

Does the pleomorphic xanthoastrocytoma exist? Problems in the application of immunological techniques to the classification of brain tumors.  

Science.gov (United States)

A case of a fibrous xanthomatous tumor of the meninges is reported. This is a rare tumor of childhood in which the characteristic pleomorphic histology contrasts with the good clinical prognosis. These tumors were reclassified as pleomorphic xanthoastrocytomas (PXA) due to their glial fibrillary acidic protein (GFAP) positivity. In the present tumor, GFAP was absent from nearly all cell bodies in most of the leptomeningeal regions of the tumor but could be detected with greater frequency at the cortical-leptomeningeal border zones and in the areas in which the tumor had infiltrated the cortex. All the tumor cells expressed vimentin and in, addition, most expressed alpha-1-antitrypsin, alpha-1-antichymotrypsin, tartrate-resistant acid phosphatase, common leukocyte antigen, and OKM1. This spectrum of marker staining corresponded not only to the pattern observed in two cutaneous fibrous histiocytomas and one malignant fibrous histiocytoma, but also to the results previously published in the literature with regard to fibrohistiocytic tumors. By contrast, this spectrum of monocytic-histiocytic marker staining was not seen in gliomas. We, therefore, regard the PXA as a mesenchymal tumor of the meninges, identical to benign fibrous histiocytomas elsewhere in the body. The possible reasons why this mesenchymal tumor can show GFAP positivity in the leptomeningeal border zone are discussed. PMID:3213427

Paulus, W; Peiffer, J

1988-01-01

357

Antiangiogenesis in haematological malignancies.  

Science.gov (United States)

Angiogenesis, the growth of new capillary blood vessels, is a central regulator of cancer growth, and a validated target for cancer therapy. The antiangiogenic agents in clinical use target one or more cellular pathways involved in the cascade of vascular growth. In haematological malignancies, angiogenesis occurs within a bone marrow ecosystem comprised of closely apposed malignant cells, endothelial cells, pericytes, fibroblasts, endothelial progenitor cells, dendritic cells, and extracellular matrix. Inhibition of angiogenesis therefore blocks not only the delivery of oxygen and micronutrients to cancer cells, but also disrupts the interdependency of these cellular players and the paracrine effects they exert to maintain the malignant phenotype. Agents such as thalidomide, lenalidomide, bortezomib, and bevacizumab, have demonstrated clinical activity in myeloma, myelodysplastic syndrome, and leukaemias. In leukaemia, vascular endothelial growth factor (VEGF) is emerging as a compelling biological target for therapy, as well as a potential predictive marker for disease relapse. Initial clinical studies suggest that the anti-VEGF strategies may advance the primary, sequential or adjunctive treatment for leukaemia, and establish the basis for other potential antiangiogenic strategies in haematological malignancies. PMID:19036013

Li, William W; Hutnik, Michelle; Gehr, Gerald

2008-12-01

358

Malignant pleural diseases.  

Science.gov (United States)

The incidence of malignant pleural effusions has been increasing over the last few decades (mainly due to the absolute increase in several types of cancers, especially those of lung and breast origin) and they account for up to 50% of the exudates in many clinical series. Although pleural malignancies are thought to present most frequently with a pleural effusion, several autopsy series, including the current one, found a pleural effusion present in little more than half of the cases of malignant pleural involvement (55% in this series). Thus, many pleural malignancies without effusion might pass unnoticed in clinical practice, especially in metastatic disease. Primary malignancies of the pleura (mesotheliomas) are associated with asbestos exposure in about two-thirds of cases, and they frequently present with chest pain, sometimes associated with a pleural effusion. Benign pleural plaques can coexist with malignant mesothelioma, and this association should be suspected when long-standing plaques change in shape or size over the years, and especially if chest pain develops in a previously asymptomatic patient. Metastatic pleural involvement is much more frequent than mesotheliomas, and its most frequent mechanism is the vascular spreading of tumour cells from distant organs to the lungs, and on to the visceral and parietal pleura. The visceral pleura was involved in up to 87% of the current metastatic cases, whereas the parietal zone in only 47% of the autopsy series. The diagnostic work-up lies in cytology, whose average yield is approximately 50%, and a biopsy technique (either by blind needle biopsy or thoracoscopy) is recommended when the effusion persists, for > 2 weeks, and the first cytology has been negative. Thoracoscopy has the additional advantage of allowing pleurodesis with talc poudrage if clear tumour lesions are found in the pleura. In cases of malignant effusion which are not sensitive to chemotherapy, pleurodesis is the treatment of choice for palliation of symptoms, and talc is the most effective agent. It can be used either in suspension ("slurry") or in dry aerosolized form ("talc poudrage"), but it seems that this last technique achieves the best effects. However, it requires thoracoscopy for a proper application, and this is its main drawback when that technique is not readily available. PMID:10786419

Rodriguez-Panadero, F

2000-02-01

359

Outcomes in biliary malignancy.  

Science.gov (United States)

The biliary malignancies that are reviewed here are gallbladder cancer (GBC), intrahepatic cholangiocarcinoma (IHC), and perihilar cholangiocarcinoma (PHC). The focus is on outcomes after potentially curative resection of biliary malignancies. Key outcomes are postoperative mortality, median and 5-year overall survival (OS), recurrence-free survival, and recurrence patterns. Poor prognostic factors for recurrence and survival as well as prognostic models are also discussed. The incidence of biliary malignancies in the United States is about 5 in 100,000. Postoperative mortality for resection of GBC and IHC is similar to that of liver resections for other indications. However, 90 day postoperative mortality after liver resection for PHC is about 10%. For GBC, median OS depends strongly on the T-stage and ranges from 8 months (pT3) to 79 months (pT1b). Median OS after resection for IHC is about 30 months, and for PHC about 38 months. The majority of patients with biliary malignancies develop a recurrence after resection. Patients with GBC recur early with a median time to recurrence of 12 months, versus about 20 months for IHC and PHC. In patients with resected IHC or PHC locoregional recurrence was the only site of recurrence in about 60% of patients, versus 15% in patients with GBC. Poor prognostic factors after resection of all biliary malignancies include the presence of lymph node metastasis, a positive surgical resection margin, and moderate or poor tumor differentiation. Several prognostic nomograms have been developed to predict long-term outcomes of biliary cancer resection. J. Surg. Oncol. 2014 110:585-591. © 2014 Wiley Periodicals, Inc. PMID:25250887

Groot Koerkamp, Bas; Fong, Yuman

2014-10-01

360

Radiation associated malignant pleural mesothelioma  

International Nuclear Information System (INIS)

Malignant pleural mesothelioma of epithelial type developed in a 24 year old woman, 20 years after radiotherapy for Hodgkin's disease. This case and a review of published cases indicate that radiation may induce malignant mesothelioma. (author)

 
 
 
 
361

Radiation associated malignant pleural mesothelioma.  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Malignant pleural mesothelioma of epithelial type developed in a 24 year old woman, 20 years after radiotherapy for Hodgkin's disease. This case and a review of published cases indicate that radiation may induce malignant mesothelioma.

Lerman, Y.; Learman, Y.; Schachter, P.; Herceg, E.; Yellin, A.

1991-01-01

362

Image diagnosis of malignant mesothelioma  

International Nuclear Information System (INIS)

3 cases of malignant mesothelioma confirmed by pathological examination were reported. CT showed solid mass with moderate enhancement by contrast medium. CT appears to be a very useful tool to make a diagnosis of malignant mesothelioma. (author)

363

Mineral inclusions in fibrous diamonds: constraints on cratonic mantle refertilization and diamond formation  

Science.gov (United States)

We analyzed mineral microinclusions in fibrous diamonds from the Wawa metaconglomerate (Superior craton) and Diavik kimberlites (Slave craton) and compared them with published compositions of large mineral inclusions in non-fibrous diamonds from these localities. The comparison, together with similar datasets available for Ekati and Koffiefontein kimberlites, suggest a general pattern of metasomatic alteration imposed on the ambient mantle by formation of fibrous diamond. Calcium and Fe enrichment of peridotitic garnet and pyroxenes and Fe enrichment of olivine associated with fibrous diamond-forming fluids contributes to refertilization of the cratonic mantle. Saline—carbonatitic—silicic fluid trapped by fibrous diamonds may represent one of the elusive agents of mantle refertilization. Calcium enrichment of peridotitic garnet and pyroxenes is expected in local mantle segments during fibrous diamond production, as Ca in the carbonatitic fluids is deposited into the surrounding mantle when oxidized carbon is reduced to diamond. Harzburgitic garnet evolves towards Ca-rich compositions even when it interacts with Ca-poor saline fluids. An unusual trend of Mg enrichment to Fo95-98 is observed in some olivine inclusions in Wawa fibrous diamonds. The trend may result from the carbonatitic composition of the fluid that promotes crystallization of magnesian olivine and preferentially oxidizes the fayalite component. We propose a generic model of fibrous and non-fibrous diamond formation from carbonatitic fluids that explains enrichment of the mantle in mafic magmaphile and incompatible elements and accounts for locally metasomatized compositions of diamond inclusions.

Miller, Christine E.; Kopylova, Maya; Smith, Evan

2014-06-01

364

Malignant mesenchymoma of the scrotum.  

DEFF Research Database (Denmark)

Paratesticular sarcomas are rare, especially the malignant mesenchymoma. To our knowledge only four cases of paratesticular malignant mesenchymoma have been described previously. All were localized to the spermatic cord. We present a case of malignant mesenchymoma in the scrotum free of the spermatic cord.

MØller, P; Bernstein, Inge Thomsen

1991-01-01

365

Malignant Mesothelioma of Tunica Vaginalis  

Directory of Open Access Journals (Sweden)

Full Text Available Mesothelioma is often diagnosed as a malignant scrotal mass without pain or inflammatory signs. It is a very rare tumor with quite uncommon sites of involvement. This form of malignancy generally involves pleura, with a differential diagnosis of undifferentiated carcinoma expectable in this area related to epididymis and rete testis. Keywords: Malignant mesothelioma, Scrotal mass

M Mokhtari

2004-02-01

366

Recurrent carpal tunnel syndrome, epineural fibrous fixation, and traction neuropathy.  

Science.gov (United States)

This article has reviewed recurrent carpal tunnel syndrome, epineural fibrous fixation, and traction neuropathy of the median nerve. The problems surrounding the diagnosis and treatment of recurrent CTS have been discussed at length. The percent of failures from traditional open ligament surgery is observed to be high, and will become more prevalent as more casual treatments are carried out. This article makes a positive statement with reference to mobilization of the median nerve and anatomic restoration of the transverse carpal ligament. Fibrous fixation of the median nerve is a product of life and function. All cases are different, reflecting the strength, abilities, and personalities of the patients. A bottom line is drawn on these patients, where the summation of the problems of life become symptomatic and disabling. Epineural fibrous fixations induce median nerve traction, governed by hand, wrist, and forearm movements. Traction and tension suggest the intermittent disturbance of nerve nutrition and nerve conduction as the elastic limits of the nerve are approached. These factors accumulate and, in time, cause traction neuropathies with pain. This is followed by a reduced work capability. This impairment can be reversed by surgical nerve mobilization followed by functional nerve gliding therapy. A background history injury to the hand and wrist may be significant, as well as factors such as overuse and misuse of the hand and extremity. Prior to surgery, the careful application of diagnostic stress tests are essential, for the differential diagnosis of fixation traction and positional peripheral neuropathies. Nerve mobilization supported by magnification and the techniques of hand surgery has been successful by the methods discussed and has permitted, importantly, the restoration of the anatomic retinaculum for the flexor tendon system. This can be restored in carpal tunnel surgery and reconstructed with basic ligament material in recurrent carpal tunnel surgery. PMID:1658011

Hunter, J M

1991-08-01

367

Sorption isolation of plutonium by fibrous complexing sorbents POLIORGS  

International Nuclear Information System (INIS)

Sorption separation of plutonium and other radionuclides by fibrous complexing adsorbents from neutral and nitric acid aqueous solutions are studied. Possibility of plutonium, americium, uranium, thorium and europium separation by adsorbent POLIORGS 33 containing amidoxime and hydrazine groups from neutral salt solutions and isolation of plutonium by adsorbent POLIORGS 33A (modified by arsenazo 3) from nitric acid solutions of complex composition are established. Possibility of selective isolation of plutonium and its separation from trivalent actinides and lanthanides using POLIORGS 33A is shown

368

Craniofacial surgery and optic canal decompression in adult fibrous dysplasia  

Directory of Open Access Journals (Sweden)

Full Text Available A 29-year-old female had a 3-year history of bony swelling over the right frontal area. For 3 months she noticed proptosis of her right eye. Investigations revealed fibrous dysplasia involving the right half of the frontal bone and the right greater and lesser wings of the sphenoid bone. Visual evoked potentials (VEP showed delayed latencies on the involved side. A craniofacial surgery with optic canal decompression was performed. Follow-up after 2 years revealed normalization of VEP.

Mahapatra A

2003-01-01

369

Development of flame resistant treatment for nomex fibrous structures  

Science.gov (United States)

Technology which renders aramid fibrous structures flame resistant through chemical modification was developed. The project scaled up flame resistant treatment from laboratory fabric swatches of a few inches to efficiently producing ten yards of commercial width (41 inches) aromatic polyamide. The radiation intensity problem of the processor was resolved. Further improvement of the processor cooling system was recommended for two reasons: (1) To advance current technology of flame proofing Nomex fabric to higher oxygen enriched atmospheres; and (2) To adapt the processor for direct applicability to low cost commercial fabrics.

Toy, M. S.

1978-01-01

370

Characterization of three fibrous insulations for potential HTGR application  

International Nuclear Information System (INIS)

Three fibrous insulation materials manufactured by Babcock and Wilcox were characterized for possible use as HTGR core thermal insulations. These materials (Unifelt 3000 board, Unifelt 2600 board, and Kaowool blanket) were characterized by spectrographic analysis, x-ray diffractometry, scanning electron microscopy, ignition studies and bulk density measurements, resilience tests, helium permeation tests, and compressive stress-strain tests. Of these properties, resilience is the most important for determining acceptability of material for HTGR use. The arbitrary resilience acceptability criterion is 90% or greater after 20 h at 8160C (15000F). Based on the resilience test, the Unifelt 3000 was acceptable, the Unifelt 2600 was marginal, and the Kaowool was unacceptable

371

Modeling Ablation of Fibrous Materials from Bulk to Knudsen Regime  

Science.gov (United States)

Material-environment interactions are analyzed at microscopic scale to explain the lower than expected density observed by post-flight analysis of the char layer on the Stardust shield. Mass transfer, ablation (oxidation), and surface recession of fibrous material is simulated in 3D using a Monte-Carlo simulation tool. Ablation is found to occur either at the surface or in volume depending on Knudsen and Thiele number values. This study supports the idea of volume ablation followed by possible carbon fiber spallation that may explain post-flight analyses.

Lachaud, Jean; Mansour, Nagi N.

2008-01-01

372

Subcritical statistics in rupture of fibrous materials: Experiments and model  

CERN Document Server

We study experimentally the slow growth of a single crack in a fibrous material and observe stepwise growth dynamics. We model the material as a lattice where the crack is pinned by elastic traps and grows due to thermally activated stress fluctuations. In agreement with experimental data we find that the distribution of step sizes follows sub-critical point statistics with a power law (exponent 3/2) and a stress-dependent exponential cut-off diverging at the critical rupture threshold.

Santucci, S; Ciliberto, S; Santucci, Stephane; Vanel, Loic; Ciliberto, Sergio

2004-01-01

373

BMP-2-loaded silica nanotube fibrous meshes for bone generation  

International Nuclear Information System (INIS)

Silica nanotube fibrous meshes were fabricated as multiple functional matrices for both delivering bone morphological protein-2 (BMP-2) and supporting osteoblast attachment and proliferation. The meshes were fabricated via a collagen-templated sol–gel route and consisted of tubular silica with open ends. BMP-2 was loaded to the meshes by soaking in BMP-2 solution. The meshes effectively enabled the attachment and proliferation of osteoblast MC3T3-E1 cells and delivered bioactive BMP-2 to stimulate cell differentiation. These results demonstrate the potential use of the meshes in bone generation applications.

374

Uncommon case of symmetrical fibrous hyperplasia of the hard palate.  

Science.gov (United States)

The fibrous hyperplasia of the palate (fibroma) is a benign tumor which has its origin in the soft tissue and whose frequency is estimated to be 1.2% on adult subjects. Rarely the size exceeds the cm, but in these cases a complaint of increasing difficulty of mastication and swallowing appears. We describe the case of a young white woman affected with two peculiar symmetric lesions of the secondary hard palate, that could be the consequence of an abnormal answer to a chronic inflammatory stimulation. PMID:20329575

Di Lorenzo, S; Milia, A; Corradino, B; Cordova, A

2010-02-01

375

The fibrous structure of coelacanth scales: a twisted 'plywood'.  

Science.gov (United States)

Isopedin is a network of collagen bundles present in the scales of most fishes. The scales of coelacanths show a remarkable three-dimensional arrangement of this network which is similar to a regularly twisted plywood. The successive fibrous layers cross at an angle which differs slightly from a right angle. It results that the whole system is twisted. The progressive rotation of the fibril direction is right-handed. Certain preferential orientations of fibrils have been observed, namely parallel to the growth rings. Such arrangments also exist in the embryonic cornea of birds and in the cuticle of certain insects, but do not present such an extensive and regular development. PMID:746541

Giraud, M M; Castanet, J; Meunier, F J; Bouligand, Y

1978-01-01

376

Fibrous lipoblastoma with 8q11.2 abnormality.  

Science.gov (United States)

A 3-month-old African American female infant had a rapidly growing lipoblastoma with a prominent fibrous component in the soft tissue of the left lateral knee, which recurred at 10 months. Cytogenetic analysis revealed deletion of 8(q11.2q13) with a 19(q12q13.3) insertion at that site, confirming that this is closely related to the conventional lipoblastoma. The presence of multivacuolated lipoblasts and the staining characteristics (no staining for CD99, CD34, or smooth muscle actin) distinguish this from the recently described lipofibromatosis. PMID:17116489

Craver, Randall D; Henrich, Stephen; Kao, Yuan S

2006-12-01

377

Pleural solitary fibrous tumor complicated with autoimmune hemolytic anemia.  

Science.gov (United States)

We herein report a 74-year-old woman who presented with autoimmune hemolytic anemia (AIHA) associated with pleural solitary fibrous tumor (SFT). Her AIHA was initially treated with 1 mg/kg daily of oral prednisolone (PSL) for 2 months, which had a limited effect. However, after surgical tumor resection, the patient showed remarkable improvement of AIHA with normalizations of serum lactate dehydrogenase and bilirubin levels, and we were able to rapidly reduce the PSL dosage. This is the first description of a case of AIHA caused by SFT. PMID:25030571

Takahashi, Hiroshi; Ohkawara, Hiroshi; Ikeda, Kazuhiko; Harada-Shirado, Kayo; Furukawa, Miki; Sukegawa, Masumi; Shichishima-Nakamura, Akiko; Noji, Hideyoshi; Wakamatsu, Saho; Tasaki, Kazuhiro; Suzuki, Hiroyuki; Ogawa, Kazuei; Takeishi, Yasuchika

2014-01-01

378

Diffuse malignant pleural mesothelioma in an urban hospital: Clinical spectrum and trend in incidence over time  

International Nuclear Information System (INIS)

This retrospective analysis reviews the clinical experience of a major urban referral hospital with diffuse malignant pleural mesothelioma during the 14-year period from 1973 through 1986. Seventy-five cases of definite or equivocal mesothelioma were identified. There were four cases of primary malignant peritoneal mesothelioma, seven cases of benign fibrous mesothelioma, and 64 cases of diffuse malignant pleural mesothelioma. In 43 cases (67%) of diffuse malignant pleural mesothelioma, there was historic evidence of asbestos exposure. In 21 cases (33%), there was no known history of asbestos exposure. An increase in annual incidence of diffuse malignant pleural mesothelioma was observed over the study period, from three cases in 1973 to ten cases in 1986. Despite greater awareness of this disease, the diagnosis remains a difficult one to establish given the nonspecific symptoms, signs and radiographic appearance, variable histologic appearance, and poor diagnostic sensitivity and specificity of thoracentesis and closed pleural biopsy. Thoracotomy, thoracoscopy, and CT-guided needle biopsies gave higher yields and are the diagnostic measures of choice when diffuse malignant pleural mesothelioma is suspected

379

Malignant external otitis  

International Nuclear Information System (INIS)

This paper illustrates the value of CT and MR in early diagnosis and spread of malignant external otitis. The authors retrospectively analyzed 15 patients with proved malignant external otitis examined with postcontrast high-resolution CT (15/15) and MR (6/15) (T1- and T2-weighting). Gallium studies were done in 6/15 patients. Early diagnosis was made when CT demonstrated a soft-tissue mass of the external auditory canal associated with scattered zones of cortical bone erosions (13/15). Spread of the disease was better delineated by MR than CT, especially skull base extension (6/15). Temporomandibular joint involvement with extension into parotid or/and masticator spaces 6/15 was as well detected with CT as with MR. If CT remains the first and best procedure for diagnosis, MR - despite its cost - appears a good procedure to depict exact anatomic spread, allowing therapeutic management

380

Malignant insulinoma in childhood.  

Science.gov (United States)

Pancreatic tumors constitute a rare surgical problem in infancy and childhood. Insulinomas are rare in all age groups with an estimated incidence of one per 250,000 person-years and even rarer in childhood. We report a 10 year-old girl with malignant insulinoma. The presenting symptom was hypoglycemic attacks. Laboratory investigation demonstrated that the hypoglycemia was due to hyperinsulinism. MRI of the abdomen revealed a mass at the tail of the pancreas. Distal pancreatectomy with splenectomy was performed. Histological examination showed malignant insulinoma with peripancreatic lymph node metastases. One month later abdominal MRI revealed the existence of multiple small metastatic foci in the liver, which were confirmed by In111 octreoscan. Treatment with octreotide was started and the disease is stable after 12 months of therapy. PMID:16789643

Karachaliou, Feneli; Vlachopapadopoulou, Elpis; Kaldrymidis, Philipos; Simatos, George; Zacharea, Maria; Spanidou-Karvouni, Erini; Michalacos, Stefanos; Voros, Dionyssios

2006-05-01

 
 
 
 
381

Hyaluronan in human malignancies  

Energy Technology Data Exchange (ETDEWEB)

Hyaluronan, a major macropolysaccharide in the extracellular matrix of connective tissues, is intimately involved in the biology of cancer. Hyaluronan accumulates into the stroma of various human tumors and modulates intracellular signaling pathways, cell proliferation, motility and invasive properties of malignant cells. Experimental and clinicopathological evidence highlights the importance of hyaluronan in tumor growth and metastasis. A high stromal hyaluronan content is associated with poorly differentiated tumors and aggressive clinical behavior in human adenocarcinomas. Instead, the squamous cell carcinomas and malignant melanomas tend to have a reduced hyaluronan content. In addition to the stroma-cancer cell interaction, hyaluronan can influence stromal cell recruitment, tumor angiogenesis and epithelial-mesenchymal transition. Hyaluronan receptors, hyaluronan synthases and hyaluronan degrading enzymes, hyaluronidases, are involved in the modulation of cancer progression, depending on the tumor type. Furthermore, intracellular signaling and angiogenesis are affected by the degradation products of hyaluronan. Hyaluronan has also therapeutic implications since it is involved in multidrug resistance.

Sironen, R.K. [Institute of Clinical Medicine, Pathology and Forensic Medicine, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio (Finland); Department of Pathology, Kuopio University Hospital, P.O. Box 1777, FI-70211 Kuopio (Finland); Tammi, M.; Tammi, R. [Institute of Biomedicine, Anatomy, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio (Finland); Auvinen, P.K. [Department of Oncology, Kuopio University Hospital, P.O. Box 1777, FI-70211 Kuopio (Finland); Anttila, M. [Institute of Clinical Medicine, Pathology and Forensic Medicine, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio (Finland); Department of Gynecology and Obstetrics, Kuopio University Hospital, P.O. Box 1777, FI-70211 Kuopio (Finland); Kosma, V-M., E-mail: Veli-Matti.Kosma@uef.fi [Institute of Clinical Medicine, Pathology and Forensic Medicine, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio (Finland); Department of Pathology, Kuopio University Hospital, P.O. Box 1777, FI-70211 Kuopio (Finland)

2011-02-15

382

MALIGNANT DISEASE OF CHILDREN  

Digital Repository Infrastructure Vision for European Research (DRIVER)

ABSTRACT The diploma first introduces key epidemiological data and after that biological basics of cancer in children in a more integral way. According to our findings, the reasons for malignant disease formation are mostly genetic factors. This is then followed by a review of cancer classification in children and adolescents – 12 classification groups that are defined on the basis of histological picture. A detailed description of signs and symptoms of particularly frequent types of ...

Kerin-kos, Sonja

2009-01-01

383

Primary pineal malignant melanoma  

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Primary pineal malignant melanoma is a rare entity, with only thirteen cases reported in the world literature to date. We report a case of a 70-year-old man, who consulted with gait disturbance of six months duration, associated in the last month with dizziness, visual abnormalities and diplopia. No other additional melanocytic lesions were found elsewhere. The magnetic resonance showed a 25 mm expansive mass in the pineal gland that was associated with hydrocephaly, ventricular and transepen...

Cesar La Cruz Pelea; Oderay Mabel Cedeño Díaz; Roberto Garcia Leal

2011-01-01

384

Bilateral Malignant Brenner Tumour  

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Full Text Available Bilateral malignant Brenner tumour ofovary is extremely rate. A case ofmalignant Brenner tumourinvolving both the ovaries with mctastasis to mesentery in a 48 year femalc is presented. Grosslyo'arian masses were firm with soft areas, encapsulated and having bosselated external surfaces.Cut sections showed yellowish white surface with peripheral cysts (in both tumours. Microscopyrevealed transitional cell carcinoma with squamoid differentiation at places. Metastatic deposits werefound in the mesentery. Endometrium showed cystic glandular hyperplasia.

Nasser D Choudhary, S.Manzoor Kadri, Ruby Reshi, S. Besina, Mansoor A. Laharwal, Reyaz tasleem, Qurrat A. Chowdhary

2002-10-01

385

Pulmonary mycobacteriosis and malignancy  

International Nuclear Information System (INIS)

It has been widely believed that pulmonary tuberculosis may be activated by irradiation. Although mycobacterial infections are not rare in the immunocompromised host, activation of disease by irradiation has not been described in previous reviews of mycobacterial infections associated with malignancy. This report presents a case of a patient in whom activation of pulmonary infection with mycobacteria of the avium-intracellulare complex was believed to be linked to local irradiation for carcinoma of the breast

386

Ceruloplasmin in human malignancies.  

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The ceruloplasmin concentration was determined in 145 cancer patients prior to and after treatment with different radiotherapeutic and chemotherapeutic regimes. The ceruloplasmin concentration was observed to be higher in patients with malignancies than in healthy controls. There was a positive correlation of the values with the clinical condition of the patients. The ceruloplasmin concentration was noted to stop increasing and subsequently fall in patients who responded to therapy, and, i...

Chakraborty, Prabir Kishore; Ghosh, Aparesh; Chowdhury, J. Roy

1984-01-01

387

Intravascular malignant lymphomatosis  

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Intravascular malignant lymphomatosis is a rare and probably often overlooked disease characterised by massive intravascular proliferation of lymphoid cells, usually with a poor prognosis. CT and MRI appearances are nonspecific; the most suggestive finding being both asymmetrical, bilateral, contrast enhancing high-signal areas on T2 weighting and infarct-like lesions of the cortex and basal ganglia. We report two patients with previously unreported dural and spinal cord involvement. (orig.)

Martin-Duverneuil, N.; Lafitte, F.; Chiras, J. [Service de Neuroradiologie Charcot, Batiment Babinski, Hopital de la Salpetriere, 75013 Paris (France); Mokhtari, K. [Service de Neuropathologie, Hopital de la Salpetriere, 75013 Paris (France); Behin, A.; Hoang-Xuan, K. [Departement de Neurologie, Hopital de la Salpetriere, 75013 Paris (France)

2002-09-01

388

Intravascular malignant lymphomatosis  

International Nuclear Information System (INIS)

Intravascular malignant lymphomatosis is a rare and probably often overlooked disease characterised by massive intravascular proliferation of lymphoid cells, usually with a poor prognosis. CT and MRI appearances are nonspecific; the most suggestive finding being both asymmetrical, bilateral, contrast enhancing high-signal areas on T2 weighting and infarct-like lesions of the cortex and basal ganglia. We report two patients with previously unreported dural and spinal cord involvement. (orig.)

389

Classification of malignant lymphomas  

International Nuclear Information System (INIS)

Malignant lymphomas, primary tumors of the lymphoid tissues, were first described in 1832 by Thomas Hodgkin. The histological characteristics were later defined by Sternberg and Reed, and Virchow introduced the concept of lymphosarcoma in 1863. Today, these pathologies are grouped together under the synonymous terms hematosarcoma or malignant lymphoma, which are in turn divided into Hodgkin's disease (HD) and non-Hodgkin's malignant lymphomas (NHL). The therapy of lymphomas is controversial. The validity of treatment for asymptomatic patients is questioned, owing to the indolent course of many lymphomas. Results for histologically unfavorable forms are highly disparate. Exclusive radiotherapy has occasionally produced up to 78% disease-free survival at 5 years for truly localized stages. Today, however, use of chemotherapy/radiotherapy combinations is almost universal, with chemotherapy occasionally being used alone and providing 90% disease-free survival at 5 years. Chemotherapy is the main treatment for disseminated forms; the major associations include doxorubicin hydrochloride (Adriamycin), cyclophosphamide, vincristine sulfate, methotrexate, and prednisone. Radiotherapy is used more for adjuvant purposes. Synthesis of recent studies allows us to reasonably expect 40% relapse-free survival at 10 years and the establishment of a cure plateau in the near future

390

Malignant peritoneal mesothelioma  

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Full Text Available Malignant mesothelioma is a highly aggressive neoplasm. The incidence of malignant mesothelioma is increasing worldwide. Diffuse malignant peritoneal mesothelioma (DMPM represents one-fourth of all mesotheliomas. Association of asbestos exposure with DMPM has been observed, especially in males. The great majority of patients present with abdominal pain and distension, caused by accumulation of tumors and ascitic fluid. In the past, DMPM was considered a pre-terminal condition; therefore attracted little attention. Patients invariably died from their disease within a year. Recently, several prospective trials have demonstrated a median survival of 40 to 90 mo and 5-year survival of 30% to 60% after combined treatment using cytoreductive surgery and perioperative intraperitoneal chemotherapy. This remarkable improvement in survival has prompted new search into the medical science related to DMPM, a disease previously ignored as uninteresting. This review article focuses on the key advances in the epidemiology, diagnosis, staging, treatments and prognosis of DMPM that have occurred in the past decade.

Stine Munkholm-Larsen

2009-11-01

391

Radiotherapy of malignant melanomas  

International Nuclear Information System (INIS)

A study is made of 46 patients with cutaneous and mucoseous malignant melanoma treated in the Department of Radiotherapy of. A.C. Camargo Hospital - Fundacao Antonio Prudente - Sao Paulo - Brazil, from 1960 to 1973. Radiotherapy was employed as a radical procedure in 9 patients, as a, remissive procedure in 10 and as an adjuvant pre-or post-operative therapeutic in 22 patients. Six patients were submitted to actnic hipophysectomy. One out of the cases submitted to radical radiotherapy showed complete response and six patients partial response. Seven out of the ten cases treated with paliative intention did not show symptomatology after radiotherapy that led them to treatment. Under the ever-existing conflict of the clinical literature and experimentation, it is found that there had not been estabilished a definite concept concerning radiosensibility of malignant melanomas yet. The different response to the radiation-therapy from one case to another makes the local prognostic unsafe. It is concluded that the role of radiotherapy has not been perfectly estabilished in the therapeutic approach of malignant melanoma and that prospective studies are needed to situate radiotherapy in the treatment of this disease. (Author)

392

Gastrointestinal lipoma and malignancies.  

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Twenty gastrointestinal lipomata in 18 patients are reviewed: 15 located in the colon, 3 in the distal ileum, one in the duodenum, and one in the stomach. They were found most frequently in European-born, elderly women and presented with variable abdominal symptomatology. Four lipomata were removed during endoscopy, the remainder at laparotomy, partial colectomy being performed in 10 cases. All, except 2 subserosal types, were located in the submucosa, and their average size was 2.7 cm diameter. Microscopically, none showed true encapsulation, and all were composed of mature fat cells without cellular atypia. In spite of nonspecific changes at endoscopy, one-half of the cases showed, on microscopic examination, atrophy of the overlying glands and a prominent eosinophilic and/or lymphoplasmocytic infiltration of the lamina propria. Two large subserosal lipomata were associated with Crohn's disease. In addition, in 39% of cases, malignant tumours, either single or double, were present in the gastrointestinal tract or elsewhere. Gastrointestinal "lipomata" are located in the sites of normal fatty infiltration in the elderly; these growths could be a local aging or reactive process of the intestinal wall rather than true neoplasms without any potential malignancy. However, coexistent malignancies should be carefully searched for in elderly patients with colonic lipoma. PMID:2072700

Siegal, A; Witz, M

1991-07-01

393

Meningioma maligno / Malignant meningioma  

Scientific Electronic Library Online (English)

Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish Los meningiomas intracraneales son tumores por lo general benignos, de crecimiento lento, y se originan en la capa de células aracnoideas, especialmente en las granulaciones aracnoideas. Los meningiomas anaplásicos o malignos representen solo el 1-3 %. En ocasiones simulan lesiones tumorales neuroep [...] iteliales malignas, por su crecimiento rápido y la frecuente invasión al tejido cerebral vecino; suelen recidivar con mayor frecuencia y muchas veces requieren terapia coadyuvante. Las imágenes topográficas de este tipo de tumores suelen ser hiperdensas, con muy buena captación del contraste, regulares y bien delimitadas con poco o ningún edema asociado, todo lo contrario a lo visto en el caso que se presenta, en el cual las imágenes parecían corresponder a las de un glioma maligno (glioblastoma multiforme). Abstract in english The intracranial meningiomas are tumors in general of benign type of a slow growth originating in the arachnoid cells layer, especially in arachnoid granulations. The anaplastic or malignant meningiomas accounted for only the 1-3%. Sometimes they simulate malignant neuroepithelial lesions due to its [...] fast growth and the frequent invasion of surrounding cerebral tissue with very frequent relapses and many times they required adjuvant therapy. The topographic images of this type of tumor are hyper-denses with a good contrast capture, regular and well defined with not much or not associated edema, quite the contrary that observed in present case where images seems to correspond with those of a malignant glioma (multiforme glioblastoma).

Yvei, González Orlandi; Luis, Elizondo Barrier; Reinel, Junco Martín; Jorge, Rojas Manresa; Víctor, Duboy Limonta; Alberto, Pérez Villafuerte.

2011-03-01

394

Malignant intraocular tumors  

International Nuclear Information System (INIS)

The role of the radiation therapist in the management of malignant intraocular tumors is changing. With more active identification of malignant intraocular tumors, and a better recognization of the manner in which one can deal with problems of radiation sensitivity, radiation techniques of all sorts will be more actively employed in the treatment of these tumors. Special techniques must be selected for appropriate circumstances of management in order to diminish to an absolute minimum the impact upon the lens, the impact upon visual acuity and the impact upon the cornea. Cobalt-60 plaques are being used more commonly in the treatment of melanomas of the choroid, and the role for radiation therapy in the management of retinoblastoma is changing markably to where it may be used as the primary treatment program rather than enucleation. In metastatic disease involving the uveal tract, radiation therapy has assumed the most important role for management. Chemotherapy should be considered as an active adjuvant in the management of not only those individuals with retinoblastoma but also in those identified circumstances where metastases to the uveal tract are being treated. The role for chemotherapy or immunotherapy in malignant melanoma is unclear

395

Criteria and quantification of fibrous dysplasia on MDP scanning  

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Eleven patients with histologically proven fibrous dysplasia (biopsy) were imaged with 3-phase bone scanning, using {sup 99m}Tc-MDP. Ten had monostotic and one had polyostotic fibrous dysplasia. The perfusion (phase I) and uptake (phase III) of monostotic lesions was compared to the normal contralateral side and the rest of the skeleton was inspected for other abnormalities. Lesions presented with slightly increased perfusion (1.65 normal {+-}0.907) and markedly increased uptake of tracer (6.0 normal {+-}2.58). Other features that were noted are high spinal and scapula and poor renal tracer uptake. (orig.) [Deutsch] Elf Patienten mit histologisch (Biopsie) nachgewiesener fibroeser Dysplasie wurden mittels {sup 99m}Tc-MDP und Dreiphasen-Knochenszintigraphie untersucht. Zehn litten an der monostotischen und einer an der polyostotischen Form. Die Perfusion (Phase I) und der Uptake (Phase III) der monostotischen Laesionen wurden mit der gesunden kontralateralen Seite verglichen und das uebrige Skelett auf andere Veraenderungen untersucht. Die Laesionen zeigten eine leicht erhoehte Perfusion (1,65 normal {+-}0,907) und einen deutlich erhoehten Uptake (6,0 normal {+-}2,58). Ferner wurden eine hohe Speicherung in der Wirbelsaeule und den Schulterblaettern und eine nur geringe Speicherung in den Nieren festgestellt. (orig.)

Sathekge, M.M. [Dept. of Nuclear Medicine, Medunsa (South Africa); Clauss, R.P. [Dept. of Nuclear Medicine, Medunsa (South Africa)

1995-12-01

396

Heat Transfer Modeling for Rigid High-Temperature Fibrous Insulation  

Science.gov (United States)

Combined radiation and conduction heat transfer through a high-temperature, high-porosity, rigid multiple-fiber fibrous insulation was modeled using a thermal model previously used to model heat transfer in flexible single-fiber fibrous insulation. The rigid insulation studied was alumina enhanced thermal barrier (AETB) at densities between 130 and 260 kilograms per cubic meter. The model consists of using the diffusion approximation for radiation heat transfer, a semi-empirical solid conduction model, and a standard gas conduction model. The relevant parameters needed for the heat transfer model were estimated from steady-state thermal measurements in nitrogen gas at various temperatures and environmental pressures. The heat transfer modeling methodology was evaluated by comparison with standard thermal conductivity measurements, and steady-state thermal measurements in helium and carbon dioxide gases. The heat transfer model is applicable over the temperature range of 300 to 1360 K, pressure range of 0.133 to 101.3 x 10(exp 3) Pa, and over the insulation density range of 130 to 260 kilograms per cubic meter in various gaseous environments.

Daryabeigi, Kamran; Cunnington, George R.; Knutson, Jeffrey R.

2012-01-01

397

Magnetic resonance of lipomatous, fibrous and muscular tissue tumors  

International Nuclear Information System (INIS)

Two hundred and three MR examinations were reviewed of 195 patients with lipomatous, fibrous and muscular tissues tumors which were evaluated at staging or during the follow-up. All examinations were obtained with a 1.5 T superconductive magnet, and both T1 and T2-weighted images were acquired. Its high contrast resolution, its direct multiplanarity and its allowing both T1 and T2-weighted images to be obtained are the mos important characteristics of MR imaging. In our experience, MRI demonstrated a high overall accuracy (94.8%) - 94.1% at restaging alone - with similar sensitivity both at the staging of the disease (97.5%) and during the follow-up (96%). Overall sensibility was 96.3%. MR specificity in histologically proven relapses was 86.8%. Even though it is gradually assessing itself as the most important method in the evaluation of soft tissues masses, MRI allows an histological diagnosis to be made only in lipomatous tumors and in benign fibrous tumors due to their specific signal features. The commonest though specific finding is a soft tissue mass with relatively low signal intensity in T1-weighted images. In our opinion, MR imaging is the method of choice during the follow-up of the disease, whereas it is probably a complementary technique in the staging. (author)

398

Origin of fibrous clays in Tunisian Paleogene continental deposits  

Science.gov (United States)

This paper presents mineralogical and geochemical data from several continental sequences located in Central (Ain Ghréwiss and Kébar) and Central-Southern Tunisia (Selja, Kef Schefeir, Shib, Oum El Kcheb and Haidoudi). These sequences vary in age from Late Palaeocene to Early Oligocene and contain considerable quantities of fibrous clays (up to 75% palygorskite and 90% sepiolite). These clays appear in assocation with carbonates (mainly dolomite), detrital aluminosilicates (illite, Al smectites, mixed-layers illite-smectite and kaolinite), quartz and lesser quantities of gypsum and halite. The textural characteristics observed by electron microscopy, the trace and rare earth elements contents and their distribution in the various mineral phases, together with the isotopic composition of dolomite and fibrous clays, provide good clues as to the genesis of the neoformed minerals. Thus, the sepiolite would have precipitated directly in lacustrine, playa-lake or sebka environments under alkaline conditions, high Si and Mg and low Al activity, and arid to semiarid climate. On the other hand, the palygorskite would have formed by transformation of already existing illite and/or smectite type aluminosilicates in solutions in equilibrium with isotopically heavier and, therefore, more evaporated solutions than the sepiolite.

Zaaboub, Noureddine; Abdeljaouad, Saadi; López-Galindo, Alberto

2005-12-01

399

Fibrous dysplasia associated with intramuscular myxoma(mazabraud's syndrome) : a case report  

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Mazabraud's syndrome, the etiology of which is unknown, is a rare benign disease, characterized by the association of intramuscular myxoma and fibrous dysplasia of bone, usually polyostotic. We describe a case of Mazabraud's syndrome in which with two intramuscular myxomas of the forearm were associated with polyostotic fibrous dysplasia.

Chun, Kyung Ah; Kim, Ki Tae; Kim, Young Joo; Maeng, Lee So; Lee, Eun Jung [The Catholic Univ. of Korea, College of Medicine, Seoul (Korea, Republic of)

1999-05-01

400

An epidemiological and clinical analysis of craniomaxillofacial fibrous dysplasia in a Chinese population  

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Full Text Available Abstract Background Craniomaxillofacial fibrous dysplasia (FD is a benign bone lesion characterized by facial disfigurement and functional impairment. The aim of this study was to characterize the epidemiological and clinical features of craniomaxillofacial FD by presenting data from a representative Chinese population during a 15-year period (1994–2009. Method The craniomaxillofacial disease registries of two Chinese tertiary referral hospitals (Shanghai Ninth People’s Hospital and Stomatological hospital of Jiangsu Province were searched and reviewed to collect relevant information for patients with craniomaxillofacial FD between Jan.1994 and Dec.2009. All included cases were further analyzed with regard to associated epidemiological and clinicopathological variables. Results A total number of 266 cases with definitive diagnosis were identified with 219 primary cases and 47 recurrent cases. There were 111 males and 155 females with a male to female ratio of 0.716:1. They were clinically categorized into three groups: monostotic (71.1%, polysotic (27.4% and Albright syndrome (1.5%. Maxilla alone or with adjacent bones was the most common affected site. The serum alkaline phosphatase (ALP in patients was much higher than that in healthy control, whereas comparable between primary patients and recurrent ones. Three patients (3/266, 1.1% with polysotic lesions underwent spontaneous malignant transformation into osteosarcoma. The majority of patients underwent conservative surgery, while the others received radical resection with or without reconstruction. Conclusions Craniomaxillofacial FD is a rare bony disorder with defined epidemiological and clinicopathological features in Chinese population. Further investigations are warranted to establish the optimized timing, treatment strategy and prognostic prediction for this clinical entity.

Cheng Jie

2012-10-01

 
 
 
 
401

Pseudotumor fibroso calcificado del cordón espermático / Calcified fibrous pseudotumor of spermatic cord  

Scientific Electronic Library Online (English)

Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish Los tumores paratesticulares son infrecuentes y la mayoría benignos. Se presenta el caso de un paciente de 24 años de edad, con antecedentes de buena salud que asistió a la consulta por notarse en el escroto derecho un tumor de aproximadamente 4 cm de diámetro, de consistencia dura e indoloro, de un [...] os 6 meses de evolución. El ultrasonido escrotal reveló una lesión heterogénea y bien circunscrita, independiente del epidídimo y del testículo. La biopsia aspirativa con aguja fina fue infructuosa por la dureza del tumor. Se realizó una inguinotomía y la exéresis total del tumor con biopsia por congelación, negativa de malignidad. El informe histopatológico definitivo fue: pseudotumor fibroso calcificado del cordón espermático. La evolución del paciente ha sido satisfactoria. Se confirma la importancia de la inguinotomía para el abordaje de los tumores paratesticulares, más aún cuando la biopsia aspirativa con aguja fina no es concluyente para el diagnóstico. Abstract in english Paratesticular tumors are infrequent and most are benigns. This a case presentation of a patient aged 24 with a history of good health coming to our consultation by presence of a hard and painless 4 cm tumor in right scrotum with a 6 months course. Scrotal ultrasound (US) showed a well circumscribed [...] heterogeneous lesion separate of epididymis and the testis. Fine needle aspiration biopsy (FNAB) was not possible by hardness of tumor. A inguinal surgery was performed and the total tumor exeresis using freezing biopsy negative of malignancy. Final histopathological report was: calcified fibrous pseudotumor of spermatic cord. Patient's course has been satisfactory. Significance of inguinal surgery was confirmed for the paratesticular tumor approach, even more when FNAB it is not conclusive for diagnosis.

Tomás Lázaro, Rodríguez Collar; Basily, Valdés Estévez; Miguel Ángel, Nagua Valencia; Mercedes Rita, Salinas Olivares.

2009-12-01

402

Pseudotumor fibroso calcificado del cordón espermático Calcified fibrous pseudotumor of spermatic cord  

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Full Text Available Los tumores paratesticulares son infrecuentes y la mayoría benignos. Se presenta el caso de un paciente de 24 años de edad, con antecedentes de buena salud que asistió a la consulta por notarse en el escroto derecho un tumor de aproximadamente 4 cm de diámetro, de consistencia dura e indoloro, de unos 6 meses de evolución. El ultrasonido escrotal reveló una lesión heterogénea y bien circunscrita, independiente del epidídimo y del testículo. La biopsia aspirativa con aguja fina fue infructuosa por la dureza del tumor. Se realizó una inguinotomía y la exéresis total del tumor con biopsia por congelación, negativa de malignidad. El informe histopatológico definitivo fue: pseudotumor fibroso calcificado del cordón espermático. La evolución del paciente ha sido satisfactoria. Se confirma la importancia de la inguinotomía para el abordaje de los tumores paratesticulares, más aún cuando la biopsia aspirativa con aguja fina no es concluyente para el diagnóstico.Paratesticular tumors are infrequent and most are benigns. This a case presentation of a patient aged 24 with a history of good health coming to our consultation by presence of a hard and painless 4 cm tumor in right scrotum with a 6 months course. Scrotal ultrasound (US showed a well circumscribed heterogeneous lesion separate of epididymis and the testis. Fine needle aspiration biopsy (FNAB was not possible by hardness of tumor. A inguinal surgery was performed and the total tumor exeresis using freezing biopsy negative of malignancy. Final histopathological report was: calcified fibrous pseudotumor of spermatic cord. Patient's course has been satisfactory. Significance of inguinal surgery was confirmed for the paratesticular tumor approach, even more when FNAB it is not conclusive for diagnosis.

Tomás Lázaro Rodríguez Collar

2009-12-01

403

Pulmonary tumorlets with surrounding fibrous tissue--suspected carcinoma: case report and review of the literature.  

Science.gov (United States)

Pulmonary tumorlets are small, often multiple nodular proliferations of pulmonary neuroendocrine cells. They are common incidental findings in chronic inflammatory pulmonary diseases. They can also be found in normal lung parenchyma and as one part of the continuum known as diffuse idiopathic pulmonary neuroendocrine cell hyperplasia. In many cases, they are incidental histologic findings of no importance or clinical consequences, or they can be associated with a very slow progression of either obstructive or mixed obstructive/restrictive impairment with good prognosis. Only rarely, they metastasize to an adjacent lymph node or produce ectopic neuroendocrine products. When found during diagnostic examination, they represent a doubt to be a malignant tumor until proven otherwise, which is often impossible without biopsy or surgical removal of the adjacent lung lobe. Hereby, we present a patient with a persistent nodular lung structure after being treated for nonspecific symptoms, cough with non purulent sputum and pa