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Sample records for pineal region tumors

  1. Pineal region tumors--neurosurgical review.

    Science.gov (United States)

    Radovanovic, Ivan; Dizdarevic, Kemal; de Tribolet, Nicolas; Masic, Tarik; Muminagic, Sahib

    2009-01-01

    The treatment for the pineal region tumors depends on tumor histology. Nowadays, germinomas can be cured by radiotherapy and chemotherapy without surgical resection but the other pineal region tumors should be primary treated by surgery. Two microsurgical approaches, the infratentorial supracerebellar and the occipital transtentorial, are accepted as the main standard accesses to the pineal region. For benign pineal tumors (pineocytoma, meningioma, mature teratomas, symptomatic pineal cysts, etc.) radical surgical resection can be curative. For malignant tumors radical surgical resection is not an objective. Serum and CSF markers contribute to the diagnosis of pineal parenchymal tumors. b-HCG is mainly positive in choriocarcinomas, embryonal carcinomas and mixed germ cell tumors and AFP is expressed by yolk sac tumors, embryonic carcinomas, immature teratomas and mixed germ cell tumors, b-HCG is usually low in germinomas which are often positive for PLAP on immunohistochemistry. Fifty-one pineal region tumors were surgically treated by senior author (NdT). Only 17 of them were the neoplasms originating from pineal body (pineal tumors). In conclusion it can be stressed that management of pineal tumors requires a multidisciplinary cooperation. With the exception of germinoma where only a biopsy is needed, the role of the surgeons still remains prominent as resection of pineal tumors requires high technical skill and experience as well as precise clinical judgment. PMID:20088167

  2. Papillary tumor of the pineal region

    Science.gov (United States)

    Opatowsky, Michael; O'Rourke, Brian; Layton, Kennith

    2012-01-01

    Presented is a patient with papillary tumor of the pineal region (PTPR), an uncommon and recently recognized neoplasm. As its name implies, PTPR does not arise from the pineal gland itself. The cell of origin is thought to be the specialized ependymocytes of the subcommissural organ. Primary tumors of the pineal region include pineal parenchymal neoplasms, germ cell neoplasms, and tumors arising from adjacent structures, including meningiomas, astrocytomas, and ependymomas. Like other masses in this location, PTPR often leads to obstructive hydrocephalus. Due to the relative paucity of reported cases of PTPR, its natural history is unknown. PMID:22275792

  3. Diagnosis and treatment of pineal region tumors

    International Nuclear Information System (INIS)

    The aim of this volume is to review the pertinent literature dealing with pineal tumors and thus aid in the handling of these rather uncommon lesions. After the first, introductory, chapter, three chapters treat the pathology and diagnosis of pineal tumors. There is also one chapter on intracranial germ cell tumors (natural history and pathogenesis) and one on the normal function of the pineal gland. With the exception of the chapter on diagnostic radiology of pineal tumors, which seems somewhat superficial, these five chapters summarize current knowledge about the nature of these complex lesions and their symptomatology very well. The next nine chapters deal with biopsy and surgery of these tumors and how to manage the patient. The first of these gives a historical review of the development of surgical techniques - from the first attempt by Horsley in 1905 to the microsurgical techniques of today. It is followed by a very important and detailed description of the microsurgical anatomy of the pineal region

  4. Transcallosal approach to pineal tumors and the hospital for sick children series of pineal region tumors

    International Nuclear Information System (INIS)

    Direct surgery on a pineal region mass can be carried out safely and is justified in that the pineal region harbors many benin tumors which would not benefit from radiotherapy. Furthermore, this region contains some highly malignant tumors that need more than just local radiotherapy. In order to discern between these various groups of tumors, histologic proof of the nature of the entire tumor is necessary. The author has found the posterior transcallosal approach to the pineal region a safe and satisfactory approach to tumors in this region and also found this approach particularly advantageous when the tumor extends upwards and forwards into the third ventricle. Direct surgery on pineal tumors can now be carried out confidently and safely and in many cases, radical if not total removal of the neoplasm can be achieved

  5. Diagnosis of pineal region tumors; Imagerie des tumeurs de la region pineale

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    Gauvrit, J.Y.; Soto Ares, G.; Hamon-Kerautret, M.; Pruvo, J.P.; Blond, S. [Centre Hospitalier Universitaire, 59 - Lille (France)

    1997-09-01

    The aim of this paper is to explain the different radio-clinical presentations of pineal region tumors. Although MR images provide a important help to diagnosis, because of topographic analysis and evaluation of MR characteristics in the tumors, clinic, presentation tumors markers and the stereotaxic surgery are also of great importance. Radiological appearances, while not pathognomonic, are helpful in the differential diagnostic of pineal region tumours. (authors). 44 refs.

  6. MR imaging in tumors of the pineal region

    International Nuclear Information System (INIS)

    Ten patients with tumors of the pineal region underwent CT and MRI investigations. There were 3 germinomas, 3 teratomas and 1 of each of the following: Pineocytoma, PNET, ependymoma and meningioma. Not only were tumor size and growth compared to CT, but an attempt was made to obtain knowledge of the histology of the tumor by special T2 calculations. The investigations did not lead to an improvement in type specific diagnosis. (orig.)

  7. Lung carcinoma metastasis presenting as a pineal region tumor / Metástasis del carcinoma de pulmón que se presenta como tumor de la región pineal

    Scientific Electronic Library Online (English)

    Y., Samanci; C., Iplikcioglu; E., Ozek; D., Ozcan; B., Marangozoglu.

    2011-12-01

    Full Text Available La región pineal es un sitio inusual para el depósito de metástasis y la mayoría de las metástasis pineales son asintomáticas. Un hombre de 53 años debutó con una cefalea intensa, limitación en la supraversión y diplopia. La exploración neurológica fue irrelevante. La resonancia magnética (RM) cereb [...] ral demostró una lesión solitaria de 1,5 x 2 cm bien delimitada, en la región pineal con hidrocefalia. Fue intervenido quirúrgicamente siendo el diagnóstico anatomopatológico de adenocarcinoma. Un estudio sistémico descubrió un adenocarcinoma de pulmón como tumor primario. Aunque muy raramente, las metástasis deben considerarse en el diagnóstico diferencial de tumores de la región pineal. Abstract in english The pineal region is an unusual site for brain metastasis and most metastatic pineal lesions are asymptomatic. A 53 year-old man presented with severe headache, limitation of upward gaze and diplopia. The patient's neurological examination was unremarkable. Magnetic resonance imaging (MRI) scans of [...] the brain demonstrated a 1,5 x 2 cm well demarcated solitary mass in the pineal region with hydrocephalus. Surgery was performed and adenocarcinoma was diagnosed. A systemic investigation revealed adenocarcinoma of the lung as primary lesion. Although rare, metastatic tumor should be considered in the differential diagnosis of pineal region tumors.

  8. Papillary tumor of the pineal region: report of a rapidly progressive tumor with possible multicentric origin

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    Sato, Takashi S. [University of Iowa, Carver College of Medicine, Iowa City, IA (United States); Kirby, Patricia A. [University of Iowa, Department of Pathology, Iowa City, IA (United States); Buatti, John M. [University of Iowa, Department of Radiation Oncology, Iowa City, IA (United States); Moritani, Toshio [University of Iowa Hospitals and Clinics, Department of Radiology, Iowa City, IA (United States)

    2009-02-15

    Papillary tumor of the pineal region (PTPR) is an uncommon tumor recently added to the WHO classification of CNS tumors. We report a case of PTPR in a young boy that was noteworthy for early CSF dissemination and relentless progression. In spite of intensive chemotherapy and comprehensive radiotherapy, the boy died. The neuroimaging appearance is unique with possible multicentric origin of the tumor and intense uptake of {sup 111}In-DTPA-pentetreotide. (orig.)

  9. INITIAL SYMPTOMS OF PINEAL REGION TUMORS - COMPARISON TO HISTORICAL CONTROL OF PRE-CT ERA -

    OpenAIRE

    Fujimaki, Takamitsu; Fukuoka, Kohei; Shirahata, Mitsuaki; SUZUKI, Tomonari; ADACHI, Jun-ichi; Yanagisawa, Takaaki; Mishima, Kazuhiko; Wakiya, Kenji; Matsutani, Masao; Nishikawa, Ryo

    2014-01-01

    BACKGROUND: The initial symptoms of pineal region tumors might vary according to histology and era. METHODS: The initial symptoms of 39 pineal region tumors who were treated at the International Medical Center, Saitama Medical University and whose initial clinical symptoms were well documented on charts were analyzed. Those symptoms were compared with those of historical control (HC) of 26 "pienalomas" (1), who were treated at the University of Tokyo in pre-CTera (mostly germ cell tumors, but...

  10. Neuroimaging diagnosis of pineal region tumors - quest for pathognomonic finding of germinoma

    International Nuclear Information System (INIS)

    Our study aimed to elucidate the imaging features for the differentiation of pineal germinoma and other pineal region tumors. Image data sets of computed tomographic (CT) scan and magnetic resonance imaging (MRI) data of 93 pineal region tumors including 33 germinomas, 30 nongerminomatous germ cell tumors (NGGCTs), 20 pineal parenchymal tumors (PPTs), and 10 miscellaneous tumors of pineal region were reviewed. Imaging features on CT and MRI were qualitatively assessed by three readers. To know the reasons for morphological differences between germinomas and NGGCTs, histological investigation was done. Localized calcification was seen in more than 70 % of germ cells tumors (GCTs: germinomas and NGGCTs) while it was scattered in more than half of PPTs. Cystic components in tumors were most frequent in NGGCTs (62 %). Multiplicity of lesion was restricted to GCTs: 39.4 % in germinoma and 10.0 % in NGGCTs. Thick peritumoral edema was more frequent in germinoma than in NGGCT: 40.6 vs. 14.8 % (p = 0.0433, Fisher's test). Bithalamic extension of tumor was seen in 78.8 % of germinomas. It was significantly rare in other groups of tumors (p < 0.0001, Fisher's test). The relative collagen amount per unit area was significantly lower in germinoma than in NGGCTs. By paying attention to characteristic features as bithalamic extension, thick peritumoral edema, calcification pattern, multiplicity, and their combination, the preoperative differential diagnosis of pineal germinoma will become more accurate. (orig.)

  11. Neuroimaging diagnosis of pineal region tumors - quest for pathognomonic finding of germinoma

    Energy Technology Data Exchange (ETDEWEB)

    Awa, Ryuji; Campos, Francia; Arita, Kazunori; Karki, Prasanna; Tokimura, Hiroshi; Hanaya, Ryosuke; Oyoshi, Tatsuki; Hirano, Hirofumi [Kagoshima University, Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima-shi, Kagoshima (Japan); Sugiyama, Kazuhiko [Hiroshima University, Department of Clinical Oncology and Neuro-oncology Program, Hiroshima (Japan); Tominaga, Atsushi; Kurisu, Kaoru; Yamasaki, Fumiyuki [Hiroshima University, Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima (Japan); Fukukura, Yoshihiko [Kagoshima University, Department of Radiology, Graduate School of Medical and Dental Sciences, Kagoshima (Japan); Fujii, Yukihiko [Niigata University, Department of Neurosurgery, Brain Research Institute, Niigata (Japan)

    2014-07-15

    Our study aimed to elucidate the imaging features for the differentiation of pineal germinoma and other pineal region tumors. Image data sets of computed tomographic (CT) scan and magnetic resonance imaging (MRI) data of 93 pineal region tumors including 33 germinomas, 30 nongerminomatous germ cell tumors (NGGCTs), 20 pineal parenchymal tumors (PPTs), and 10 miscellaneous tumors of pineal region were reviewed. Imaging features on CT and MRI were qualitatively assessed by three readers. To know the reasons for morphological differences between germinomas and NGGCTs, histological investigation was done. Localized calcification was seen in more than 70 % of germ cells tumors (GCTs: germinomas and NGGCTs) while it was scattered in more than half of PPTs. Cystic components in tumors were most frequent in NGGCTs (62 %). Multiplicity of lesion was restricted to GCTs: 39.4 % in germinoma and 10.0 % in NGGCTs. Thick peritumoral edema was more frequent in germinoma than in NGGCT: 40.6 vs. 14.8 % (p = 0.0433, Fisher's test). Bithalamic extension of tumor was seen in 78.8 % of germinomas. It was significantly rare in other groups of tumors (p < 0.0001, Fisher's test). The relative collagen amount per unit area was significantly lower in germinoma than in NGGCTs. By paying attention to characteristic features as bithalamic extension, thick peritumoral edema, calcification pattern, multiplicity, and their combination, the preoperative differential diagnosis of pineal germinoma will become more accurate. (orig.)

  12. Neurosurgical venous considerations for tumors of the pineal region resected using the infratentorial supracerebellar approach.

    Science.gov (United States)

    Kodera, Toshiaki; Bozinov, Oliver; Sürücü, Oguzkan; Ulrich, Nils H; Burkhardt, Jan-Karl; Bertalanffy, Helmut

    2011-11-01

    The authors present a microsurgical technique for the resection of a heterogeneous group of pineal-region tumors and discuss the key points for successfully performing this surgery. Twenty-six consecutive patients with pineal-region tumors were resected by the senior author (H.B.) and analyzed retrospectively. For all 26 patients, the operation was conducted using the infratentorial supracerebellar (ITSC) approach in the sitting (23 patients) or Concorde (three patients) positions. Twenty-five patients had symptomatic obstructive hydrocephalus and were treated with ventricular drainage, a previously inserted ventriculoperitoneal shunt, or an endoscopic third ventriculostomy before undergoing resection of the pineal-region tumor. The gross total removal of the tumor was achieved in 23 patients and subtotal removal was achieved in three patients. The tumors were pathologically diagnosed mainly as pineocytomas (10), pilocytic astrocytomas (6), or pineal cysts (4). Twenty-five of the patients clinically improved after surgery, and there was no mortality. Two patients experienced transient postoperative neurological deterioration: one patient developed Parinaud syndrome, and one patient developed intermittent diplopia. Successful surgery and patient outcome when treating tumors of the pineal region using the ITSC approach requires: (i) preservation of the venous flow of the Galenic draining system; (ii) preservation of the thick bridging veins of the tentorial surface of the cerebellum, especially the hemispheric bridging veins; and (iii) minimizing retraction of the cerebellum during surgery to avoid adverse effects caused by both direct cerebellar compression and disturbance of the venous circulation. PMID:21917460

  13. Tumores da região pineal: considerações sobre 12 casos / Tumours of the pineal region: comments on 12 cases

    Scientific Electronic Library Online (English)

    Rolando, Tenuto; Horacio M., Canelas; José, Zaclis; Julinho, Aisen; Waldir A., Tognola.

    1969-06-01

    Full Text Available Foram revistos 12 casos de tumores da região pineal, sob os aspectos clínico, laboratorial e neurorradiológico. Em 6 doentes o diagnóstico baseou-se apenas nos dados clínicos e neurorradiológicos (particularmente ventriculográficos) e, nos restantes 6 casos, foi confirmado por exame histopatológico. [...] A sobrevida de 3 a 9 anos, verificada em 4 casos submetidos a tratamento conservador mediante operações de derivação seguidas de irradiação pela bomba de cobalto, constitui índice em favor da conduta adotada. Abstract in english Twelve cases of tumours of the pineal region were analysed under the clinical, laboratorial and radiological viewpoints. In 6 cases the diagnosis was based only on the clinical and radiological (particularly ventriculogramortem examination. The survival from 3 to 9 years, in 4 cases submitted to the [...] conservative treatment including intra or extracranial shunts follow by cobalto-therapy, supports the indication of the procedure adopted.

  14. INITIAL SYMPTOMS OF PINEAL REGION TUMORS - COMPARISON TO HISTORICAL CONTROL OF PRE-CT ERA -

    Science.gov (United States)

    Fujimaki, Takamitsu; Fukuoka, Kohei; Shirahata, Mitsuaki; Suzuki, Tomonari; Adachi, Jun-ichi; Yanagisawa, Takaaki; Mishima, Kazuhiko; Wakiya, Kenji; Matsutani, Masao; Nishikawa, Ryo

    2014-01-01

    BACKGROUND: The initial symptoms of pineal region tumors might vary according to histology and era. METHODS: The initial symptoms of 39 pineal region tumors who were treated at the International Medical Center, Saitama Medical University and whose initial clinical symptoms were well documented on charts were analyzed. Those symptoms were compared with those of historical control (HC) of 26 "pienalomas" (1), who were treated at the University of Tokyo in pre-CTera (mostly germ cell tumors, but some without histological confirmation). RESULTS: There were 32 germ cell tumors (germinoma 20, non-germinomatous germ cell tumors (NGGCT) 12) and 6 pineal parenchymal tumors (PPT). Increased intracranial pressure (IICP) was observed in 20 cases (51%) which was slightly less than the HC (66.7%) (P = 0.17), The IICP was observed 40% of cases in germinoma, 83.3% in NGCGCT and 33.3% in PPT. Eye movement disorder was observed in 18 of 39 patients (47%) wheres that was only in 12 (33.3%) in the HC (P= 0.26). Abnormality in pupils was observed in 33.3% in the study cohort and in 25% in HC (P = 0.43). Diabetes insipidus, which suggests the presence of multifocal lesion involving hypothalamus was observed in 25% of GCTs of study cohort and in 19.4% in the HC. CONCLUSIONS: With the advancement of modern imaging modalities and accessibility to neurosurgical practice, the clinical pictures of pineal region tumors have been slightly changed but not significantly. Current pineal region tumors tend to be found a little earlier than the pre-CT era. (1) Fujimaki T. Ryoikibetsu-shoukougun series, 2000 SECONDARY CATEGORY: Epidemiology & Cancer Control.

  15. Endoscopic surgery for tumors of the pineal region via a paramedian infratentorial supracerebellar keyhole approach (PISKA).

    Science.gov (United States)

    Thaher, Firas; Kurucz, Peter; Fuellbier, Lars; Bittl, Markus; Hopf, Nikolai J

    2014-10-01

    The tumors of the pineal region represent a significant challenge in terms of patient selection and surgical approach. Traditional surgical options were commonly used to approach this area causing considerable surgical morbidity and mortality. We report for the first time on a series of endoscopic procedures for lesions of the pineal region performed via an infratentorial supracerebellar keyhole approach (PISKA) in the prone position using endoscope-assisted and endoscope-controlled technique. A single-institution series of 11 consecutive patients (five male and six female patients [11 total cases]; mean age 21 years, range 1-75 years) treated via the endoscope-assisted and endoscope-controlled PISKA for a pathological entity in the pineal region was retrospectively reviewed. The mean follow-up time was 24 months. The endoscopic PISKA was successfully used to approach a variety of pineal lesions, including pineocytoma (three patients), pineal cysts (four patients), germinoma, lipoma, medulloblastoma, and glioblastoma (one patient each). Gross total resection was achieved in ten cases and subtotal resection in one case. The mean preoperative tumor volumes were approximately 2 × 2 cm. Five patients developed postoperatively transient Parinaud's syndrome. One patient underwent surgical revision for cerebrospinal fluid leak. There was no mortality. Ten patients had an uneventful postoperative course with restitutio ad integrum after a mean follow-up duration of 13.5 months. The endoscopically PISKA is a safe and effective minimally invasive approach that enables endoscopic treatment of different lesions of the pineal region with comparable results to standard microsurgical technique but less morbidity. PMID:25106132

  16. The clinicopathological features of intermediate trophoblastic tumor in the pineal region

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    ZHANG Yun-xiang

    2012-08-01

    Full Text Available Objective To evaluate the clinicopathological features of intermediate trophoblastic tumor (ITT in the pineal region. Methods A retrospective study was performed to analyse the diagnostic and therapeutic process of 1 case with ITT in the pineal region. The specimen obtained from the surgery was dealt with common tissue processing mode and cut into slices. HE staining was performed to observe histophathological features. Immunohistochemical staining (SP two-step method was performed to analyse the expression of tumor markers. Related literatures were reviewed. Results A 6-year old boy with clinical manifestations of penis enlargement and rapid growth for more than one year, presented a mass in his pineal region through MRI. The tumor was surgically excised after it is refractory to 10 times experimental radiotherapy as germinoma. The level of β-human chorionic gonadotropin ( β-hCG in his postoperative blood was decreased to normal, but gradually increased, once again followed to normal after three times chemotherapy. Patient was normal almost postoperative 6 months later by follow -up. Pathological examination showed sheets necrosis with multiple calcification and scattered fresh blood cells, epithelioid tumor cells with solid growth pattern. The tumor cells were atypical mononuclear cells with relative uniform (between heterotypic cells and partially surrounding and invasing the vascular walls. The cytoplasm of tumor cells was eosinophilic or clear, the nucleus was round or irregular in shape and some with intranuclear pseudoinclusions, and its mitotic figures were rarely seen under light microscopy. The tumor cells showed strong positive for AE1/AE3, cell adhesion molecules 5.2 (CAM5.2, human placental lactogen (hPL, octamer-binding transcription factor 3/4 (Oct3/4, epidermal growth factor receptor (EGFR and E-cadherin. P53 was also expressed. The positive rate of Ki-67 was about 10%, and β-hCG was expressed in the extremely tumor cells. The tumor cells were negative for placental alkaline phosphatase (PLAP, alpha-feto protein (AFP, CD30 (Ki-1 and P63. Conclusion ITT in pineal region is very rare, and has partial morphological characteristics of placental site trophoblastic tumors (PSTT and epithelioid trophoblastic tumors (ETT. This case got a good control through radiotherapy, operation excision combined with chemotherapy.

  17. Spontaneous pineal apoplexy in a pineal parenchymal tumor of intermediate differentiation

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    Timothy Steel

    2013-03-01

    Full Text Available Pineal apoplexy is a rare clinical presentation of pineal parenchymal tumors. We report the curative treatment of a case of pineal parenchymal tumor of intermediate differentiation with spontaneous apoplectic hemorrhage. This case is shown through computed tomography and magnetic resonance imaging of the brain, and is confirmed via histopathological studies. Recurrent upward gaze paresis was observed after the stereotactic biopsy. The paresis required an expeditious tumor resection. The mechanism of the pineal apoplectic hemorrhage remains unclear although it has been observed in different pineal region lesions. Clinical and radiological evidence of the cure 5 years post-surgery is available.

  18. A role of trial radiation therapy in the pineal region tumors

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    Kim, Yeon Shil; Ryu, Mi Ryung; Chung, Su Mi; Kim, Moon Chan; Yoon, Sei Chul [The Catholic University of Korea, Seoul (Korea, Republic of)

    2002-06-15

    The aim of this retrospective study was to assess the treatment results of 30 patients with pineal region tumors who were underwent radiation therapy under the diagnosis by either CT or MRI. There was no histological verification. We analyzed the prognostic factors that have a significant effect on the overall survival (OS) and disease free survival (DFS) rates. A total 30 patients with pineal region tumors were treated between March 1983 and August 1995. After a trial radiation therapy of 20 {approx} 30 Gy/2 {approx} 3 weeks, the patients were evaluated for their clinical response and radiological response by either CT or MRI and the final treatment direction was then decided. According to their response to the trial radiation therapy and the involved site, radiation treatment was given in various field i.e., local, ventricle, whole brain and craniospinal field. The radiation dose ranged from 40.8 to 59.4 Gy (Median 50.4 Gy). The median follow up was 36.5 months (4 {approx} 172 months). An improvement or stability in the clinical symptoms was observed in 28 patients (93.3%) after the trial RT. Nineteen patients (63.3%) showed a partial or complete response by CT or MRI. The two-year and five-year survival rates of the patients were 66.7% and 55.1%, respectively. No significant difference in the survival rates according to the degree of the radiological response was observed after the trial RT. The results of univariate analysis showed that age, the primary site, the performance status(KPS {>=} 70), the degree of response after completing RT and the RT field were significant prognostic factors affecting the survival and disease free survival rates ({rho} < 0.05). The clinical and histological characteristics of pineal region tumors are quite complex and diverse. Therefore, it is difficult to predict the histological diagnosis and the possibility of radiocurability only with the initial response to RT. We think that the development of less invasive histological diagnostic techniques and tailored treatment to the histological type of each tumor are needed.

  19. Differentiation of germinomas from other tumors in the pineal region with CT and MR imaging, with special reference to extension patterns to the thalami

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    Furusawa, Tetsuya [Niigata Univ. (Japan). School of Medicine

    1998-03-01

    To determine the computed tomography (CT) and magnetic resonance (MR) characteristics of pineal region germinomas, the author reviewed images from 40 patients with pineal region tumors. These tumors were divided into two groups: those with germinomas (n=17), and those with other tumors in the pineal region (5 with a germ cell tumor other than germinoma; 8, mixed germ cell tumor; 8, pineal parenchymal tumor; and 2, miscellaneous tumors; n=23). All cases were investigated with CT; 31 of the cases were also investigated with MR imaging. The following parameters comprised statistically significant differences between the two groups: maximum size of the tumor, tumor density of the precontrast CT, signal intensity of precontrast T1-weighted spin-echo images, and homogeneity of the tumor on both precontrast and postcontrast studies. This study found that extension patterns of pineal region tumors into the thalamus have significant implications in differentiating germinomas from other tumors of this region. Germinomas are characterized by thalamic extension without lateral displacement of the third ventricle walls due to direct compression by tumors (p=0.0034). The analysis of tumor extension patterns, combined with the parameters mentioned above, may provide a more accurate differential diagnosis in pineal region tumors, leading to prompt and appropriate treatment. (author)

  20. Gamma knife surgery for pineal region tumors: an alternative strategy for negative pathology

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    Peng Wang

    2014-02-01

    Full Text Available Objective : Pineal region tumors (PRTs are uncommon, and treatments vary among neoplasm types. The authors report their experience with gamma knife surgery (GKS as an initial treatment in a series of PRT patients with unclear pathological diagnoses. Method : Seventeen PRT patients with negative pathology who underwent GKS were retrospectively studied. Nine patients had further whole-brain and spinal cord radiotherapy and chemotherapy 6–9 months after GKS. Results : Sixteen of 17 cases were followed up over a mean of 33.3 months. The total response rate was 75%, and the control rate was 81.3%. No obvious neurological deficits or complications were attributable to GKS. Conclusion : The findings indicate that GKS may be an alternative strategy in selected PRT patients who have negative pathological diagnoses, and that good outcomes and quality of life can be obtained with few complications.

  1. Gamma knife surgery for pineal region tumors: an alternative strategy for negative pathology

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Peng [Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu (China); Department of Neurosurgery, The Fifth People' s Hospital of Chengdu, Chengdu (China); Mao, Qing; Wang, Wei; Zhou, Liang-Xue; Liu, Yan-Hui, E-mail: liuyanhui9@gmail.com [Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu (China)

    2014-03-01

    Objective: pineal region tumors (PRTs) are uncommon, and treatments vary among neoplasm types. The authors report their experience with gamma knife surgery (GKS) as an initial treatment in a series of PRT patients with unclear pathological diagnoses. Method: seventeen PRT patients with negative pathology who underwent GKS were retrospectively studied. Nine patients had further whole-brain and spinal cord radiotherapy and chemotherapy 6-9 months after GKS. Results: Sixteen of 17 cases were followed up over a mean of 33.3 months. The total response rate was 75%, and the control rate was 81.3%. No obvious neurological deficits or complications were attributable to GKS. Conclusion: the findings indicate that GKS may be an alternative strategy in selected PRT patients who have negative pathological diagnoses, and that good outcomes and quality of life can be obtained with few complications. (author)

  2. Retractorless surgery for a pineal region tumor through an occipital transtentorial approach.

    Science.gov (United States)

    Nakao, Naoyuki

    2016-01-01

    This video demonstrates surgical techniques of the occipital transtentorial approach to a pineal region tumor without using a fixed brain retractor, which may cause functional impairment or even tissue injury to the occipital visual cortex. There are several ways to facilitate retractorless surgery through this approach. A lateral-semiprone positioning of the patient can induce gravity retraction. The brain is relaxed by draining CSF fluid through lumbar drainage or lateral ventricular tap in the case of obstructive hydrocephalus. Dynamic retraction with handheld instruments after extensive dissection of the deep venous system, including basal veins, can provide a sufficient working space. The video can be found here: https://youtu.be/kQvEHiNcRow . PMID:26722684

  3. Gamma knife surgery for pineal region tumors: an alternative strategy for negative pathology

    International Nuclear Information System (INIS)

    Objective: pineal region tumors (PRTs) are uncommon, and treatments vary among neoplasm types. The authors report their experience with gamma knife surgery (GKS) as an initial treatment in a series of PRT patients with unclear pathological diagnoses. Method: seventeen PRT patients with negative pathology who underwent GKS were retrospectively studied. Nine patients had further whole-brain and spinal cord radiotherapy and chemotherapy 6-9 months after GKS. Results: Sixteen of 17 cases were followed up over a mean of 33.3 months. The total response rate was 75%, and the control rate was 81.3%. No obvious neurological deficits or complications were attributable to GKS. Conclusion: the findings indicate that GKS may be an alternative strategy in selected PRT patients who have negative pathological diagnoses, and that good outcomes and quality of life can be obtained with few complications. (author)

  4. Papillary tumor of pineal region: Prolonged control rate after gamma knife radiosurgery - A case report and review of literature

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    Cardenas Raul

    2010-01-01

    Full Text Available Papillary tumors of the pineal region (PTPR are very rare. We describe the first report of a PTPR empirically managed with gamma knife radiosurgery. The patient was initially shunted and referred for empirical gamma knife radiosurgery. After initially showing some improvement, he had recurrence of tumor after 7 years. For recurrence he underwent a gross total resection and the biopsy established the diagnosis of PTPR. Further research needs to be done as to the efficacy of gamma knife surgery for PTPR. In addition, the role of stereotactic biopsy for eligible patients should be considered as the initial step to direct the treatment of choice.

  5. Surgical therapy of benign pineal tumors

    International Nuclear Information System (INIS)

    Currently, there is no way that the author knows to satisfactorily distinguish the benign lesions from their malignant cousins without a shadow of doubt. This includes preoperative evaluation of the clinical history, biological markers in serum and CSF, CT scans with and without contrast in various projections including the horizontal, coronal and sagittal cuts, and arteriography. Because the author has personally encountered difficulty in precisely diagnosing these tumors at routine light microscopy, especially when fragments are small, he has a personal aversion to the technique of diagnosis which enlists the use of a stereotactically placed biopsy needle. The author feels that virtually all of the pineal tumors require surgical exposure and sufficient tissue removal to ensure an accurate histological diagnosis. With experience, the author believes the surgeon can tell as he exposes the posterior and lateral aspects of these tumors whether or not they are encapsulated and therefore potentially resectable. This anatomical variation may be identified prior to operative intervention by an arteriogram especially with injection of large quantities of dye into the carotid system. With the advent of the CUSA (Cavitron Lasersonics, Cooper Medical Device Corporation, Stamford, CT), the author has used this instrument with increased facility and benefit in the removal of benign relatively avascular tumors of the pineal region. This instrument is ideal in coring out the interior of the tumor while creating little displacement of the tumor capsule. Some of the benign tumors, especially the meningiomas may be partially or heavily calcified and this instrument exhibits particular usefulness in these cases

  6. Massa expansiva da região posterior do terceiro ventrículo (tumores da região da pineal) / Expansive mass lesion in the posterior region of the third ventricle (tumours of the pineal reffion)

    Scientific Electronic Library Online (English)

    Antonio Ronaldo, Spotti; Eduardo Carlos da, Silva.

    1989-12-01

    Full Text Available Tumores da região da pineal não são comuns. São descritos aspectos clínicos, tomográficos e dos resultados terapêuticos em 12 casos observados num período de 5 anos (1979-1984). Os autores consideram que a via de acesso supracerebelar infratentorial, descrita por Krause em 1926 e reintroduzida por S [...] tein em 1971, é a melhor para a abordagem cirúrgica desse tipo de tumor. Abstract in english Tumours of the pineal region are rare. Clinical and CT aspects, and results of the treatment of 12 cases observed in a 5 years period (1979-1984) are described. The authors consider the supracerebellar infratentorial approach, formerly described by Krause in 1926 and reintroduced by Stein in 1971, t [...] he best for the surgical management of these tumours.

  7. Glioblastoma multiforme of the pineal region: case report / Glioblastoma multiforme de região pineal: relato de caso

    Scientific Electronic Library Online (English)

    Emerson Leandro, Gasparetto; Danny, Warszawiak; Guilherme Pradi, Adam; Luiz Fernando, Bleggi-Torres; Arnolfo de, Carvalho Neto.

    2003-06-01

    Full Text Available OBJETIVO: Os tumores da região pineal são incomuns e podem ser divididos em três categorias de acordo com a sua origem: células germinativas, células do parênquima e células gliais. Em sua maioria, os gliomas de pineal são astrocitomas de baixo grau, sendo que o seu correspondente maligno, glioblast [...] oma multiforme, é o mais comum e agressivo tumor encefálico e é extremamente raro nesta localização, com apenas alguns casos relatados na literatura. CASO: Mulher com 29 anos apresentando há 2 meses cefaléia, nucalgia, febre, náuseas e crises convulsivas. O exame físico mostrou rigidez de nuca, hipotonia, hipotrofia e hiperreflexia generalizadas, sinal de Babinski e paralisia do VI nervo craniano. A tomografia computadorizada revelou lesão hipodensa mal delimitada na topografia de pineal, com captação heterogênea de contraste. A ressonância magnética demonstrou lesão na região pineal com infiltração de tálamo à direita. A paciente foi submetida a craniotomia direita com ressecção parcial do tumor. O exame histológico definiu o diagnóstico de glioblastoma multiforme. No pós-operatório foi indicada radioterapia, mas a paciente recusou o tratamento e morreu dois meses depois. CONCLUSÃO: Apesar de raro nesta topografia, os glioblastomas multiformes devem ser considerados no diagnóstico diferencial de lesões agressivas localizadas na glândula pineal. Abstract in english PURPOSE: pineal region tumors are uncommon, and comprise more frequently three categories: germ cell, parenchymal cell and glial tumors. Most pineal gliomas are low-grade astrocytomas. Glioblastoma multiforme, the most aggressive and common brain tumor, is extremely rare at this location with only f [...] ew cases reported. CASE DESCRIPTION: a 29-year-old woman with a two month history of headache, nuchal pain, fever, nausea and seizures and physical examination showing nuchal rigidity, generalized hypotony, hypotrophy and hyper-reflexia, Babinski sign and left VI cranial par palsy. CT scan examination revealed a ill-defined hypodense lesion at the pineal region with heterogeneous contrast enhancement. MRI showed a lesion at the pineal region infiltrating the right thalamic region. The patient underwent a right craniotomy with partial resection of the mass. The histological examination of paraffin-embedded material defined the diagnosis of glioblastoma multiforme. Post-operative radiotherapy was indicated but the patient refused the treatment and died two months afterwards. CONCLUSION: in spite of its rarity at this location, glioblastoma multiforme should be considered in the differential diagnosis of aggressive lesions at the pineal region.

  8. Meningiomas of pineal region in children / Meningiomas da região da pineal em crianças

    Scientific Electronic Library Online (English)

    Hamilton, Matushita; Fernando Campos, Pinto; José Píndaro Pereira, Plese.

    2007-12-01

    Full Text Available Meningiomas são tumores poucos frequentes em crianças, e mais raramente encontrados na região da pineal. Relatamos dois casos de meningioma da região da pineal em crianças, uma menina de cinco anos e um menino de um ano de idade. Não foi identificada nenhuma forma de apresentação clinica ou caracter [...] istica tomográfica, antes do tratamento, que sugerisse o diagnóstico de meningioma. As características clinicas e laboratoriais encontradas foram similares às de tumores mais frequentes da região da pineal. Ambos os pacientes foram submetidos ao tratamento cirúrgico e a remoção completa foi obtida por abordagem suboccipital transtentorial. Durante o seguimento, um dos pacientes foi reoperado por recorrencia do tumor seis anos após o tratamento inicial. Atualmente, os pacientes encontram-se livres de recorrência tumoral. Abstract in english Meningiomas are uncommon tumors in children and either more rarely encountered in the pineal region. We report two cases of meningioma of the pineal region in children. One of these cases was a five years-old girl and the other a one year-old boy. No specific clinical presentation or tomographic exa [...] minations findings was identified before treatment, suggestive of a diagnosis of menigioma. The clinical and laboratory features were very similar to the most common tumors of the pineal region. Prior to the surgery, the histology of these tumors was not suspected. Both patients underwent direct surgery and complete removal was achieved by a suboccipital transtentorial approach. The tumors originated from velum interpositum in both cases. At the follow up, one case presented with recurrence six years later, and she underwent a reoperation with total resection without morbidity. Long-term follow up presented no other recurrences.

  9. Meningiomas of pineal region in children Meningiomas da região da pineal em crianças

    Directory of Open Access Journals (Sweden)

    Hamilton Matushita

    2007-12-01

    Full Text Available Meningiomas are uncommon tumors in children and either more rarely encountered in the pineal region. We report two cases of meningioma of the pineal region in children. One of these cases was a five years-old girl and the other a one year-old boy. No specific clinical presentation or tomographic examinations findings was identified before treatment, suggestive of a diagnosis of menigioma. The clinical and laboratory features were very similar to the most common tumors of the pineal region. Prior to the surgery, the histology of these tumors was not suspected. Both patients underwent direct surgery and complete removal was achieved by a suboccipital transtentorial approach. The tumors originated from velum interpositum in both cases. At the follow up, one case presented with recurrence six years later, and she underwent a reoperation with total resection without morbidity. Long-term follow up presented no other recurrences.Meningiomas são tumores poucos frequentes em crianças, e mais raramente encontrados na região da pineal. Relatamos dois casos de meningioma da região da pineal em crianças, uma menina de cinco anos e um menino de um ano de idade. Não foi identificada nenhuma forma de apresentação clinica ou caracteristica tomográfica, antes do tratamento, que sugerisse o diagnóstico de meningioma. As características clinicas e laboratoriais encontradas foram similares às de tumores mais frequentes da região da pineal. Ambos os pacientes foram submetidos ao tratamento cirúrgico e a remoção completa foi obtida por abordagem suboccipital transtentorial. Durante o seguimento, um dos pacientes foi reoperado por recorrencia do tumor seis anos após o tratamento inicial. Atualmente, os pacientes encontram-se livres de recorrência tumoral.

  10. Gamma knife surgery for pineal region tumors: an alternative strategy for negative pathology / Cirurgia com gamma knife como tratamento experimental para tumores da região da pineal: uma estratégia alternativa quando os dados anatomopatológicos são negativos

    Scientific Electronic Library Online (English)

    Peng, Wang; Qing, Mao; Wei, Wang; Liang-Xue, Zhou; Yan-Hui, Liu.

    2014-02-01

    Full Text Available Tumores da região da pineal (TRP) são pouco frequentes e as propostas de tratamento são bastante variadas. Os autores relatam sua experiência em cirurgias com uso gamma knife (CGK) como tratamento experimental inicial em séries de TRP que não têm diagnóstico anatomopatológico ou nos quais o diagnóst [...] ico não ficou claro. Foram estudados retrospectivamente 17 pacientes com TRP nestas condições e que foram submetidos a CGK. Destes, 9 pacientes foram submetidos posteriormente a radioterapia de todo o encéfalo e medula espinhal entre 6 e 9 meses depois da CGK. Dezesseis dos 17 pacientes foram acompanhados por um período médio de 33,3 meses. A taxa total de resposta nos pacientes foi de 75% e a taxa dos controles, 81,3%. Não houve nenhum déficit neurológico evidente que pudesse ser atribuído à CGK. A CGK como tratamento experimental pode ser uma estratégia alternativa no grupo específico de pacientes com TRP em que não há diagnóstico anatomopatológico, podendo ser obtida uma boa qualidade de vida com poucas complicações para esse grupo de pacientes. Abstract in english Objective : Pineal region tumors (PRTs) are uncommon, and treatments vary among neoplasm types. The authors report their experience with gamma knife surgery (GKS) as an initial treatment in a series of PRT patients with unclear pathological diagnoses. Method : Seventeen PRT patients with negative [...] pathology who underwent GKS were retrospectively studied. Nine patients had further whole-brain and spinal cord radiotherapy and chemotherapy 6–9 months after GKS. Results : Sixteen of 17 cases were followed up over a mean of 33.3 months. The total response rate was 75%, and the control rate was 81.3%. No obvious neurological deficits or complications were attributable to GKS. Conclusion : The findings indicate that GKS may be an alternative strategy in selected PRT patients who have negative pathological diagnoses, and that good outcomes and quality of life can be obtained with few complications.

  11. Glioblastoma multiforme of the pineal region: case report

    Directory of Open Access Journals (Sweden)

    Gasparetto Emerson Leandro

    2003-01-01

    Full Text Available PURPOSE: pineal region tumors are uncommon, and comprise more frequently three categories: germ cell, parenchymal cell and glial tumors. Most pineal gliomas are low-grade astrocytomas. Glioblastoma multiforme, the most aggressive and common brain tumor, is extremely rare at this location with only few cases reported. CASE DESCRIPTION: a 29-year-old woman with a two month history of headache, nuchal pain, fever, nausea and seizures and physical examination showing nuchal rigidity, generalized hypotony, hypotrophy and hyper-reflexia, Babinski sign and left VI cranial par palsy. CT scan examination revealed a ill-defined hypodense lesion at the pineal region with heterogeneous contrast enhancement. MRI showed a lesion at the pineal region infiltrating the right thalamic region. The patient underwent a right craniotomy with partial resection of the mass. The histological examination of paraffin-embedded material defined the diagnosis of glioblastoma multiforme. Post-operative radiotherapy was indicated but the patient refused the treatment and died two months afterwards. CONCLUSION: in spite of its rarity at this location, glioblastoma multiforme should be considered in the differential diagnosis of aggressive lesions at the pineal region.

  12. Treatment of pineal region lesions: our experience in 39 patients.

    Science.gov (United States)

    Sajko, Tomislav; Kudeli?, Nenad; Lupret, Velimir; Lupret, Velimir; Nola, Iskra Aleksandra

    2009-12-01

    The pineal region is the origin of lesions with a highly diverse histopathology. The aim of this study was to present our experience in treating patients with the pineal region lesions. In period between 1990 and 2007, 39 patients with pineal region lesions were operated on at the Department of Neurosurgery, University Hospital "Sestre milosrdnice", Zagreb, Croatia. The study group consisted of 21 female and 18 male patients with the median age of 24.4 years (4-66 years). Surgery was performed using the infratentorial supracerebellar approach in all patients. The pineal region lesions were removed totally in 23 (58.97%), subtotal in 14 (35.9%) and partially in 2 (5.13%) patients. Pathohistological examination revealed 13 pineocytomas (33.33%), 10 germinomas (25.64%), 7 glial cysts (17.94%), 3 pineoblastomas (7.69%), two pilocytic astrocytomas (7.69%) and one case (2.56%) of papilloma plexus chorioideus, epidermal cyst, yolk sack tumor and ganglioglioma. There was no surgical mortality. Thirteen patients (33.3%) experienced complications in the postoperative period. During the follow-up period that ranged from 3 to 48 months six patients died (15.4%). The infratentorial supracerebellar approach is a safe and effective surgical approach. Benign pineal lesions could be cured with surgery alone. In the case of malignant pineal lesions radical surgical resection allowed determining the exact pathohistological diagnosis and facilitated adjuvant therapy (irradiation and chemotherapy). PMID:20102079

  13. Ganglioglioma da região da pineal: relato de caso / Ganglioglioma of the pineal region: case report

    Scientific Electronic Library Online (English)

    Walter José, Fagundes-Pereyra; Larissa de, Sousa; Gervásio Teles de Cardoso, Carvalho; Atos Alves de, Sousa.

    2001-09-01

    Full Text Available Os gangliogliomas são neoplasias mistas, compostas de elementos gliais e neuronais, extremamente raros na região da glândula pineal. Na presente revisão da literatura foram encontrados oito casos publicados. Apresentamos o caso de paciente de 14 anos, masculino, com ganglioglioma da região da pineal [...] , tratado cirurgicamente, com exérese total da lesão por via suboccipital transtentorial. O estudo histológico mostrou tratar-se de ganglioglioma grau I, confirmado por imuno-histoquímica. Conclui-se que tais tumores são raros e que se deve optar pela cirurgia, objetivando a exérese total. Quando isso não for possível, ou no caso de recorrência, o paciente deve ser acompanhado clínica e radiograficamente, considerando-se a radioterapia como tratamento complementar. Abstract in english Ganglioglioma are tumors presenting neoplastic glial cells and nerve cells, very rarely found in the pineal region. Only eight cases have been previously published in the literature. We present the case of a 14 years-old male patient with a ganglioglioma of the pineal region. The patient was treated [...] surgically by a suboccipital transtentorial approach with complete removal. Histopathologic specimens with immunostainning revealed a ganglioglioma grade I. We conclude that these tumors are rare and should be treated surgically aiming total remove. If it is not possible or in case of recorrence the patient should be followed and radiotheraphy could be considered.

  14. Ganglioglioma da região da pineal: relato de caso Ganglioglioma of the pineal region: case report

    Directory of Open Access Journals (Sweden)

    Walter José Fagundes-Pereyra

    2001-09-01

    Full Text Available Os gangliogliomas são neoplasias mistas, compostas de elementos gliais e neuronais, extremamente raros na região da glândula pineal. Na presente revisão da literatura foram encontrados oito casos publicados. Apresentamos o caso de paciente de 14 anos, masculino, com ganglioglioma da região da pineal, tratado cirurgicamente, com exérese total da lesão por via suboccipital transtentorial. O estudo histológico mostrou tratar-se de ganglioglioma grau I, confirmado por imuno-histoquímica. Conclui-se que tais tumores são raros e que se deve optar pela cirurgia, objetivando a exérese total. Quando isso não for possível, ou no caso de recorrência, o paciente deve ser acompanhado clínica e radiograficamente, considerando-se a radioterapia como tratamento complementar.Ganglioglioma are tumors presenting neoplastic glial cells and nerve cells, very rarely found in the pineal region. Only eight cases have been previously published in the literature. We present the case of a 14 years-old male patient with a ganglioglioma of the pineal region. The patient was treated surgically by a suboccipital transtentorial approach with complete removal. Histopathologic specimens with immunostainning revealed a ganglioglioma grade I. We conclude that these tumors are rare and should be treated surgically aiming total remove. If it is not possible or in case of recorrence the patient should be followed and radiotheraphy could be considered.

  15. Pineal tumors and associated lesions: the effect of ethnicity on tumor type and treatment.

    Science.gov (United States)

    Knierim, David S; Yamada, Shokei

    2003-06-01

    Pineal region lesions consist of a wide variety of rare tumor types, including deep midline cysts, intrinsic pineal tumors, germ cell tumors and vascular lesions. Advances in microsurgical, endoscopic and stereotactic techniques have helped to lower morbidity and mortality in the care of patients harboring these lesions. Surgery can be the definitive treatment in cysts and benign lesions. This report summarizes the retrospective experience of the authors with 64 pineal region and associated lesions encountered in multiple institutions over the last 20 years. Histology was obtained in 53 out of 64 radiographically apparent lesions. Direct surgical biopsy of solid and vascular tumors in the pineal region enables precise histological assessment of mixed tumors. By avoiding sampling error, precise treatment can be planned. This series, along with previously published data, shows a much higher incidence of intrinsic pineal tumors, glial tumors and nongerminomatous germ cell tumors in series from North America and Europe than in those from Japan and Korea, where germinoma is much more common. We experienced an incidence of 20.4% germinoma out of 49 solid and vascular pineal tumors, while other authors have described incidences of 51.2 and 53.5%, respectively. The fact that histology is more diverse in Western populations leads to a need to have more representative sampling. Early surgical resection combined with diversion of cerebrospinal fluid is effective in the treatment of pineal lesions and seems to be superior to the alternative of treatment based on the diagnostic response to radiation and/or on tumor markers alone. PMID:12759510

  16. Conservative management of pineal tumors - Mayo clinic experience

    International Nuclear Information System (INIS)

    The typical pineal tumor occurs in an adolescent boy with subacute increased intracranial pressure and Parinaud's syndrome. Diagnosis is confirmed by CT scanning, and long-term survival usually following shunting and radiation therapy. Direct surgical methods for successful treatment of suitable pineal tumors have evolved and may be utilized with relatively low risk in appropriate cases

  17. Pineal epidermoid

    Science.gov (United States)

    Senapati, Satya B.; Mishra, Sudhansu S.; Patnaik, Ashis; Patra, Sunil K.

    2012-01-01

    Background: Tumors of pineal region are uncommon, accounting for ?1% of intracranial tumors in adults and 3–8% of pediatric brain tumors. Epidermoid cysts account for 0.2–1% of all intracranial tumors. The majority occur in and around the cerebellopontine angle and suprasellar area. Getting an epidermoid in pineal region is very rare. Case Description: We report a case of pineal epidermoid, which was diagnosed correctly as epidermoid depending on computed tomography (CT) and magnetic resonance imaging (MRI) findings. Knowing its benign nature, we accordingly planned for its near-total removal. Conclusion: Most cases of pineal tumors present as obstructive hydrocephalus. They either require pre- or postoperative ventriculoperitoneal (VP) shunt. If properly planned, many benign pineal tumors may be successfully excised and, most importantly, postoperative VP shunt could be avoided. PMID:23226611

  18. Epidermoid cysts of the pineal region.

    Science.gov (United States)

    MacKay, C I; Baeesa, S S; Ventureyra, E C

    1999-04-01

    Localization of epidermoid cysts to the pineal region is rare. The 7-year-old boy now reported presented with an 18-month history of progressive ataxia. CT and MRI scans demonstrated a 2.5x2.5 cm cyst at the pineal region with obstructive hydrocephalus. At surgery via an occipital transtentorial approach, a characteristic "pearly tumour" was encountered, and complete resection was achieved. We present the management of this child with pineal region epidermoid cyst and review 11 cases reported in the literature since 1968. In all, 8 of the 12 patients were males. The age at the time of diagnosis ranged from 7 years to 69 years. Parinaud's syndrome and hydrocephalus are the most common presenting findings. All but 1 patient underwent direct surgical resection; 1 had stereotactic decompression. Surgical treatment brought about complete resolution of the presenting symptoms and signs in 10 of the 12 cases. One patient had persistent upgaze palsy. One patient died from progression of the pineal region mass. This patient presented with hemiparesis, which is a marker of clinical aggressiveness. The authors advocate direct surgical attack as opposed to stereotactic diagnosis and aspiration to: (1) obtain maximal resection and thereby limit the potential for recurrence and delayed complications of the cyst; (2) possibly avoid shunt placement in patients who present with hydrocephalus; and (3) decrease the likelihood of sampling error. PMID:10361967

  19. Failure pattern of pineal and ectopic pineal germ cell tumor after gamma knife radiosurgery

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Heung Lae; Sohn, Seung Chang [College of Medicine, Inje Univ., Pusan (Korea, Republic of)

    2000-06-01

    This study was performed to determine the optimal treatment volume of patients treating with radiation therapy for intracranial germ cell tumor. From 1993 to 1998, 19 patients with intracranial germ cell tumors treated by gamma knife radiosurgery were analyzed. The location of tumor was as follows; 9 cases on pineal region, 1 case on suprasellar region, and 9 cases of multiple lesion. 7 patients were pathologically verified; 5 cases of germ cell tumor and 2 cases of non germinomatous germ cell tumor. Tumor volume was ranged from 2.4 cm{sup 3} to 74 cm{sup 3}. Irradiation dose was 10 Gy to 20 Gy with 50% isodose curve. Follow up period was 10 months to 54 months. Recurrences were observed in 14 cases among 19 (74%) patients. Complete remission and partial remission were achieved in 2 (11%) and 10 (53%) respectively. No response was observed in 7 (36%). 2 cases were recurred within original tumor bed. 6 cases were recurred beyond but contiguous with tumor bed. Bentricular relapses separated from pretreatment tumor bed were 3. Spinal recurrences were 4. Among 8 recurred cases of which tumor volume is smaller than 20 cm{sup 3}, 2 were recurred within original tumor bed, 4 were recurred beyond but contiguous with tumor bed, and 1 spinal recurrence. Meanwhile, 6 cases of which tumor volume larger than 20 cm{sup 3}, 1 case was recurred beyond but contiguous with tumor bed, 2 ventricular recurrences separated with original tumor bed, and 3 spinal recurrences. 5 cases which did not show any recurrence sign show any recurrence sign showed characteristics of single lesion, tumor volume smaller than 20 cm{sup 3} and normal tumor marker. All of 4 cases of spinal recurrences happened in the case having ventricular invasion or lesion. Among 9 cases having multiple lesion, only 3 cases recurred within original tumor bed or around tumor bed, the other 6 cases recurred separated from pretreatment tumor bed. Gamma knife radiosurgery is not recommended for the treatment of intracranial germ cell tumor. It is because of small treatment volume and inadequate radiation dose that are characteristics of gamma knife radiosurgery. Tumor volume, ventricular lesion or invasion, and normal tumor marker are ideal indications for small involved field radiation therapy. Prophylactic spinal irradiation seems to be necessary when there is ventricular lesion, ventricular invasion, and multiple lesions. When the tumor volume is larger than 20 cm{sup 3}, multiple lesions, abnormal tumor marker, and whole ventricular irradiation or partial brain irradiation would be possible and neoadjuvant chemotherapy would be most beneficial in these group.

  20. Patofysiologiske mekanismer bag øjensymptomer ved primaere tumorer i corpus pineale

    DEFF Research Database (Denmark)

    Illum, N O; Møller, M; Garde, E

    1993-01-01

    Primary tumors of the pineal body can produce dyscoordinative movements of the eye, pupillary dilatation, paralysis of adduction during convergence and nystagmus. Obstruction of the aqueduct can cause hydrocephalus, increased intracranial pressure and papilledema. Diabetes insipidus may be a...

  1. Estudo por ressonância magnética da região da pineal: pineal normal e cistos simples / Magnetic resonance study of the pineal region: normal pineal gland, simple cysts

    Scientific Electronic Library Online (English)

    JOSÉ GUILHERME, CALDAS; DOMINIQUE, DOYON; HENRIQUE, LEDERMAN; ROBERT, CARLIER.

    1998-06-01

    Full Text Available Realiza-se um estudo por ressonância magnética da pineal normal e dos cistos simples da pineal e estabelece-se um protocolo para estudo da região pineal analisando-se 762 exames. A utilização da técnica com cortes finos (3 milímetros no máximo) identifica a pineal normal na maioria das vezes (84,4%) [...] e demonstra que a pineal normal, sem cistos, apresenta sinal isointenso em Tl e T2 com realce após a injeção de gadolínio, medindo em média 6,1 milímetros no seu maior diâmetro. Os cistos simples da pineal aparecem com frequência de 2,6% em relação a toda a série (762 casos) elevando-se essa frequência para 6,1% se forem consideradas somente as pineais visiblizadas (329 casos). Os cistos simples não se correlacionam nem com a idade nem com o sexo e os cistos sintomáticos são raros. Os critérios para diagnóstico diferencial dos cistos simples versus tumores da região da pineal são: dimensões menores ou iguais a 20 milímetros; espessura da parede abaixo de 2 milímetros; ausência de efeito expansivo; sinal igual ao líquido cefalorraquidiano e ausência de crescimento dos cistos. Abstract in english A magnetic resonance imaging (MRI) study of the normal pineal gland and pineal simple cysts was performed in 762 cases. A fine section technique (maximum 3 millimeters) enabled most of the times the identifying of a normal pineal in addition to demonstrating that a pineal without any cyst shows an i [...] sointense signal in Tl and T2 which, in turn, is enhanced following gadolinium. The measure of the normal pineal was of about 6.1 millimeters in its diameter length. Pineal simple cysts were observed in a 2.6% frequency in relation to the whole series (762 cases); however reaches 6.1% when only the visualized pineals were considered (329 cases). Also, it was found out that simple cysts were not correlated to age or gender. Simple cysts characteristics are: dimension less or equal to 20 millimeters; absence of expansive effect; similar signal to that of the cerebrospinal fluid; absence of cyst growth.

  2. Neuroendoscopic management of pineal region tumours.

    Science.gov (United States)

    Ferrer, E; Santamarta, D; Garcia-Fructuoso, G; Caral, L; Rumià, J

    1997-01-01

    The management of pineal tumours remains controversial. During 1994 we treated four consecutive adults (16-44 yrs) harbouring a pineal tumour with a neuroendoscopic procedure. All of them presented with hydrocephalus. Pre-operative workup included cranial computerized tomography (CT), craniospinal magnetic resonance imaging (MRI) and serum levels of biological tumour markers. The endoscopic procedure consisted of a third ventriculostomy followed by biopsy with a flexible, steerable neuroendoscope. Histological diagnosis was achieved in three patients who no longer required a shunt device. Recorded complications were: bleeding during ventriculostomy that prevented us from obtaining a good sample for biopsy, short-term memory loss that cleared over a two-week period, and transient increase of pre-operative hemiparesis. Complications and morbidity are emphasized so as to be avoided with further technical experience. Neuroendoscopy affords a minimally invasive way of reaching three objectives by one-step surgery in the management of pineal region lesions: 1) CSF sample for analysis of tumour markers. 2) Treatment of hydrocephalus by third ventriculostomy. 3) Several biopsy specimens can be obtained identifying tumours which will require further open surgery or adjuvant radiation and/or chemotherapy. PMID:9059706

  3. Pineal yolk sac tumor: correlation between neuroimaging and pathological findings / Tumor do seio endodérmico da pineal: correlação entre os achados patológicos e de neuroimagem

    Scientific Electronic Library Online (English)

    Taísa, Davaus; Emerson L., Gasparetto; Arnolfo de, Carvalho Neto; Juliana Elizabeth, Jung; Luiz Fernando, Bleggi-Torres.

    2007-06-01

    Full Text Available Um menino de 17 anos de idade apresentou-se com sonolência e confusão mental. O exame físico demonstrou distúrbios motores. A investigação laboratorial revelou aumento dos níveis de alfafetoproteína no soro e no líquor. A TC de crânio revelou massa heterogênea na região pineal. À RM, a lesão era hip [...] ointensa em T1 e hiperintensa em T2, com realce após a administração de contraste. O paciente foi submetido a biópsia cirúrgica, a qual definiu o diagnóstico de tumor do seio endodérmico. Enfatizamos a correlação entre os achados patológicos e de neuroimagem deste raro tumor da região pineal. Abstract in english A 17-year-old boy presented with somnolence and mental confusion. Physical examination demonstrated motor disturbances. Laboratorial investigation showed elevated levels of alpha-fetoprotein in serum and cerebrospinal fluid. The CT scan revealed a heterogeneous mass at the pineal region. At the MRI, [...] this lesion was hypointense on T1 and hyperintense on T2-weighted images, enhancing after contrast administration. The patient underwent a surgical biopsy, which defined the diagnosis of yolk sac tumor. We emphasize the correlation of neuroimaging and pathological findings of this rare pineal region tumor.

  4. Pineal yolk sac tumor: correlation between neuroimaging and pathological findings Tumor do seio endodérmico da pineal: correlação entre os achados patológicos e de neuroimagem

    Directory of Open Access Journals (Sweden)

    Taísa Davaus

    2007-06-01

    Full Text Available A 17-year-old boy presented with somnolence and mental confusion. Physical examination demonstrated motor disturbances. Laboratorial investigation showed elevated levels of alpha-fetoprotein in serum and cerebrospinal fluid. The CT scan revealed a heterogeneous mass at the pineal region. At the MRI, this lesion was hypointense on T1 and hyperintense on T2-weighted images, enhancing after contrast administration. The patient underwent a surgical biopsy, which defined the diagnosis of yolk sac tumor. We emphasize the correlation of neuroimaging and pathological findings of this rare pineal region tumor.Um menino de 17 anos de idade apresentou-se com sonolência e confusão mental. O exame físico demonstrou distúrbios motores. A investigação laboratorial revelou aumento dos níveis de alfafetoproteína no soro e no líquor. A TC de crânio revelou massa heterogênea na região pineal. À RM, a lesão era hipointensa em T1 e hiperintensa em T2, com realce após a administração de contraste. O paciente foi submetido a biópsia cirúrgica, a qual definiu o diagnóstico de tumor do seio endodérmico. Enfatizamos a correlação entre os achados patológicos e de neuroimagem deste raro tumor da região pineal.

  5. Radiation therapy for pineal tumors: 30-year experience at Thomas Jefferson University Hospital

    International Nuclear Information System (INIS)

    Eighteen tumors of the pineal region were treated at Thomas Jefferson University Hospital since 1957. Preoperative evaluation included CT scan in 11 patients and cerebrospinal fluid cytology in four. Histologic diagnosis was obtained in nine patients. Diagnosis in two other patients was based on CT scan response at 2,000 cGY. Fifteen patients received whole-brain irradiation with a boost, one each with limited-field and whole-brain irradiation only. One patient with melanoma received craniospinal irradiation. Median pineal dose was 55 Gy; range, 50-60 Gy. Five treatment failures occurred, four local and one distant. Actuarial survival was 80%, 70%, and 65% at 5, 10, and 20 years. Median follow-up was 8.8 years. Cranial radiotherapy alone appears to control the majority of pineal tumors

  6. Melanotic neuroectodermal tumour of the pineal region

    Energy Technology Data Exchange (ETDEWEB)

    Gorhan, C.; Soto-Ares, G.; Pruvo, J.P. [Dept. of Neuroradiology, Hopital Roger Salengro, CHRU Lille, Lille (France); Ruchoux, M.M. [Dept. of Neuropathology, Hopital Roger Salengro, CHRU Lille (France); Blond, S. [Dept. of Neurosurgery, Hopital Roger Salengro, CHRU Lille (France)

    2001-11-01

    We describe CT and MR findings in a 23-month-old infant with a melanotic neuroectodermal tumour of the pineal gland. The tumour has been stereotactically biopsied and surgically resected. The pathological diagnosis was made on the resected piece. Embryology of the pineal gland and the histology of melanotic neuroectodermal tumour of infancy are discussed. (orig.)

  7. Pineal parenchymal tumor of intermediate differentiation with marked elevation of MIB-1 labeling index.

    Science.gov (United States)

    Fukuoka, Kohei; Sasaki, Atsushi; Yanagisawa, Takaaki; Suzuki, Tomonari; Wakiya, Kenji; Adachi, Jun-ichi; Mishima, Kazuhiko; Fujimaki, Takamitsu; Matsutani, Masao; Nishikawa, Ryo

    2012-10-01

    We report a case of pineal parenchymal tumor (PPT) in an 11-year-old girl. Brain magnetic resonance imaging (MRI) revealed a large tumor (48 mm) located in the pineal region with heterogeneous enhancement after gadolinium administration. The patient underwent tumor removal with craniotomy; only partial tumor resection could be performed because of massive intratumoral bleeding. Histopathological examination of the tumor showed lobular proliferation of round cells with moderate atypia. Cellularity varied by area, and focal Homer Wright rosettes were identified. Examination of tumor cells revealed a few mitoses (two mitotic figures per 10 high-powered fields), and immunohistochemical staining revealed positivity for synaptophysin, slight positivity for neurofilament protein (NFP) with antibody clone 2F11, and strong positivity for NFP with clone NF-M+H. The pathological diagnosis was pineal parenchymal tumor of intermediate differentiation grade II according to World Health Organization criteria despite a high (22%) MIB-1 labeling index (LI). The patient had a favorable clinical course after an intensified chemotherapy regimen designed for pineoblastoma and radiotherapy administered to the entire neuraxis, followed by stereotactic radiotherapy. In conclusion, MIB-1 LI could be a useful tool for deciding therapeutic strategies for PPT treatment when there is a discrepancy between clinical findings and pathological grading. PMID:22362162

  8. Stereotactic gamma radiosurgery of pineal and related tumors

    Energy Technology Data Exchange (ETDEWEB)

    Kobayashi, Tatsuya; Mori, Yoshimasa; Yamada, Yasushi; Kida, Yoshihisa [Komaki City Hospital, Aichi (Japan). Gamma Knife Center

    2001-06-01

    The role of gamma radiosurgery as an additional therapy after conventional treatments for pineal and related tumors was studied in 30 out of 33 cases with a mean follow-up of 23.3 months. Overall results showed that complete response (CR) was obtained in 8 cases (26.7%) and response rate was 73.3%. However, enlargement of the tumors was noted in 8 cases, of which 7 (23.3%) died of tumor progression (PG). Germinomas and pineocytomas showed higher response and control rates of 100%, and no tumor enlargement or death occurred after gamma knife treatment. In germinoma with STGC (syncytiotrophoblastic giant cell) which has been thought to have intermediate prognosis, two cases showed partial response (PR), but another died from progression of the disease. Malignant germ cell tumors and pineoblastomas showed unfavorable response and prognosis; the response and progression rates were 50%. However, complete response was obtained in 3 cases (25%) after gamma radiosurgery. Gamma knife was the initial treatment in three cases without pathological diagnosis in which one obtained CR and two showed partial response (PR). Stereotactic gamma radiosurgery is expected to be an effective and novel treatment for pineal and related tumors not only as an adjuvant, but also as an initial therapy. (author)

  9. Intracranial germinomas with simultaneous lesions at pineal and suprasellar regions: diagnostics and therapeutics considerations

    International Nuclear Information System (INIS)

    Germinomas are the most common intracranial germ cell tumor. Germinomas comprise 65% of this type of tumor and represent a less malignant form. This neoplasm constitutes approximately 0.1% to 3.4% of all intracranial tumors. The embryologic origin remains a mystery. Ninety-five percent of germinomas arise in the region of the third ventricle, along an axis from the suprasellar cistern (48%) to the pineal region (37%, involvement of both sites, either sequentially or simultaneously, ocurred rarely (6%). Clinical presentation depends on tumor location and may involve endocrine, hypothalamic, visual and cognitive dysfunction. We report two cases of patients with germinomas with simultaneous lesions in both the suprasellar and pineal regions and review on the clinical presentation, means of diagnosis, treatment using radiotherapy and outcome of this rate treatable neoplasm. (The author)

  10. Therapeutic strategies and surgical results for pineal region tumours.

    Science.gov (United States)

    Tamaki, N; Yin, D

    2000-03-01

    Until recently, surgery for pineal region tumours has met with poor results. Although experience remains limited, developments in imaging, surgical approaches, and microsurgery have improved outcomes. Over 26 years we treated 36 patients including: 24 with germinoma; four, teratoma; three, pineal cyst; and one each, embryonal carcinoma, choriocarcinoma, pineocytoma, pineoblastoma and metastasis. All 24 germinomas responded to radiotherapy, as did one case each for teratoma, pineoblastoma, and choriocarcinoma. Eight patients underwent resection, and one patient with germinoma had biopsy via endoscopy. Occipital transtentorial and parieto-occipital transcallosal approaches were used in three each, and infratentorial supracerebellar and a combined infratentorial supracerebellar and occipital transtentorial approach in one each. Total removal was achieved in four patients (50%), and subtotal removal in two. Postoperative complications resolved within 2 weeks. Two patients had recurrence and one had dissemination. All tumours except germinomas should be explored and diagnosed histologically. Current operative techniques allow safe, effective removal of pineal region tumours. PMID:10844797

  11. Estudo por ressonância magnética da região da pineal: pineal normal e cistos simples Magnetic resonance study of the pineal region: normal pineal gland, simple cysts

    OpenAIRE

    JOSÉ GUILHERME CALDAS; DOMINIQUE DOYON; HENRIQUE LEDERMAN; ROBERT CARLIER

    1998-01-01

    Realiza-se um estudo por ressonância magnética da pineal normal e dos cistos simples da pineal e estabelece-se um protocolo para estudo da região pineal analisando-se 762 exames. A utilização da técnica com cortes finos (3 milímetros no máximo) identifica a pineal normal na maioria das vezes (84,4%) e demonstra que a pineal normal, sem cistos, apresenta sinal isointenso em Tl e T2 com realce após a injeção de gadolínio, medindo em média 6,1 milímetros no seu maior diâmetro. Os cistos simples ...

  12. Correlación cito-histológica del tumor papilar de la glándula pineal. Presentación de un caso / Papillary pineal tumor: cyto-histological correlation. Case report

    Scientific Electronic Library Online (English)

    Rosa A, Barbella-Aponte; Nohelia, Rojas-Ferrer; JP, García de la Torre; Roberto, Vera-Berón.

    2014-01-01

    Full Text Available En la última revisión de la Organización Mundial de la Salud (OMS) en relación a los tumores del sistema nervioso central (SNC), se describieron nuevas entidades, como el Tumor Papilar de la Glándula Pineal. Esta lesión de rara aparición, se ha identificado en adultos jóvenes. El diagnóstico de esto [...] s tumores es complejo ya que depende de su ubicación, edad de aparición y el aspecto histológico; éste último tiene similitudes con otras lesiones como el ependimoma papilar o el papiloma/carcinoma de plexos coroides. Citológicamente presentan características claras que pueden ayudar al diagnóstico a través de la impronta en el estudio intraoperatorio; reconocer ciertos criterios con éste importante y sencillo método diagnóstico ha sido la motivación principal para el estudio de entidades poco frecuentes del SNC, además de corroborar el necesario trabajo de un equipo multidisciplinar. Abstract in english In the latest revision of the central nervous system tumors (CNS) of the World Health Organization (WHO), new entities has been described, as papillary tumor of the pineal region. This rare lesion has been identified in young adults. The diagnosis of these tumors is complex, depends on the location, [...] age of onset and histological appearance. Histological characteristics have similarities with other lesions such as papillary ependymoma, papiloma / choroid plexus carcinoma. Cytologically have clear characteristics that can aid in the diagnosis through the smears on the intraoperative study. Certain criteria for recognize this important and simple diagnostic method has been the main motivation for the study of CNS rare entities, as our case, in addition to corroborating the necessary work of a multidisciplinary team.

  13. Parenchymal pineal tumors: a clinicopathological study of 76 cases

    International Nuclear Information System (INIS)

    Purpose: The aim of this study was to identify factors that could lead to optimization of the management of pineal parenchymal tumors (PPT) which remains equivocal and controversial. Methods and Materials: In order to determine factors that influence PPT prognosis, a series of 76 consecutive patients from 12 European centers with histologically proven tumors was retrospectively reviewed. The clinical records and material for histologic review were available in all cases. Follow-up was achieved in 90% of cases. Results: According to WHO classification, there were 19 pineocytomas, 28 intermediate and mixed PPT, and 29 pineoblastomas. According to a four-grade institutional classification, there were 11 Grade 1, 27 Grade 2, 20 Grade 3, and 18 Grade 4. Surgical resection was attempted in 44 patients, whereas 30 had biopsy only. In one case, diagnosis was made at autopsy and in another on spinal deposits. Forty-four patients were irradiated following surgery, 15 patients received chemotherapy. Forty-one patients were alive (median follow-up: 85 months); 9 patients died perioperatively; 26 patients relapsed. Univariate analysis showed a good outcome correlated with age above 20 years, tumor diameter less than 25 mm, and low-grade histology. Multivariate analysis confirmed histology and tumor volume to be significant independent prognostic factors. The extent of surgery and radiotherapy had no clear influence on survival. Conclusions: This review highlights the prognostic features of PPT and may help to determine treatment strategies based on radiologic and pathologic characteristics

  14. Germinomas cerebrais (teratomas atípicos da pineal) / Cerebral germinomas (atipical teratomas of the pineal region)

    Scientific Electronic Library Online (English)

    Alexandre, Alencar.

    1981-12-01

    Full Text Available São estudados três casos de germinomas cerebrais, sendo um tópico, da região pineal, e dois ectópicos, chamados germinomas supra-selares ou quiasmáticos. Estes últimos parecem ser mais agressivos que os seus congeneres tópicos, pois alem de se disseminarem pelas cisternas basais, costumam infiltrar [...] as paredes do III ventrículo, fórnix, hipotálamo, nervos e quiasma ópticos. Caracteristicamente produzem um enorme aumento das proteínas liquóricas, desacompanhado de uma pleocitose proporcional. As proteínas liquóricas aumentadas sao globulinas cujas reações mostram-se fortemente positivas, possivelmente produzidas pelas celulas de aspecto linfocitario que constituem parte desta neoplasia. O aumento das proteinas liquoricas e tao acentuado que em presenca de uma crianca ou adolescente com sindrome de hipertensão intracraniana, hiperproteinoraquia sem pleocitose e sinais clínicos ou radiológicos sugestivos de localização na base do crânio a possibilidade de um germinoma quiasmático deve ser seriamente considerada, pois o quadro e muito sugestivo. Abstract in english Three cases of Cerebral Germinomas, one of them situated in the pineal region (topical) and two ectopical of the so called suprasellar or chiasmal Germinomas are studied. These last ones may be more aggressive than the congeneral topical ones, since besides it's dissemination throughout the basal ci [...] sternas they usually infilstrate into de walls of the III Ventricle, Fornix, Hypothalamus, Chiasma and Optic nervs. A high level of proteins in the spinal fluid without proportional increase of the cells is characteristic. Globulins are the predominant fraction of the increased spinal fluid proteins, as indicated by the highly positive laboratory test. These globulins are possibly produced by the lymphocytes which are part of this neoplasm. The high level of protein in the spinal fluid without proportional increase of the cells, in the presence of intracranial syndrome in a child or adolescent, with anatomical signs of basal localization make the possibility of a Chiasmal Germinona highly probable.

  15. Germinomas cerebrais (teratomas atípicos da pineal Cerebral germinomas (atipical teratomas of the pineal region

    Directory of Open Access Journals (Sweden)

    Alexandre Alencar

    1981-12-01

    Full Text Available São estudados três casos de germinomas cerebrais, sendo um tópico, da região pineal, e dois ectópicos, chamados germinomas supra-selares ou quiasmáticos. Estes últimos parecem ser mais agressivos que os seus congeneres tópicos, pois alem de se disseminarem pelas cisternas basais, costumam infiltrar as paredes do III ventrículo, fórnix, hipotálamo, nervos e quiasma ópticos. Caracteristicamente produzem um enorme aumento das proteínas liquóricas, desacompanhado de uma pleocitose proporcional. As proteínas liquóricas aumentadas sao globulinas cujas reações mostram-se fortemente positivas, possivelmente produzidas pelas celulas de aspecto linfocitario que constituem parte desta neoplasia. O aumento das proteinas liquoricas e tao acentuado que em presenca de uma crianca ou adolescente com sindrome de hipertensão intracraniana, hiperproteinoraquia sem pleocitose e sinais clínicos ou radiológicos sugestivos de localização na base do crânio a possibilidade de um germinoma quiasmático deve ser seriamente considerada, pois o quadro e muito sugestivo.Three cases of Cerebral Germinomas, one of them situated in the pineal region (topical and two ectopical of the so called suprasellar or chiasmal Germinomas are studied. These last ones may be more aggressive than the congeneral topical ones, since besides it's dissemination throughout the basal cisternas they usually infilstrate into de walls of the III Ventricle, Fornix, Hypothalamus, Chiasma and Optic nervs. A high level of proteins in the spinal fluid without proportional increase of the cells is characteristic. Globulins are the predominant fraction of the increased spinal fluid proteins, as indicated by the highly positive laboratory test. These globulins are possibly produced by the lymphocytes which are part of this neoplasm. The high level of protein in the spinal fluid without proportional increase of the cells, in the presence of intracranial syndrome in a child or adolescent, with anatomical signs of basal localization make the possibility of a Chiasmal Germinona highly probable.

  16. Massa expansiva da região posterior do terceiro ventrículo (tumores da região da pineal

    Directory of Open Access Journals (Sweden)

    Antonio Ronaldo Spotti

    1989-12-01

    Full Text Available Tumores da região da pineal não são comuns. São descritos aspectos clínicos, tomográficos e dos resultados terapêuticos em 12 casos observados num período de 5 anos (1979-1984. Os autores consideram que a via de acesso supracerebelar infratentorial, descrita por Krause em 1926 e reintroduzida por Stein em 1971, é a melhor para a abordagem cirúrgica desse tipo de tumor.

  17. Cystic lesions of the pineal region - MRI and pathology

    Energy Technology Data Exchange (ETDEWEB)

    Engel, U. [Department of Neuropathology, Benjamin-Franklin-Klinikum, Faculty of Medicine, Freie Universitaet Berlin, Hindenburgdamm 30, 12200 Berlin (Germany); Gottschalk, S.; Niehaus, L.; Lehmann, R. [Department of Neuroradiology, Institute of Radiological Diagnosis, Charite University Hospital, Berlin (Germany); May, C.; Vogel, S. [Neurosurgical Clinic, St. Gertraud' s Hospital, Berlin (Germany); Jaenisch, W. [Department of Neuropathology, Landesklinik Brandenburg (Germany)

    2000-06-01

    Pineal lesions are rare. Tumours in this location comprise 0.4-1% of intracranial tumours. They grow mainly as solid-mass lesions, and cystic tumours are not common. On MRI, a cystic configuration is associated usually with non-neoplastic pineal lesions rather than with a tumour, but analysis does not allow cystic pineal tumours to be distinguished from glial cysts with certainty. We compared neuroradiological and pathological data from 13 cystic pineal lesions, analysing preoperative MRI. Formalin-fixed, paraffin-embedded surgical specimens were stained routinely and immunocytochemically, using the streptavidin-biotin-complex method. Histology revealed six pineocytomas, four glial cysts, an arachnoid cyst, a low-grade astrocytoma and a teratoma. Signal characteristics of pineocytomas were similar in many respects to those of glial pineal cysts. Histomorphological analysis allowed unambiguous discrimination between pineocytomas and glial pineal cysts. (orig.)

  18. MR imaging findings of pineal germinoma: focus on differential diagnosis from other germ cell tumors

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun Jin; Lee, Ho Kyu; Kim, Jae Kyun; Shin, Ji Hoon; Choi, Choong Gon; Lee, Myung Jun; Ham, Soo Youn; Lee, Jong Hwa; Suh, Dae Chul [Ulsan Univ. College of Medicine, Seoul (Korea, Republic of)

    1998-10-01

    To determine the characteristic MR imaging findings of pineal germinoma, and differential diagnosis from other germ cell tumors. MR images of patients with histopathologically proven pineal germinoma(n=3D14) and other pineal germ cell tumors(n=3D10) were retrospectively analyzed with regard to size, signal intensity and homogeneity, enhancing features, cyst formation, and multiplicity of lesions. Other pineal germ cell tumors were the mixed germ cell tumors (n=3D4), malignant teratomas (n=3D3), choriocarcinoma(n=3D1), embryonal carcinoma(n=3D1), and endodermal sinus tumor(n=3D1). Tumor markers were evaluated. On T1-weighted images, germinomas showed homogeneous(86%) or iso signal intensity (93%), while other germ cell tumors showed inhomogeneous(70%) or iso signal intensity(70%). On T2-weighted images, germinomas showed homogeneous(64%) or iso signal intensity(57%), while other germ cell tumors showed inhomogeneous(70%) or high signal intensity(80%). On Gd-DTPA enhanced images, germinomas showed homogeneous (93%) or strong enhancement (64%), while other germ cell tumors showed homogeneous(60%) or strong enhancement (70%). Cyst formation was noted in ten Patients (71%) with germinoma and in six (60%) with other germ cell tumors. Invasion on surrounding structures was seen in 11 patients (79%) with germinoma and in five (50%) with other germ cell tumors. Lesions were multiple in three patients(21%) with germinoma. Thirteen of 14 patients with germinoma had normal serum {alpha}-FP(tetoprotein) and {beta}-HCG(human chononic gonafotrophin) levels. Two of four patients with mixed germ cell tumors had elevated serum {beta}-FP and {alpha}-HCG levels; in the ther two, elevated serum {alpha}-FP or {beta}-HCG levels were noted. In the malignant teratoma and embryonal carcinoma patients, serum {alpha}-FP and {beta}-HCG levels were normal. The patient with choriocarcinoma had an elevated serum {beta}-HCG level. On T1W1, the only significant differential point (p<0.01) between germinomas and other germ cell tumors was homogeneity. Germinomas were frequently homogeneous, and iso signal intensity on T1WI and T2WI, strong enhancement, and the formation of small cysts(<3mm) was noted. This MR imaging finding, combined with assay for tumor markers, is helpful for the differential diagnosis of pineal germinoma and other germ cell tumors.=20.

  19. Precocious Puberty due to Human Chorionic Gonadotropin-Secreting Pineal Tumor

    Directory of Open Access Journals (Sweden)

    Ho-Chang Kuo

    2006-04-01

    Full Text Available We present a 9-year-old boy with central precocious puberty and hydrocephalus causedby a human chorionic gonadotropin (?-hCG secreting pineal tumor. High levels of ?-hCGin the serum and cerebrospinal fluid were observed in this patient. The patient receivedradiotherapy and chemotherapy without surgical intervention. Subsequently, significanttumor regression was observed and the serum ?-hCG level normalized. There was no evidenceof tumor recurrence at follow-up one year after treatment. The role of tissue biopsy toestablish a diagnosis in pineal germ cell tumors remains controversial because it can be adifficult procedure and may be dangerous, causing severe complications. In this patient, theelevated ?-hCG level indicated the presence of a tumor and was considered sufficient evidenceto warrant initiating treatment.

  20. Stereotactic management of benign pineal region cysts: report of two cases.

    Science.gov (United States)

    Stern, J D; Ross, D A

    1993-02-01

    Recent case reports describing the open resection of symptomatic benign cysts of the pineal region have noted that the results of stereotactic management of such cysts have not been reported. We report the results of the stereotactic aspiration of benign pineal region cysts in two patients with symptomatic ventriculomegaly secondary to obstruction of the aqueduct. Stereotactic aspiration produced several cubic centimeters of brown-to-yellow fluid that was negative for tumor on cytological examination. Ventriculomegaly and symptoms were relieved without complications by the procedure in one patient who remains asymptomatic after 30 months of follow-up. In the second patient, persistent ventriculomegaly demonstrated on computed tomography resulted in the placement of a ventriculoperitoneal shunt; however, this was removed several months later during an episode of appendicitis and the patient remained asymptomatic without the shunt. The symptoms and ventriculomegaly recurred 71 months postaspiration, and the cyst was reaspirated. Ten months later, she remains asymptomatic. Options for managing such patients include open resection, shunting, and stereotactic aspiration. The relative merits of each approach are discussed. PMID:8437672

  1. Intracranial germinoma in the pineal region arising after subtotal resection of epidermoid cyst: case report.

    Science.gov (United States)

    Walker, Amanda J; Huynh-Le, Minh-Phuong; Nauen, David; Malayeri, Ashkan A; Jallo, George; Terezakis, Stephanie A

    2014-05-01

    We present an unusual case of a germinoma of the pineal region arising adjacent to an epidermoid cyst in a 16-year-old male. Initial imaging findings were classic for epidermoid cyst. The patient underwent two partial resections at an outside institution, each specimen demonstrating pure epidermoid cyst. Follow-up imaging over a period of 24 months showed an area of progressive contrast enhancement adjacent to the initial lesion, suggesting the development of a neoplasm. Given the area of contrast enhancement in addition to worsening headaches and visual changes, he underwent a third and final resection at our institution. Pathology revealed a mixed germ cell tumor with prominent germinoma component in addition to a well-differentiated epidermoid cyst. Details of his imaging and pathologic findings are presented, and possible explanations for these findings are explored, the most likely of which is lack of complete resection at the onset failed to identify the whole of the neoplasm. We conclude that pediatric epidermoid cysts of the pineal region should always receive close follow-up, particularly when total resection is not performed. PMID:24221216

  2. Pineal germinoma with extracranial metastases: case report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young Rang; Lee, Seung Ro; Park, Dong Woo; Hahm, Chang Kok; Park, Moon Hyang; Ko, Yong [College of Medicine, Hanyang Univ., Seoul (Korea, Republic of)

    2004-08-01

    Pineal germinoma is the commonest pineal region tumor of childhood and adolescence. Metastatic germinoma most commonly occurs via the cerebrospinal fluid (CSF), and it is usually limited to the cerebrospinal axis. ExtacraniaI hematogenous metastasis is known to be very rare. We report here on a case of pineal germinoma with gradual extracranial metastases that occurred both through the CSF pathway and by hematogenous spread. The patient had multifocal CSF seeding after his surgery for pineal germinoma, and the left iliac metastasis and lung metastasis then occurred.

  3. Evaluation of pineal calcification in children

    International Nuclear Information System (INIS)

    The study cases were 804 patients who had received either CT or plain radiographs for some reasons. Their ages ranged from newborn to 15 years old. Twenty four patients had the pineal calcification, in which one patient had the pineal region tumor and 4 patients had precocious puberty. The incidence of the pineal calcification was observed on CT as 0.2, 5.8, and 14 % in their age of 0 to 5, 6 to 10, and 11 to 15 years old, respectively. On the other hand, this finding was detected only in 0, 1.1, and 1.2 % on plain radiographs. In conclusion, pineal calcification on CT may suggest the pathological state in children. Although it is observed in a minority of normal children, such a calcification could be looked upon as not only pineal region tumor but precocious puberty and other intracranial disorders with suspicion. (author)

  4. Analysis of clinical features and treatment in mature teratomas at pineal region

    Directory of Open Access Journals (Sweden)

    QI Gui-jun

    2012-04-01

    Full Text Available Surgical treatment through occipital tentorium of cerebellum approach was performed in nine cases of mature teratoma at the pineal region. Diagnosis was confirmed by postoperative pathological examination. No perioperative death occurred. Surgery-related complications (visual difficulties, visual field defects, seizures were seen in 4 cases. All cases were followed for 3 months-7 years (mean 3.70 years. The mature teratoma at the pineal region are more common in male children. The main clinical manifestations are intracranial hypertension and ataxia. Neurosurgical treatment may provide satisfactory outcome.

  5. Use of 3D-computed tomography angiography for planning the surgical removal of pineal region meningiomas using Poppen's approach: a report of ten cases and a literature review

    Directory of Open Access Journals (Sweden)

    Li Ye

    2011-06-01

    Full Text Available Abstract Background There are several treatment approaches for pineal region meningiomas, such as Poppen's approach, Krause's approach and combinations of the two approaches. We present our experience with the use of 3D-computed tomography angiography for planning the surgical removal of pineal region meningiomas using a suboccipital transtentorial approach (Poppen's approach and evaluate the role of Poppen's approach. Methods During the period from January 2005 to June 2010, ten patients presented to us with pineal region meningioma. MRI was routinely used to define the tumor size, position, and its relevant complications while 3D-CTA was applied to define the blood supply of the tumor and the venous complex (VC shift before operations. Most of the meningiomas had developed at both sides of the tentorial plane and extended laterally with typical characteristics of a pineal region tumor. Results All tumors were completely removed surgically without any injury to the VC. Postoperative intracranial infection occurred in one case who recovered after antibiotics were given. Postoperative intraventricular hemorrhage and pneumocephalus were found in one case, but fully recovered after conservative treatment. In the nine cases of concurrent hydrocephalus, this was gradually relieved in eight patients and the single case that became aggravated was successfully treated with ventriculoperitoneal shunt. Moreover, the follow-up MRI examinations did not indicate any recurrence of the meningiomas. Conclusion We found that the use of Poppen's approach is strongly supported for the successful removal of pineal region meningiomas without serious complications.

  6. MRI of pineal region tumours: relationship between tumours and adjacent structures

    International Nuclear Information System (INIS)

    A variety of tumours may arise in the pineal region; accurate diagnosis is important in the selection of treatment and prognosis. A retrospective analysis of the MRI studies of 25 patients with pathologically proven pineal region tumours was performed, focused on the relationship between the tumour and neighbouring structures. Compression of the tectal plate was classified as expansive or invasive, and compression of the corpus callosum as inferior, anterior or posterior. In 10 of the 14 patients (71 %) with germ cell tumours tectal compression was of the invasive type; 8 patients (57 %) had multiple tumours and in 13 (93 %) the tumour margins were irregular. Teratomas were readily diagnosed because of characteristic heterogeneous signal intensity. Pineal cell tumours were differentiated from germ cell tumours by their rounded shape, solid nature, sharp margins, and expansive type of tectal compression. Meningiomas were characterised by their falcotentorial attachments, posterior callosal compression, and a low-intensity rim on T2-weighted images. Gd-DTPA injection enabled clear demonstration of the site and extent of tumour spread and was useful in differentiating cystic and solid components. The appearances described, while not pathognomonic, are helpful in the differential diagnosis of pineal region tumours, and valuable in planning appropriate treatment. (orig.). With 4 figs., 6 tabs

  7. Malformación cavernosa de la región pineal: Caso clínico y revisión de la literatura / Cavernous malformation of the pineal region: Case report and review of the literature

    Scientific Electronic Library Online (English)

    C., Chamadoira; A., Cerejo; A., Vilarinho; L., Castro; R., Vaz.

    2010-04-01

    Full Text Available Las malformaciones cavernosas de la región pineal son raras, con solamente 21 casos publicados hasta el momento en la literatura. A pesar de la dificultad de su diagnóstico debido a su extrema rareza, la presencia de esta lesión puede ser sospechada basándonos en sus características radiológicas. Pr [...] esentamos el caso de una paciente de 57 años de edad, con un cuadro clínico de instauración aguda de desorientación, somnolencia y diplopia. La TC cerebral mostró una hemorragia aguda en la región pineal e hidrocefalia triventricular asociada y la RM cerebral fue sugestiva de que se tratase de una malformación cavernosa. La paciente fue operada con escisión total de la lesión y el estudio histológico confirmó el diagnóstico de angioma cavernoso. Concluimos que la cirugía para extracción total de la lesión es el tratamiento de elección cuando, basados en la imagen, sospechamos un angioma cavernoso de la región pineal. Abstract in english Cavernous malformations rarely occur in the pineal region with only 21 reported to date. Although its diagnosis is not easy because of the extreme rareness of this condition, the presence of this lesion can be suspected based on its typical radiological findings. We report the case of a 57-year-old [...] woman presented with desorientation, somnolence and diplopy. The CT-scan showed an acute hemorrhage in the pineal region and triventricular hydrocephalus. An MRI suggested a cavernous malformation. The patient was operated with total en-bloc removal of the lesion. We conclude that surgical exploration and total resection is the treatment of choice when the diagnosis of cavernous angioma is suspected of the basis of neuroimaging.

  8. Pineal epidermoid cyst: case report and review of the literature.

    Science.gov (United States)

    Hassani, Fahd Derkaoui; Bouchaouch, Abdelali; El Fatemi, Nizare; Gana, Rachid; El Abbadi, Najia; Maaqili, Moulay Rachid

    2014-01-01

    Intracranial epidermoid cysts are one of the rare tumors of all intracranial tumors. They represent 0,2 to 1% of intracranial tumors and 7% of tumors in the cerebellopontine angle. The pineal region is exceptionally subject to such kind of tumor. Cushing was the first to report the pineal localization of the epidermoid cyst in 1928. Up to now, 85 cases of pineal epidermoid cyst were cited in the literature. We report a clinical case concerning a 45 years old man who presented an intracranial hypertension during 18 months. The clinical examination found a hemiparesis with a facial hypoesthesis. The MRI showed a process of the pineal region. The patient underwent a surgery with a large resection. The histological examination confirms the epidermoid cyst. Many approaches were described in the literature. The outcome is related to this localization. PMID:25489364

  9. Assessing therapy response of secreting pineal germ cell tumor on simultaneous 18F-choline PET/MRI.

    Science.gov (United States)

    Panagiotidis, Emmanouil; Shankar, Ananth; Afaq, Asim; Bomanji, Jamshed

    2014-09-01

    An 18-year-old man presented with 6 weeks' history of diplopia, early morning headaches, and blurred vision; on ophthalmologic examination, Parinaud syndrome was revealed. Brain MRI scan showed a calcified pineal mass. Brain simultaneous PET/MRI with 18F-choline showed an avid enhancing mass occupying the pineal region with restricted diffusion. A second examination after chemotherapy demonstrated reduction in both size and radiotracer activity of the mass. Our study emphasizes the potential of simultaneous 18F-choline PET/MRI being a useful tool for contribution in the diagnosis and treatment assessment in a convenient way with minimal radiation exposure and reduced throughput patient time. PMID:24217533

  10. Evaluation of pineal calcification in children. Using both CT and plain radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Ando, Kazuo; Odagiri, Kunio; Fujiwara, Takuya; Tanohata, Kazunori; Matsui, Kengo; Okano, Shigeki

    1987-07-01

    The study cases were 804 patients who had received either CT or plain radiographs for some reasons. Their ages ranged from newborn to 15 years old. Twenty four patients had the pineal calcification, in which one patient had the pineal region tumor and 4 patients had precocious puberty. The incidence of the pineal calcification was observed on CT as 0.2, 5.8, and 14 % in their age of 0 to 5, 6 to 10, and 11 to 15 years old, respectively. On the other hand, this finding was detected only in 0, 1.1, and 1.2 % on plain radiographs. In conclusion, pineal calcification on CT may suggest the pathological state in children. Although it is observed in a minority of normal children, such a calcification could be looked upon as not only pineal region tumor but precocious puberty and other intracranial disorders with suspicion.

  11. Quantitative imaging values of CT, MR, and FDG-PET to differentiate pineal parenchymal tumors and germinomas: are they useful?

    Energy Technology Data Exchange (ETDEWEB)

    Kakigi, Takahide; Okada, Tomohisa; Kanagaki, Mitsunori; Yamamoto, Akira; Fushimi, Yasutaka; Sakamoto, Ryo; Togashi, Kaori [Kyoto University Graduate School of Medicine, Department of Diagnostic Imaging and Nuclear Medicine, Sakyo-ku, Kyoto (Japan); Arakawa, Yoshiki; Takahashi, Jun C. [Kyoto University Graduate School of Medicine, Department of Neurosurgery, Kyoto (Japan); Mikami, Yoshiki [Kyoto University Graduate School of Medicine, Department of Pathology, Kyoto (Japan); Shimono, Taro [Osaka City University Graduate School of Medicine, Department of Radiology, Osaka (Japan)

    2014-04-15

    Quantitative values of CT attenuation, apparent diffusion coefficient (ADC), and standardized uptake value (SUV) were investigated for differentiation between pineal parenchymal tumors (PPTs) and germinomas. Differences in age, sex, and calcification pattern were also evaluated. Twenty-three patients with PPTs and germinomas in 20 years were retrospectively enrolled under the approval of the institutional review board. CT attenuation, ADC, and SUV (20, 13, and 10 patients, respectively) were statistically compared between the two tumors. Differences in sex and patterns of calcification (''exploded'' or ''engulfed'') were also examined. Mean patient ages were compared among three groups of pineoblastoma, pineal parenchymal tumor of intermediate differentiation, (PPTID) and pineocytoma and germinoma. None of the quantitative values of CT attenuation, ADC, and SUV showed significant differences between PPTs and germinomas (p >.05). However, there was a significant difference in age (p <.05) among the three groups of pineoblastoma (mean age ± standard deviation 7.0 ± 8.7 years), PPTID, and pineocytoma (53.7 ± 11.4 years) and germinoma (19.1 ± 8.1 years). Sex also showed significant differences between PPTs and germinomas (p =.039). Exploded pattern of calcification was found in 9 of 11 PPT patients and engulfed pattern in 7 of 9 patients with germinomas. No reverse pattern was observed, and the patterns of calcification were considered highly specific of tumor types. None of the quantitative imaging values could differentiate PPTs from germinomas. Age, sex, and calcification patterns were confirmed useful in differentiating these tumors to some degree. (orig.)

  12. Radiation Is an Important Component of Multimodality Therapy for Pediatric Non-Pineal Supratentorial Primitive Neuroectodermal Tumors

    International Nuclear Information System (INIS)

    Purpose: To review a historical cohort of pediatric patients with supratentorial primitive neuroectodermal tumors (sPNET), to clarify the role of radiation in the treatment of these tumors. Patients and Methods: Fifteen children aged <18 years with non-pineal sPNETs diagnosed between 1992 and 2006 were identified. Initial therapy consisted of surgical resection and chemotherapy in all patients and up-front radiotherapy (RT) in 5 patients. Five patients had RT at the time of progression, and 5 received no RT whatever. Kaplan-Meier estimates of overall survival were then calculated. Results: The median follow-up from diagnosis for all patients was 31 months (range, 0.5-165 months) and for surviving patients was 49 months (range, 10-165). Of the 5 patients who received up-front RT, all were alive without evidence of disease at a median follow-up of 50 months (range, 25-165 months). Only 5 of the 10 patients who did not receive up-front RT were alive at last follow-up. There was a statistically significant difference in overall survival between the patient group that received up-front RT and the group that did not (p = 0.048). In addition, we found a trend toward a statistically significant improvement in overall survival for those patients who received gross total resections (p = 0.10). Conclusions: Up-front RT and gross total resection may confer a survival benefit in patients with sPNET. Local failure was the dominant pattern of recurrence. Efforts should be made to determine patients most likely to have local failure exclusively or as a first recurrence, in order to delay or eliminate craniospinal irradiation

  13. Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report / Metástase pineal como primeira manifestação clinica de adenocarcinoma colorretal: relato de caso

    Scientific Electronic Library Online (English)

    RICARDO, RAMINA; MAURÍCIO, COELHO NETO; WAGNER M., MARIUSHI; WALTER O., ARRUDA.

    1999-03-01

    Full Text Available Metástases cerebrais derivadas de adenocarcinomas colorretais ocorrem em 8% dos casos. Geralmente a doença primária e as metástases em outros órgãos já são conhecidas quando do momento das manifestações neurológicas. Descrevemos um caso de metástase única na região pineal que promoveu a primeira man [...] ifestação clínica de adenocarcinoma colorretal. Uma mulher de 48 anos de idade apresentava há quinze dias de sua admissão ao nosso serviço diplopia e síndrome de Parinaud . O exame de ressonância magnética revelou lesão heterogênea localizada na região pineal. O tumor foi completamente retirado por acesso infratentorial/supracerebelar. O exame histológico revelou tumor metastático indiferenciado e o exame imuno-histoquímico demostrou adenocarcinoma do trato gastrointestinal moderadamente diferenciado. Metástases para a região pineal são extremamente raras e devem ser consideradas no diagnóstico diferencial de tumores nesta região. Abstract in english Cerebral metastases from colorectal adenocarcinomas occur in 8% of the cases. Diagnosis is usually made when primary disease and widespread metastases are already known. We report the case of a patient with single metastases in the pineal region as the first clinical manifestation of a colorectal ad [...] enocarcinoma. A 48-year-old female with Parinaud's syndrome for 15 days prior her admission was evaluated in our clinic. She had no symptoms or signs of colorectal disease. MRI examination revealed an heterogeneous lesion with peritumoral gadolinium enhancement, located in the pineal region. The tumor was radically resected through an infratentorial/supracerebellar approach. Histology showed metastatic carcinoma and immunohistochemical examination showed gastrointestinal tract adenocarcinoma. Metastases to the pineal region are extremely rare and should be considered in the differential diagnosis of tumors of this region.

  14. Imaging of brain tumors

    International Nuclear Information System (INIS)

    The contents are diagnostic approaches, general features of tumors -hydrocephalus, edema, attenuation and/or intensity value, hemorrhage, fat, contrast enhancement, intra-axial supratentorial tumors - tumors of glial origin, oligodendrogliomas, ependymomas, subependymomas, subependymal giant cell astrocytomas, choroid plexus papilloma; midline tumors - colloid cysts, craniopharyngiomas; pineal region tumors and miscellaneous tumors i.e. primary intracerebral lymphoma, primitive neuroectodermal tumors, hemangioblastomas; extraaxial tumors - meningiomas; nerve sheath tumors -schwannomas, epidermoids, dermoids, lipomas, arachnoid cysts; metastatic tumors (8 refs.)

  15. MR imaging of pineal cysts

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Yong Sik; Yu, Hyeon; Kim, Wan Tae; Bae, Jin Woo; Moon, Hee Jung; Shin, Hyun Ja [Korea Veterans Hospital, Seoul (Korea, Republic of)

    1999-09-01

    To evaluate the incidence and characteristic findings of pineal cyst incidentally detected on magnetic resonance (MR) imaging. Brain MR images obtained in 2432 patients were retrospectively reviewed to determine the incidence and MR findings of pineal cysts, which were evaluated according to their size, shape, location, signal intensity, interval change, contrast enhancement and mass effect on adjacent structures. Cysts were encountered in 107(4.4 %) of 2432 patients evaluated. their size ranged from 1 X 1 X 1 to 15 X 8 X 9 (mean, 5.97 X 3.82 X 4.82)mm. All were spherical (n=53) or oval (n=54) in shape. Their margin was smooth and they were homogeneous in nature. On T1-weighted images, the cysts were seen to be hyperintense (n=57) or isointense (n=50) to cerebrospinal fluid, but less so than brain parenchyma. T2-weighted images showed them to be isointense (n=51)or hyperintense (n=56) to cerebrospinal fluid. The cysts were centrally located in 65 cases and eccentrically in 42. Compression of the superior colliculi of the tectum was demonstrated in 17 cases (15.9 %). NO patients presented clinical symptoms or signs related to either pineal or tectal lesions. Peripheral enhancement around the cyst after Gd-DTPA injection was demonstrated in 51 cases(100 %). Follow-up examinations in 19 cases demonstrated no interval change. The incidence of pineal cysts was 4.4 %. The MR characteristics of simple pineal cysts include: (1) an oval or spherical shape, (2) a smooth outer margin and homogeneous nature, (3) isosignal or slightly high signal intensity to cerebrospinal fluid on whole pulse sequences, (4) ring enhancement after contrast injection, (5) an absence of interval change, as seen during follow up MR study. These MR appearances of pineal cysts might be helpful for differentiating them from pineal tumors.

  16. Probing Pineal-specific Gene Expression with Transgenic Zebrafish†

    OpenAIRE

    KOJIMA, Daisuke; DOWLING, JOHN E.; Fukada, Yoshitaka

    2008-01-01

    The pineal gland of zebrafish (Danio rerio) contains lightsensitive photoreceptor cells and plays an important role in the neuroendocrine system. The zebrafish exorhodopsin gene encodes a pineal-specific photoreceptive protein, whose promoter region harbors a cis-acting element, pineal expression-promoting element (PIPE), directing pineal-specific gene expression. For in vivo genetic studies on PIPE-binding proteins and their regulatory mechanisms, we generated a transgenic zebrafish line, Tg...

  17. Pineal epidermoid cyst: its surgical therapy.

    Science.gov (United States)

    McDonnell, D E

    1977-06-01

    A pineal epidermoid cyst was initially diagnosed as a pinealoma. Seven years later combined computerized axial tomography and carotid-vertebral angiography accurately delineated the location and suggested the diagnosis of this histologically benign lesion. Microsurgical technique via a right occipital transtentorial approach allowed successful intracapsular resection of this tumor. PMID:882913

  18. Symptomatic pineal cyst: case report.

    Science.gov (United States)

    Maurer, P K; Ecklund, J; Parisi, J E; Ondra, S

    1990-09-01

    Pineal cysts are being described with increasing frequency since the advent of magnetic resonance imaging. Although pineal cysts are incidental findings in as many as 4% of magnetic resonance imaging studies, symptomatic pineal cysts are quite rare. We present a case of pineal cyst causing aqueductal obstruction with symptomatic hydrocephalus and resultant headache and syncope, which was treated by surgical resection. A review of the relevant literature and discussion follow. PMID:2234341

  19. Primary pineal melanoma presenting with leptomeningeal spreading in a 22-year-old woman: a case report

    Directory of Open Access Journals (Sweden)

    Azimi Parisa

    2012-06-01

    Full Text Available Abstract Introduction Primary malignant melanoma of the pineal region is exceedingly rare. We report a case of primary pineal malignant melanoma and review the literature. Case presentation Our patient was a 22-year-old Iranian woman without any significant past medical history, who was referred to our center with a four-week history of headache and gait disturbance. A magnetic resonance imaging study showed a solid mass in the pineal region causing obstructive hydrocephalus. A brain biopsy was performed and the histological examination indicated melanoma. No other additional melanocytic lesions were found elsewhere. Our patient underwent gross total resection. At the time of discharge she had fully recovered without any neurological deficits. Three weeks after discharge, she was readmitted to hospital with the diagnosis of distal deep vein thrombosis and pulmonary embolism; 12 weeks after the onset of her illness she died of cardiopulmonary arrest. Conclusion We have presented here a rare tumor, a primary malignant melanoma of the pineal region. To the best of our knowledge, this is the second-youngest patient with such a tumor reported in the literature.

  20. Cytologic features of the normal pineal gland of adults.

    Science.gov (United States)

    Jiménez-Heffernan, José A; Bárcena, Carmen; Agra, Carolina; Asunción, Alfonso

    2015-08-01

    It is well known that the histology of normal pineal gland may resemble not only pineal tumors but also gliomas, owing to its cellularity which is much greater than that of normal white or gray matter. Our recent experience with a case in which part of a normal gland was submitted for intraoperative consultation, together with the scarcity of cytologic descriptions, led us to perform a cyto-histologic correlation study. In addition to the intraoperative case, we collected five pineal glands from consecutive adult autopsies. During the squash procedure, we often noted the presence of calcified grains. Smears were hypercellular, distributed in tissue fibrillary fragments and as numerous single cells, with crystalline structures. Pineal gland cells (pineocytes) were large, round, epithelioid with ill-defined cytoplasms and moderate nuclear pleomorphism. Spindle cells with greater fibrillary quality were less common. One of the most remarkable findings seen in all cases was the presence of cytoplasmic pigment. Histological evaluation and immunohistochemical staining confirmed that the tissue was normal pineal gland. The histology showed a characteristic lobular aspect and frequent corpora arenacea. The pigment seen cytologically was also encountered in histology and corresponded to lipofuscin. Cytologic features of the pineal gland are peculiar when compared to other normal structures of the central nervous system. These features correlate closely with what is seen on histology. In an adequate clinical context, and in combination with frozen sections, cytology allows a specific recognition of the pineal gland during intraoperative pathologic consultations. PMID:25914033

  1. Histology and ultrastructure of the pineal organ in the domestic goose

    OpenAIRE

    Prusik, M.; Lewczuk, B.; Nowicki, M.; Przybylska-Gornowicz, B.

    2006-01-01

    The pineal organs of 14-week-old domestic geese were investigated with light and electron microscopy. The pineals consisted of a wide distal part and a narrow middle-proximal one. The glands were attached to the intercommissural region via the choroid plexus. The pineal parenchyma was formed by round or elongated follicles. The follicular wall was composed predominantly by cells immunoreactive with antibodies against hydroxyindolo-O-methyltransferase (HIOMT) or...

  2. Prognostic Significance of P53 Protein, Cyclin D1 and Ki-67 in Pineal Parenchymal Tumours

    Directory of Open Access Journals (Sweden)

    Nagihan YALCIN

    2009-12-01

    Full Text Available Pineal parenchymal tumours are very rare consisting less than 0.1% of all central nervous system tumours. The aim of this study was to investigate the prognostic significance of Ki-67, cyclin D1 and p53 protein expressions in pineal parenchymal tumours. Ten pineal parenchymal tumours were investigated: 2 pineocytomas, 5 pineal parenchymal tumour of intermediate differentiation and 3 pineoblastomas . Immunohistochemical staining was performed using avidin-biotin-peroxidase method. The number of mitoses ranged from 0-25 in pineal parenchymal tumour of intermediate differentiation and 2-30 in pineoblastomas. In general, Ki-67 was found between 0-53.5 %, cyclin D1 was found between 0-40%, p53 was found between 0-4% in pineal parenchymal tumors. In pineal parenchymal tumour of intermediate differentiation, positive staining rates for Ki-67, cyclin D1 and p53 were found as 4-17.5%, 2-30% and 0-4%, respectively. In pineoblastomas, Ki-67, cyclin D1 and p53 were found as 9.2-53.5%, 5-40% and 1-2%, respectively. The number of mitoses was not significant for the prognosis in pineal parenchymal tumors. The very low level of p53 protein made us think that it does not play an active role in the development of these tumours

  3. Comparative histology of pineal calcification

    OpenAIRE

    Vigh, B.; Szél, A; Debreceni, K.; Fejér, Z.; Manzano e Silva, M.J.; Vigh-Teichmann, I.

    1998-01-01

    The pineal organ (pineal gland, epiphysis cerebri) contains several calcified concretions called "brain sand7' or acervuli (corpora arenacea). These concretions are conspicuous with imaging techniques and provide a useful landmark for orientation in the diagnosis of intracranial diseases. Predominantly composed of calcium and magnesium salts, corpora arenacea are numerous in old patients. In smaller number they can be present in children as well. The degree...

  4. A case of pineal teratoma with intraventricular free fat on CT scan

    International Nuclear Information System (INIS)

    Detection of an intraventricular or intratumoral fat-fluid level on the plain craniograms has been known as a characteristic sign indicating the presence of intracranial teratomatous tumors. On CT scans, however, only thirteen cases have been previously reported to be found an intraventricular and/or subarachnoid free fat associated with spontaneous ruptures of these tumors. We reported a case of pineal teratoma with intraventricular free-fat seen on CT scans. A nine-year-old male with precocious puberty was admitted to our hospital complaining a moderate nonpulsatile headache. Neurological examinations were normal without signs of meningeal irritation. The serum and CSF titer of HCG were raised markedly. The laboratory data of the CSF were normal and there were no pathological cells in the CSF. The CT scans revealed a large heterogeneous mass containing multiple areas of negative density in the pineal region. There were negative density droplets in the bilateral frontal horn on the same CT scans indicating a presence of free fats. At surgery, an yellowish oily material was drained from the tumor, but there was no sign of meningitis over the cortical surface of the occipital lobe. An intraventricular free fat on CT scan have been reported in fourteen cases including ours following the first case described by Fawcitt in 1976. Although most of the cases presented headache, only two cases was diagnosed clinically as chemical meningitis. Pathological changes indicating granulomatous meningitis, however, were noted in five cases, all of them presenting seizure attacks. (author)

  5. Homeobox Genes in the Rodent Pineal Gland

    DEFF Research Database (Denmark)

    Rath, Martin Fredensborg; Rohde, Kristian; Klein, David C; Møller, Morten

    2013-01-01

    The pineal gland is a neuroendocrine gland responsible for nocturnal synthesis of melatonin. During early development of the rodent pineal gland from the roof of the diencephalon, homeobox genes of the orthodenticle homeobox (Otx)- and paired box (Pax)-families are expressed and are essential for normal pineal development consistent with the well-established role that homeobox genes play in developmental processes. However, the pineal gland appears to be unusual because strong homeobox gene expr...

  6. Low-grade oligodendroglioma of the pineal gland: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Levidou Georgia

    2010-09-01

    Full Text Available Abstract Background Gliomas are a very rare subtype of pineal region tumours, whereas oligodendrogliomas of the pineal region are exceedingly rare, since there have been only 3 cases of anaplastic oligodedrogliomas reported this far. Methods-Results We present a case of a low-grade oligodendroglioma arising in the pineal gland of a 37 year-old woman. The patient presented with diplopia associated with a cystic pineal region mass demonstrated on MRI. Total resection was performed and histological examination showed that the cystic wall consisted of tumour cells with a central nucleus a perinuclear halo and minimal pleomorphism. Immnunohistochemical analysis showed that these cells were diffusely positive for CD57, and negative for GFAP, CD10, CD99, cytokeratins, neurofilaments and synaptophysin. FISH analysis was performed in a small number of neoplastic cells, which were not exhausted after immunohistochemistry and did not reveal deletion of 1p and 19q chromosome arms. However, the diagnosis of a low grade oligodendroglioma of the pineal gland was assigned. Conclusion Although the spectrum of tumours arising in the pineal gland is broad, the reports of oligodendrogliomas confined to this location are exceedingly rare, and to the best of our knowledge there is no report of a low-grade oligodendroglioma. However, they should be added in the long list of tumours arising in the pineal gland.

  7. Posterior interhemispheric approach and microsurgical resection of a pineal parenchymal neoplasm of intermediate differentiation.

    Science.gov (United States)

    Nanda, Anil; Konar, Subhas; Kalakoti, Piyush; Maiti, Tanmoy

    2016-01-01

    Owing to a deep-seated location and intricate venous anatomy, pathologies of the posterior third ventricular region pose formidable challenges to the operating neurosurgeon. In this video, we present a case of an elderly Caucasian female with a rare histological variant of a pineal parenchymal mass who presented with gait disturbances and worsening retro-orbital headache. Radiological and clinco-histopathological correlates of this rare tumor pathology having intermediate differentiation are highlighted. Briefly outlined are surgical pearls and strategies to minimize complications, as the tumor is approached through the posterior interhemispheric corridor, to achieve a gross-total decompression. The video can be found here: https://youtu.be/KXwclZ7Ei84 . PMID:26722676

  8. NeuroD1: developmental expression and regulated genes in the rodent pineal gland

    DEFF Research Database (Denmark)

    Muñoz, Estela M; Bailey, Michael J; Rath, Martin F; Shi, Qiong; Morin, Fabrice; Coon, Steven L; Møller, Morten; Klein, David C

    2007-01-01

    NeuroD1/BETA2, a member of the bHLH transcription factor family, is known to influence the fate of specific neuronal, endocrine and retinal cells. We report here that NeuroD1 mRNA is highly abundant in the developing and adult rat pineal gland. Pineal expression begins in the 17-day embryo at which time it is also detectable in other brain regions. Expression in the pineal gland increases during the embryonic period and is maintained thereafter at levels equivalent to those found in the cerebell...

  9. Crx broadly modulates the pineal transcriptome

    DEFF Research Database (Denmark)

    Rovsing, Louise; Clokie, Samuel; Bustos, Diego M; Rohde, Kristian; Coon, Steven L; Litman, Thomas; Rath, Martin F; Møller, Morten; Klein, David C

    2011-01-01

    Cone-rod homeobox (Crx) encodes Crx, a transcription factor expressed selectively in retinal photoreceptors and pinealocytes, the major cell type of the pineal gland. In this study, the influence of Crx on the mammalian pineal gland was studied by light and electron microscopy and by use of microarray and qRTPCR technology, thereby extending previous studies on selected genes (Furukawa et al. 1999). Deletion of Crx was not found to alter pineal morphology, but was found to broadly modulate the m...

  10. Surgical management of symptomatic pineal cysts.

    Science.gov (United States)

    Wisoff, J H; Epstein, F

    1992-12-01

    The authors present a series of six patients with large symptomatic benign pineal cysts and review the 27 patients previously reported in the literature. Patients with symptomatic pineal cysts most often present with one of three syndromes: 1) paroxysmal headache with gaze paresis; 2) chronic headache, gaze paresis, papilledema, and hydrocephalus; or 3) pineal apoplexy with acute hydrocephalus. Surgical intervention with radical cyst removal is the treatment of choice for all symptomatic pineal cysts. Complete cyst removal is desirable; however, radical subtotal resection is appropriate if the cyst cannot be easily separated from the quadrigeminal plate. Ventricular shunting should be reserved for patients with persistent hydrocephalus after cyst resection. PMID:1432132

  11. Long-term clinical outcome in patients with pineal germinoma

    International Nuclear Information System (INIS)

    We retrospectively analyzed the long-term clinical course of 10 patients with pineal germinomas to determine the best treatment modality for achieving a good outcome. Subjects were treated at the Gunma University Hospital between 1980 and 1998, given a total dose of 40-50 Gy (mean: 49 Gy) delivered under a conventional fractionation schedule. Tumors had shrunk at 20 Gy in all 10 patients. Mean follow-up was 13.5 years (162 months, range, 59 to 268 months). Five-year survival for the group was 100%. None experienced intracranial disease recurrence. No new abnormalities in internal secretion considered to be due to radiotherapy were seen. Karnofsky performance scales (KPS) for 8 of the 10 were 100. KPS of the remaining 2 were 80, including easy fatiguability, mild ataxia, and recent memory disturbance. Administration of doses of 50 Gy for pineal germinoma is adequate for controlling the tumor over the long term but may reduce the patientis quality of life. Further study is therefore needed to determine the optimal dosage for pineal germinoma. (author)

  12. Estudo por ressonância magnética da região da pineal: pineal normal e cistos simples

    OpenAIRE

    CALDAS JOSÉ GUILHERME; DOYON DOMINIQUE; LEDERMAN HENRIQUE; CARLIER ROBERT

    1998-01-01

    Realiza-se um estudo por ressonância magnética da pineal normal e dos cistos simples da pineal e estabelece-se um protocolo para estudo da região pineal analisando-se 762 exames. A utilização da técnica com cortes finos (3 milímetros no máximo) identifica a pineal normal na maioria das vezes (84,4%) e demonstra que a pineal normal, sem cistos, apresenta sinal isointenso em Tl e T2 com realce após a injeção de gadolínio, medindo em média 6,1 milímetros no seu maior diâmetro. Os cistos simples ...

  13. Biosynthesis and biological action of pineal allopregnanolone

    Directory of Open Access Journals (Sweden)

    Kazuyoshi Tsutsui

    2014-05-01

    Full Text Available The pineal gland transduces photoperiodic changes to the neuroendocrine system by rhythmic secretion of melatonin. We recently provided new evidence that the pineal gland is a major neurosteroidogenic organ and actively produces a variety of neurosteroids de novo from cholesterol in birds. Notably, allopregnanolone is a major pineal neurosteroid that is far more actively produced in the pineal gland than the brain and secreted by the pineal gland in juvenile birds. Subsequently, we have demonstrated the biological action of pineal allopregnanolone on Purkinje cells in the cerebellum during development in juvenile birds. Pinealectomy (Px induces apoptosis of Purkinje cells, whereas allopregnanolone administration to Px chicks prevents cell death. Furthermore, Px increases the number of Purkinje cells that express active caspase-3, a crucial mediator of apoptosis, and allopregnanolone administration to Px chicks decreases the number of Purkinje cells expressing active caspase-3. It thus appears that pineal allopregnanolone prevents cell death of Purkinje cells by suppressing the activity of caspase-3 during development. This paper highlights new aspects of the biosynthesis and biological action of pineal allopregnanolone.

  14. Pineal function: impact of microarray analysis

    DEFF Research Database (Denmark)

    Klein, David C; Bailey, Michael J; Carter, David A; Kim, Jong-so; Shi, Qiong; Ho, Anthony K; Chik, Constance L; Gaildrat, Pascaline; Morin, Fabrice; Ganguly, Surajit; Rath, Martin F; Møller, Morten; Sugden, David; Rangel, Zoila G; Munson, Peter J; Weller, Joan L; Coon, Steven L

    2009-01-01

    Microarray analysis has provided a new understanding of pineal function by identifying genes that are highly expressed in this tissue relative to other tissues and also by identifying over 600 genes that are expressed on a 24-h schedule. This effort has highlighted surprising similarity to the...... foundation that microarray analysis has provided will broadly support future research on pineal function....

  15. Regional cerebral blood flow measurement in brain tumors

    International Nuclear Information System (INIS)

    The regional cerebral blood flow (CBF) was determined on seventeen patients with brain tumors. Ring type single photon emission CT (SPECT) was used following intravenous injection of 133Xe. Case materials included eleven meningiomas and six malignant gliomas. Evaluation was performed with emphasis on the following points; 1. Correlation of the flow data within tumors to the angiographic tumor stains, 2. Influence of tumors on the cerebral blood flow of the normal brain tissue, 3. Correlation between degree of peripheral edema and the flow data of the affected hemispheres. There was significant correlation between flow data within tumors and angiographic tumor stains in meningiomas. Influence of tumors on cerebral blood flow of the normal tissue was greater in meningiomas than in gliomas. There was negative correlation between the degree of peripheral edema and the flow data of the affected hemisphere. It has been concluded that the measurement of CBF in brain tumors is a valuable method in evaluation of brain tumors. (author)

  16. Corpus pineale og MR billeddiagnostik

    DEFF Research Database (Denmark)

    Langevad, Line; Madsen, Camilla Gøbel; Siebner, Hartwig; Garde, Ellen

    2014-01-01

    The pineal gland (CP) is located centrally in the brain and produces melatonin. Cysts and concrements are frequent findings on MRI but their significance is still unclear. The visualization of CP is difficult due to its location and surrounding structures and so far, no standardized method exists....... New studies suggest a correlation between CP-morphology and melatonin secretion as well as a connection between melatonin, disturbed circadian rhythm, and the development of cancer and cardiovascular diseases, underlining the need for a standardized approach to CP on MRI....

  17. Corpus pineale og MR billeddiagnostik

    DEFF Research Database (Denmark)

    Langevad, Line; Madsen, Camilla GØbel

    2014-01-01

    The pineal gland (CP) is located centrally in the brain and produces melatonin. Cysts and concrements are frequent findings on MRI but their significance is still unclear. The visualization of CP is difficult due to its location and surrounding structures and so far, no standardized method exists. New studies suggest a correlation between CP-morphology and melatonin secretion as well as a connection between melatonin, disturbed circadian rhythm, and the development of cancer and cardiovascular diseases, underlining the need for a standardized approach to CP on MRI.

  18. Adenomatoid odontogenic tumor in mandibular region

    International Nuclear Information System (INIS)

    The adenomatoid odontogenic tumor is an uncommon neoplasm derivative of the odontogenic epithelium containing canalicular structures with inductor modifications of variable intensity in the conjunctival tissue. It is a slow growth lesion and no much invasive but that may to be similar to other odontogenic lesions more aggressive including the dentigerous cyst and the ameloblastoma among others. Its classical location (upper canine area) guides us to diagnosis and its duct histological pattern is very typical of this tumor. Other tumors included in this group are the ameloblastic fibroma, the ameloblastic odontoma, the calcified odontogenic cyst and composed and complex odontomas. This group of lesions may or not to have formations of hard tissue inside. Thus, authors present the case of a patient presenting with this type of tumor making a histopathology study, a literature review on this benign odontogenic tumor and its clinical radiographic features, treatment, as well as the differential diagnoses to be into account. (author)

  19. Frequency of central nervous system tumors in delta region, Egypt

    Directory of Open Access Journals (Sweden)

    Khaled R Zalata

    2011-01-01

    Full Text Available Introduction and Aim of Work: Central nervous system (CNS tumors represent a major public health problem, and their epidemiological data in Egypt have been rather incomplete except for some regional reports. There are no available frequency-based data on CNS tumors in our locality. The objective of this study was to estimate the frequency of CNS tumors in east delta region, Egypt. Materials and Methods: The data were collected during the 8-year period from January 1999 to December 2007 from Pathology Department, Mansoura University, and other referred pathology labs. Examination of HandE stained sections from retrieved paraffin blocks were done in all cases for histopathologic categorization of C.N.S. tumors. Immunohistochemical studies were applied to confirm final histopathologic diagnosis in problematic cases. Results: Intracranial tumors represented 86.7% of cases in comparison to only 13.3% for spinal tumors. Gliomas were the CNS tumors of the highest frequency (35.2%, followed by meningioma (25.6%, pituitary adenoma (11.6% and nerve sheath tumors (6.6%. 10.25% of tumors were of children <15 years. Conclusion: This study provides the largest series of the relative frequency of CNS tumors in Delta region in Egypt till now and may help to give insight into the epidemiology of CNS tumors in our locality.

  20. Pineal thyroid relationship in psychic stress

    International Nuclear Information System (INIS)

    Pineal hormone and thyroid functions, were studied simultaneously in rats after the induction of acute psychic stress as well as exogenous administration of melatonin, thyroxine and also after thyroidectomy. A gradual increase in 131I uptake, serum PBI and melatonin levels were observed in blood, reaching maximum on 8th day of psychic stress. Melatonin administration resulted in hypothyroidism whereas thyroxine increased the activity of pineal qland. Thyroidectomy revealed a gradual decrease in melatonin content of pineal gland whereas supplementation with thyroxine resulted in a melatonin content similar to that observed in sham operated (control) group. (author)

  1. Nonneoplastic pineal cysts: a clinicopathologic study of twenty-one cases.

    Science.gov (United States)

    Mena, H; Armonda, R A; Ribas, J L; Ondra, S L; Rushing, E J

    1997-10-01

    Twenty-one cases of nonneoplastic pineal cyst are presented. The patients were 13 women and 8 men, with a median age of 33 years. Sixteen patients were symptomatic. Symptomatic cysts had an average size of 16.5 mm. In most cases, symptoms and signs were related to increased intracranial pressure, cerebrospinal fluid obstruction, neuroophthalmologic dysfunction, brainstem and cerebellar compression, and mental status changes. Uncommon clinical presentations in three cases were related to increased cyst size caused by hemorrhage, sudden death, and postural syncope and loss of consciousness. Imaging studies showed a uniform hypodense or hypointense, nonenhancing pineal mass with occasional peripheral calcification and associated with hydrocephalus, aqueductal compression, tectal deformity, and hemorrhage within the cavity, in decreasing order of frequency. Fourteen patients underwent open cyst resection. Histologically, the intact lesions show a unilocular or multilocular cavity, surrounded by a wall comprised of variable amounts of glial tissue, remnants of pineal gland, and an external fibrous capsule. Follow-up information showed 12 patients alive and well without recurrence between 26 and 144 postoperative months. One patient who underwent stereotactic drainage had a recurrence. One symptomatic patient who did not have surgery died suddenly of causes related to the cyst. The present study supports the role of surgical excision for the treatment of symptomatic pineal cysts to obtain adequate tissue for diagnosis and relief of symptoms. The use of histochemical and immunohistochemical studies may prove useful in the distinction of these lesions with astrocytomas and cystic pineal parenchymal tumors. PMID:9869821

  2. NeuroD1: developmental expression and regulated genes in the rodent pineal gland

    DEFF Research Database (Denmark)

    Muñoz, Estela M; Bailey, Michael J

    2007-01-01

    NeuroD1/BETA2, a member of the bHLH transcription factor family, is known to influence the fate of specific neuronal, endocrine and retinal cells. We report here that NeuroD1 mRNA is highly abundant in the developing and adult rat pineal gland. Pineal expression begins in the 17-day embryo at which time it is also detectable in other brain regions. Expression in the pineal gland increases during the embryonic period and is maintained thereafter at levels equivalent to those found in the cerebellum and retina. In contrast, NeuroD1 mRNA decreases markedly in non-cerebellar brain regions during development. Pineal NeuroD1 levels are similar during the day and night, and do not appear to be influenced by sympathetic neural input. Gene expression analysis of the pineal glands from neonatal NeuroD1 knockout mice identifies 127 transcripts that are down-regulated (>twofold, p twofold, p <0.05). According to quantitative RT-PCR, the most dramatically down-regulated gene is kinesin family member 5C ( approximately 100-fold) and the most dramatically up-regulated gene is glutamic acid decarboxylase 1 ( approximately fourfold). Other impacted transcripts encode proteins involved in differentiation, development, signal transduction and trafficking. These findings represent the first step toward elucidating the role of NeuroD1 in the rodent pinealocyte.

  3. Radiotherapy of malignant tumors of the maxillofacial region

    International Nuclear Information System (INIS)

    Domestic and foreign literature data on problems of radiotherapy of malignant tumors of the maxillofacial region are reviewed. According to literature data radiotherapy of patients with cancer of oral cavity mucosa is applied as an independent method in 69.6% of cases and in combination with operation it is applied in 84.8% of cases. Radiosensitivity of tumors of this localization as well as methods for improvement of the radioteirapy depending on the type of tumor and its stage are analyzed. Efficiency of radiotherapy of metastases in regional lymph nodes as well as ad isability of their prophylactic irradiation are discussed

  4. Regional cerebral blood flow in the patient with brain tumor

    International Nuclear Information System (INIS)

    Regional cerebral blood flow (rCBF) was measured with xenon-enhanced CT (Xe-CT) in 21 cases of intracranial tumors (13 meningiomas, 5 gliomas, 3 metastatic brain tumors). Peritumoral edema was graded as mild, moderate or severe based on the extent of edema on CT and MRI. According to intratumoral blood flow distribution patterns, three patterns were classified as central type with relatively high blood flow at the center of the tumor, homogeneous type with an almost homogeneous blood flow distribution, and marginal type with relatively high blood flow at the periphery of the tumor. High grade astrocytoma and metastatic brain tumor showed marginal type blood flow and moderate or severe edema except in one case. Five meningiomas with severe peritumoral edema revealed marginal type blood flow and four with mild peritumoral edema showed central type blood flow, except for one case. No correlation was found between the extent of peritumoral edema and histological subtype, tumor size, location, duration of clinical history, vascularization on angiogram, and mean blood flow in the tumor. These results suggest that blood flow distribution patterns within the tumor may affect the extension of peritumoral edema. Pre- and postoperative rCBFs were evaluated with Xe-CT and IMP-SPECT in 7 cases, mean rCBF of peritumoral edema was 6.2 ml/100 g/min preoperatively, and discrepancy between rCBF on Xe-CT and that on IMP-SPECT was shown in the remote cortical region ipsilateral to the tumor. Postoperative rCBF revealed an improved blood flow in both adjacent and remote areas, suggesting that the decreased blood flow associated with brain tumors might be relieved after surgery. (author) 53 refs

  5. Late intrathoracic relapse of pineal germinoma connected to intraspinal canal

    Directory of Open Access Journals (Sweden)

    Utsuki Satoshi

    2007-01-01

    Full Text Available Extraneural metastases of intracranial germinoma are rarely reported. The authors describe the first case of metastatic lung germinoma of the thoracic spine. A 27-year-old man presented with right shoulder pain and right upper limb weakness. He had a history of repetitive radiation therapy - nine (whole-abdomen; 15Gy, 12 (whole brain; 30Gy, whole spine 42Gy and 14 years ago (local; 32Gy - for abdominal metastasis, temporal and fourth ventricle metastasis and spinal dissemination and metastatic pineal germinoma, respectively. Magnetic resonance imaging revealed a lung mass invading the thoracic spine that was diagnosed as a germinoma by tumor biopsy. He was treated by irradiation with 54Gy and two cycles of chemotherapy with cisplatin and etoposide. He did not have any sign of tumor eight years later.

  6. Tumors of the posterior third ventricular region in pediatric patients: The Indian perspective and a review of literature

    Directory of Open Access Journals (Sweden)

    Sanjay Behari

    2011-01-01

    Full Text Available Background: Diverse tumors in the posterior third ventricular region (TPTVR frequently occur in children. A decade?s experience with pediatric TPTVR is presented, focusing on the Indian perspective. Materials and Methods: 25 children (age range: 3-18 years; mean age: 13.32 years; presentation range: 7 days-2.5 years had clinico-radiological assessment with contrast computed tomography (CT and magnetic resonance imaging (MRI. The ventricular/lumbar cerebrospinal fluid (CSF alpha feto protein (AFP/beta human chorionic gonadotrophin (HCG estimation was done when radiological suspicion of a germ cell tumor was present. Extent of resection was deemed partial when some tumor mass remained at the end of surgery, near total when <10% was retained over vital neurovascular structures, and total when complete resection was attained. Results: Operations included infratentorial supracerebellar approach (n = 12, occipito-transtentorial approach (n = 2, endoscopic biopsy and third ventriculostomy (n = 1, frontal parasagittal craniotomy, interhemispheric transcallosal subchoroidal approach (n = 2, middle temporal gyrus transcortical transventricular approach (n = 1, fronto-temporo-zygomatic combined transylvian and subtemporal approach (n = 1 and right ventriculoperitoneal shunt and stereotactic biopsy (n = 1. Only CSF diversion was performed for five patients with a small TPTVR. CSF diversion was required in 12 (48% patients. Tumor pathology included pinealoblastoma (n = 4; one with pineocytic differentiation, nongerminomatous germ cell tumor (NGGCT; n = 3, germinoma (n = 3, pilocytic astrocytoma (n = 2, epidermoid (n = 3 and primitive neuroectodermal tumor (PNET, fibrillary astrocytoma, glioblastoma, teratoma, and meningioma (n = 1, respectively. A patient with neurocysticercosis was diagnosed solely on MRI (four did not undergo biopsy. Fractionated radiotherapy was administered in 13 patients with primary pineal tumors, PNET, NGGCT, fibrillary astrocytoma and glioblastoma. Extent of excision was total in 10 (40%, near total in 5 (20%, partial in 3 (12% and a biopsy in 2 (8% patients. Conclusions: Histopathologic characterization of TPTVR is essential prior to their further management. Benign lesions often have a good prognosis following gross total surgical resection. Pure germinomas are highly susceptible to radiotherapy. NGGCTs often have malignant components that require adjuvant therapy following surgery. The advancements in microsurgical techniques have led to gratifying perioperative results in these deep-seated lesions.

  7. Pineal control of aging: effect of melatonin and pineal grafting on aging mice.

    OpenAIRE

    Pierpaoli, W; Regelson, W.

    1994-01-01

    Dark-cycle, night administration of the pineal hormone melatonin in drinking water to aging mice (15 months of age) prolongs survival of BALB/c females from 23.8 to 28.1 months and preserves aspects of their youthful state. Similar results were seen in New Zealand Black females beginning at 5 months and C57BL/6 males beginning at 19 months. As melatonin is produced in circadian fashion from the pineal, we grafted pineals from young 3- to 4-month-old donors into the thymus of 20-month-old syng...

  8. DETECTION OF TUMOR REGION USING FAST FUZZY CLUSTERING ALGORITHM

    OpenAIRE

    Ms.A.Dhivya (ME); Mrs.D.Anitha ME (AP/IT),

    2014-01-01

    Magnetic Resonance Imaging (MRI) is a medical imaging technique for measuring the anatomy and functions of the body in detail to providing information of the brain and the brain stem. To understand the complex segmentation among the brain regions we propose a fuzzy clustering algorithm. The algorithm starts with globally denoising the brain images using Kernel algorithm. Next, region will be segmented using the FFC (Fast Fuzzy Clustering) algorithms and detecting the tumor region ...

  9. Tumores não hipofisários da região selar Nonpituitary tumors of the sellar region

    Directory of Open Access Journals (Sweden)

    Mauro A. Czepielewski

    2005-10-01

    Full Text Available A hipófise, a sela túrcica e a região peri-selar podem ser acometidas por uma série de lesões, incluindo tumores benignos e malignos, bem como uma ampla variedade de doenças não neoplásicas. Os aspectos clínicos e radiológicos podem auxiliar no diagnóstico diferencial destas lesões. Porém, em muitos casos, somente a análise histopatológica pode estabelecer o diagnóstico definitivo. Neste artigo, revisamos principais tumores não hipofisários da região selar e peri-selar, ressaltando seus aspectos endócrinos mais relevantes.The pituitary gland, sella turcica and the parasellar region can be involved by a wide variety of lesions, including benign and malignant neoplasms as well as a wide variety of non neoplastic tumor-like lesions. Clinical and radiological aspects could help in the differential diagnosis of these lesions. Nevertheless, in many cases only the histopathological analysis could establish the definitive diagnosis. In this paper, we review the nonpituitary tumors of the sellar region emphasizing the associated hormonal disturbances.

  10. Malignant tumors arising in the maxillary region after radiation therapy

    Energy Technology Data Exchange (ETDEWEB)

    Shimizu, Sawamichi; Shirahata, Yuichi; Uchida, Yutaka

    1984-08-01

    Although radiotherapy has proven of great therapeutic value in the treatment of malignant tumors, it should also be borne in mind that radiation has a serious potential risk of giving rise to a secondary malignancy. We recently experienced 2 cases each of carcinoma and sarcoma arising in the irradiated areas long after radiation therapy for malignant tumors. In these 4 cases, 2 males and 2 females, the primary neoplastic diseases were squamous cell carcinoma, epidermoid carcinoma, carcinoma of unknown pathology and malignant lymphoma, and the secondary tumors were epidermoid carcinoma, squamous cell carcinoma, osteosarcoma and chondrosarcoma, respectively. The sites of occurrence of these malignancies were invariably in the maxillary region; the mean latent period was 15 years, aside from an infantile case with a latent period of 5 years. In view of the primary diseases being malignant tumors the following criteria were set up for the diagnosis of radiation-induced malignancies: (1) the site of occurrence is within the confines of a previously irradiated area, (2) the latent period is prolonged and (3) the malignancy occurs as a double tumor. Therapy was primarily by operation. The prognosis was exceedingly ominous, the average survival time being 22 months. This was probably and mainly because of rapidity of tumor growth. Thus, the secondary tumors had already spread back to inward by the time they were first discovered. This should be kept in mind during a long-term follow-up of patients receiving radiotherapy for malignancy. (author).

  11. Malignant tumors arising in the maxillary region after radiation therapy

    International Nuclear Information System (INIS)

    Although radiotherapy has proven of great therapeutic value in the treatment of malignant tumors, it should also be borne in mind that radiation has a serious potential risk of giving rise to a secondary malignancy. We recently experienced 2 cases each of carcinoma and sarcoma arising in the irradiated areas long after radiation therapy for malignant tumors. In these 4 cases, 2 males and 2 females, the primary neoplastic diseases were squamous cell carcinoma, epidermoid carcinoma, carcinoma of unknown pathology and malignant lymphoma, and the secondary tumors were epidermoid carcinoma, squamous cell carcinoma, osteosarcoma and chondrosarcoma, respectively. The sites of occurrence of these malignancies were invariably in the maxillary region; the mean latent period was 15 years, aside from an infantile case with a latent period of 5 years. In view of the primary diseases being malignant tumors the following criteria were set up for the diagnosis of radiation-induced malignancies: (1) the site of occurrence is within the confines of a previously irradiated area, (2) the latent period is prolonged and (3) the malignancy occurs as a double tumor. Therapy was primarily by operation. The prognosis was exceedingly ominous, the average survival time being 22 months. This was probably and mainly because of rapidity of tumor growth. Thus, the secondary tumors had already spread back to inward by the time they were first discovered. This should be kept in mind during a long-term follow-up of patients receiving radiotherapy for malignancy. (author)

  12. CT and MRI of germ-cell tumors with metastasis or multi-located tumors

    International Nuclear Information System (INIS)

    Twenty-seven cases of germ-cell tumors were examined with a CT scan in our clinic. In the 11 cases of metastasis or multi-localized tumors, the CT findings were studied in connection with the MRI findings. There were 6 cases of germ-cell tumors which had broad infiltrating tumors with multiple lesions on first admission. Their tumor sites were different from that in cases of malignant glioma, being frequently localized in the pineal and/or the suprasellar region, on the wall of the third and/or lateral ventricle, and in the region of the basal ganglia. Five of the cases of germ-cell tumors had metastasis with various patterns connected to a remote area - that is, to spinal cords, to the ventricular wall and basal cistern of the brain stem by CSF dissemination, to a lung by hematogeneous metastasis, and to the peritoneal wall or organs by a V-P shunt. The CT findings of germ-cell tumors were correlated mainly with the results of the histological diagnosis; they were found not to differ with the tumor site. The germinoma in the suprasellar region had less calcification than in the pineal region. Cysts, calcification, and an enlargement of the lateral ventricle on the tumor side were frequently seen in the germinoma of the basal ganglia. On the MRI of 5 cases of germinoma, the T1-weighted image revealed a slightly low or iso signal intensity, while the T2-weighted image showed a high signal intensity. In the case of multiple tumor lesions, some cases demonstrated different CT findings and radiosensitivities for each tumor. The possibility of a multicentric origin for the tumors is thus suggested in some cases of germ-cell tumors. (author)

  13. Pineal function: impact of microarray analysis

    DEFF Research Database (Denmark)

    Klein, David C; Bailey, Michael J; Carter, David A; Kim, Jong-so; Shi, Qiong; Ho, Anthony K; Chik, Constance L; Gaildrat, Pascaline; Morin, Fabrice; Ganguly, Surajit; Rath, Martin F; Møller, Morten; Sugden, David; Rangel, Zoila G; Munson, Peter J; Weller, Joan L; Coon, Steven L

    2009-01-01

    Microarray analysis has provided a new understanding of pineal function by identifying genes that are highly expressed in this tissue relative to other tissues and also by identifying over 600 genes that are expressed on a 24-h schedule. This effort has highlighted surprising similarity to the re...

  14. MR-billeddiagnostik af corpus pineale

    DEFF Research Database (Denmark)

    Langevad, Line; Gøbel Madsen, Camilla; Siebner, Hartwig R.; Garde, Ellen

    2014-01-01

    Tilgængeligheden af højopløselige MR-teknikker har ført til større opmærksomhed på og nye spørgsmål vedrørende corpus pineales (CP) funktion og kliniske betydning. Dertil kommer en stigende interesse for hormonet melatonins kliniske betydning og relation til forandringer i CP. I denne statusartikel fokuseres der på ikkeneoplastiske forandringer i CP, aktuel viden fra patologi- og MR-studier samt skanningspraksis.

  15. Symptomatic pineal cysts: clinical manifestations and management.

    Science.gov (United States)

    Michielsen, G; Benoit, Y; Baert, E; Meire, F; Caemaert, J

    2002-03-01

    Between 1991 and 2000, seven patients presented with symptomatic pineal cysts at our hospital (6 females, 1 male). Average age was 22 years (range 4-33 years). Headache was present in 6 patients, who were subsequently operated on. A scotoma and a transient inferior visual field deficit were minor signs in two patients respectively. A Parinaud syndrome with vertical gaze paralysis was found in none. In one child, paroxysmal pupillary dilatations and contractions ('springing pupils') constituted the only signs and a conservative policy was adopted. Four patients presented with hydrocephalus and were treated by an endoscopic resection of their pineal cysts (one stereotactically, three free-hand). Two other patients presented with a prolonged history of symptoms and signs: headache alone in one, headache with discrete neurological deficits in the other. Ventricles in these two patients were not dilated and therefore an open cyst resection by infratentorial supracerebellar approach was performed. Average follow-up in the six "operated" patients was 29 months (range 12-108 months). All four patients treated by endoscopy, are symptom-free at follow-up, whereas the two who were approached by open surgery, are not. Clinical presentation, radiological evaluation and treatment modalities of pineal cysts are discussed and compared with experiences reported in the literature. It is concluded that pineal cysts in the presence of obstructive hydrocephalus are a clear indication for endoscopy with a rigid endoscope. PMID:11956936

  16. Pineal cysts: an incidental MRI finding?

    OpenAIRE

    Di Costanzo, A; Tedeschi, G; Di Salle, F; Golia, F; Morrone, R; Bonavita, V

    1993-01-01

    The incidence of pineal cysts (PC) in "standard" MRI was reviewed. Seven cases of PC were found from 400 consecutive MRI examinations. PC did not produce clinically relevant symptoms in any of the patients. Our data, as well as those emerging from a critical review of the literature, suggest that PC are often asymptomatic and represent an incidental MRI finding.

  17. Malignant tumors of head and neck region - a retrospective analysis

    International Nuclear Information System (INIS)

    To evaluate the spectrum of malignant tumors of head and neck region. The data of total 375 neoplastic lesions of both the sexes between 8-70 years of age was collected and compared with the findings reported from centers in other parts of the country. Among the total 375 cases of neoplastic lesions, 148 were benign whereas 227 proved to be malignant histologically in 155 male and 72 female patients. Squamous cell carcinoma (SCC) was the most frequently encountered histological category (45.8%) followed by lymphoma (14.5%), basal cell carcinoma (10.5%), carcinoma thyroid (10.5%) and salivary gland tumors (8.80%). These were followed by infrequently encountered tumors including nasopharyngeal carcinoma (n=5), small blue round cell tumors (n=3), undifferentiated carcinoma (n=3), retinoblastoma (n=2) and transitional carcinoma nose (n=1). The anatomical regions involved with this tumor were larynx (53.5% of all SCC) followed by pharynx (18.7%) tongue (10.71%) oral cavity (4.4%) metastasis (5.3%) and skin (2.60%). (author)

  18. Hibernoma of the axillary region: a rare benign adipocytic tumor

    Directory of Open Access Journals (Sweden)

    Yasuhito Tanaka

    2010-03-01

    Full Text Available Hibernoma is a rare benign tumor considered to arise from remnants of fetal brown adipose tissue. It tends to occur in sites where brown fat persists beyond fetal life, such as the interscapular region, but can occur in sites where brown fat is usually absent in adults. Clinically, hibernomas are slow-growing, asymptomatic tumors. However, unlike lipomas, MRI findings sometimes mislead clinicians to diagnose a malignant neoplasm. We describe a 63-year-old male with an axillary hibernoma involving the brachial neurovascular bundles and mimicking a well-differentiated liposarcoma, from which it should be distinguished.

  19. Non-pancreatic cancer tumors in the pancreatic region

    OpenAIRE

    Åke Andrén-Sandberg

    2011-01-01

    Most of tumors found in the pancreas are adenocarcinoma of the pancreas. A small number of tumors in the pancreas, such as islet cell tumors or neuroendocrine tumors, papillary cystic neoplasms, lymphoma, acinar cell tumors, metastatic tumors to the pancreas often, have a far better prognosis, and the majority of these tumors are non-malignant or benign. The author reviewed the recent literatures, and summarized where the tumor comes originally in the pancreas, what is the type of the tumor, ...

  20. The reno-pineal axis: A novel role for melatonin

    Directory of Open Access Journals (Sweden)

    Sanjay Kalra

    2012-01-01

    Full Text Available The pineal gland is a tiny endocrine gland whose physiologic role has been the focus of much research and much more speculation over the past century. This mini-review discusses recent findings which correlate melatonin and renal physiology, and postulates the presence of a "reno-pineal axis." Drawing lessons from comparative endocrinology, while quoting human data, it advocates the need to study the "reno-pineal axis" in greater detail.

  1. Neuropeptide Y in the adult and fetal human pineal gland

    DEFF Research Database (Denmark)

    Møller, Morten; Phansuwan-Pujito, Pansiri; Badiu, Corin

    2014-01-01

    show by use of immunohistochemistry that neuropeptide Y is present in nerve fibers of the adult human pineal gland. The fibers are classical neuropeptidergic fibers endowed with large boutons en passage and primarily located in a perifollicular position with some fibers entering the pineal parenchyma...... inside the follicle. The distance from the immunoreactive terminals to the pinealocytes indicates a modulatory function of neuropeptide Y for pineal physiology. Some of the immunoreactive fibers might originate from neurons located in the brain and be a part of the central innervation of the pineal gland...

  2. Global daily dynamics of the pineal transcriptome

    DEFF Research Database (Denmark)

    Bustos, Diego M; Bailey, Michael J; Sugden, David; Carter, David A; Rath, Martin F; Møller, Morten; Coon, Steven L; Weller, Joan L; Klein, David C

    2011-01-01

    Transcriptome profiling of the pineal gland has revealed night/day differences in the expression of a major fraction of the genes active in this tissue, with two-thirds of these being nocturnal increases. A set of over 600 transcripts exhibit two-fold to >100-fold daily differences in abundance. These changes appear to be primarily attributable to adrenergic-cyclic-AMP-dependent mechanisms, which are controlled via a neural pathway that includes the suprachiasmatic nucleus, the master circadian ...

  3. Histiocytosis mimicking a pineal gland tumour

    Energy Technology Data Exchange (ETDEWEB)

    Gizewski, E.R.; Forsting, M. [Dept. of Neuroradiology, Univ. of Essen (Germany)

    2001-08-01

    We report an unusual case of isolated Langerhans cell histiocytosis of the central nervous system. A 19-year-old man presented with an incomplete ocular palsy. MRI revealed a solitary mass in the pineal gland with marked contrast enhancement. Complete microsurgical excision was followed by local radiotherapy. Histological examination revealed histiocytosis. Unifocal brain involvement by histiocytosis X is rare with few cases in the literature; the most commonly involved areas are the hypothalamus and the pituitary gland. (orig.)

  4. Morphological studies of the pineal gland in the common gull (Larus canus) reveal uncommon features of pinealocytes.

    Science.gov (United States)

    Przybylska-Gornowicz, Barbara; Lewçzuk, Bogdan; Prusik, Magdalena; Kalicki, Miroslaw; Zió?kowska, Natalia

    2012-04-01

    The avian pineal is a directly photosensory organ taking part in the organization of the circadian and seasonal rhythms. It plays an important role in regulation of many behavior and physiological phenomena including migration. The aim of the study was to investigate morphology of the pineal organ in the common gull (Larus canus). The light and electron microscopic studies were performed on the pineals of juvenile birds living in natural conditions of the Baltic Sea coast, which have been untreatably injured during strong storms in autumn and qualified for euthanasia. The investigated pineals consisted of a wide, triangular, superficially localized distal part and a narrow, elongated proximal part, attached via the choroid plexus to the intercommissural region of the diencephalon. The accessory pineal tissue was localized caudally to the choroid plexus. Based on the histological criteria, the organ was classified as the solid-follicular type. Two types of cells of fotoreceptory line were distinguished: rudimentary-receptor pinealocytes and secretory pinealocytes. Both types of cells were characterized by unusual features, which have been not previously described in avian pinealocytes: the presence of paracrystalline structures in the basal processes and their endings, the storage of glycogen in the form of large accumulations and the arrangement of mitochondria in clusters. Further studies on other species of wild water birds dwelling in condition of cold seas are necessary to explain if the described features of pinealocytes are specific for genus Larus, family Laridae or a larger group of water birds living in similar environmental conditions. PMID:22262668

  5. Morfología de la Glándula Pineal: Revisión de la Literatura / Pineal Gland Morphology: A Literature Review

    Scientific Electronic Library Online (English)

    Ignacio, Roa; Mariano, del Sol.

    2014-06-01

    Full Text Available La glándula pineal es una pequeña estructura ubicada en el techo del diencéfalo, su principal función es la de regular los ritmos circadianos, tales como sueño-vigilia, secretar melatonina, hormona con fuerte efecto sobre la acción gonadal, además de oncostática, geroprotectora y antioxidante. La pr [...] esente revisión tiene por objetivo conocer los aspectos morfológicos de la glándula pineal, desde su desarrollo a nivel embriológico como su descripción anatómica e histológica con el fin de comprender su función desde un punto de vista integral. Abstract in english Pineal gland is a small structure located on the roof of the diencephalon, and its principal function is to play an important role in circadian rhythm regulation, such as sleep/wake, besides secreting melatonin, a hormone with a strong effect on gonadal action, and playing oncostatic, geroprotector [...] and antioxidant roles. This review aims to know the morphological aspects of the pineal gland, from its embryological development, its anatomic and histological description, in order to understand its function from an integral view.

  6. [Age-dependent morphology of human pineal gland: supravital study].

    Science.gov (United States)

    Ivanov, S V

    2007-01-01

    On the base of analysis of 5784 events of diagnostic magnetic-resonance tomography studies of the head of patients in radio diagnosis departments the database is formed. Only events (n=411) without cerebral, oncology, endocrine and other pathology are taken in database. The material was grouped to time and date of the study, sex and age in accordance with generally accepted categorization. Maximum linear sizes of pineal gland and hypophysis cerebri in sagittal, axial and coronar projection were measured in all events; volumes of the organs were calculated on the formula of a ball. It is defined that the volume of pineal gland increases from birth till 17-21 year age, gradually falls till the second mature age and is getting stable in old age. The normative factors of the volume of pineal gland and hypophysis cerebri for 8 age groups are determined. "Brain sand" and false cysts in pineal gland can be observed in all age groups. The petrification degree of pineal gland, as of computer tomography, varies from 30 to 277 ed. HV. For the factor of pineal gland volume and factor of cysts frequency in pineal gland a puberty "collapse" is typical, mainly in men. PMID:18306690

  7. FULLY AUTOMATED APPROACH TO IDENTIFY BRAIN TUMORS USING DYNAMIC REGION MERGING

    OpenAIRE

    ASHWINI JANGDE, NAVNEET SAHU

    2013-01-01

    : Image segmentation is a fundamental task of computer vision application. In this paper address the automatic image segmentation algorithum, which exploit the information obtain from deducting tumor in brain MRI. Many segmentation technic are used to deduct the tumor portion like Thresholding technic, Hybrid technic , Boundary based technic, and Region based technic but in this all technic should deducted the initial tumor tissue but when the secondary tumor present or more than one tumor ar...

  8. MORPHOMETRIC CHARACTERISTICS OF THE PINEAL ACERVULI DURING THE HUMAN AGING

    Directory of Open Access Journals (Sweden)

    Dejan Zdravkovic

    2004-01-01

    Full Text Available Acervuli of 30 human pineal gland, were investigated during our research. They were collected during the autopsies at the Institut for forensic medicine of the Faculty of Medicine in Niš. Pineal tissue was processed with standard histologic procedure. Then, it was cut into 10 mm thick sections which were stained with HE, PAS, AB PAS and Mallory’s trichrome connective tissue stain. After that they were analyzed with light microscope. Morphometric analysis was performed by astereologic method. The B100 double square lattice test system was used. Average area, average perimeter, average diameter and contour index were calculated for the pineal acervuli of each age group. Obtained morphometric parameters were statisticaly analyzed. Acervuli were colored blue on HE stained sections. They were PAS and AB PAS positive structures which had red colored center and blue colored periphery on Mallory’s trichrome stained sections. Laminate structure was present, but it was not so concentric as it was in pineal capsula acervuli. Acervuli of the first age group had regular shape. They were localized at the pineal gland periphery. Acervuli of the second and the third age group obtained larger dimensions and more irregular shape, which finally led to mulberry structures formation in the core of the pineal gland. They were probably the result of the conglomeration of just formed with already formed ones. The increase of the average area, average parimeter, average diameter and contour index confirmed the increase of pineal acervuli dimensions and their shape irregularity during the aging process.Therefore, pineal acervuli show the increase of dimensions and shape irregularity. Finally, the process of conglomeration leads to mulberry like structures formation, in the second and the third age group which dominate pineal tissue in these age groups.

  9. Pineal cyst apoplexy: report of an unusual case managed conservatively.

    Science.gov (United States)

    Ayhan, Selim; Bal, Ercan; Palaoglu, Selcuk; Cila, Aysenur

    2011-01-01

    Pineal cyst apoplexy is a very rare entity with previously reported symptoms of severe frontal or occipital headache, gaze paresis and visual field defects, nausea or vomiting, syncope, ataxia, hearing loss and sudden death. The treatment options for symptomatic pineal cysts are observation, shunting, aspiration via stereotactic guidance or endoscopy, third ventriculostomy, ventriculocysternostomy, and/or surgical resection by craniotomy and microsurgery. Here, the authors report an unusual case of a 28-year-old male patient with pineal cyst apoplexy, presenting with headache, insomnia, and sexual dysfunction symptoms who is being managed conservatively and observed for two years by an academic tertiary care unit. PMID:22212992

  10. Asymptomatic intraventricular lipid leak from a primary pineal teratoma

    Energy Technology Data Exchange (ETDEWEB)

    Harrison, R.L.; Abernethy, L.J. [Royal Liverpool Children' s Hospital (United Kingdom)

    2001-02-01

    We present a case of pineal teratoma in a symptomatically stable 6-year-old child in which MRI revealed intraventricular lipid accumulation in the absence of any primary tumour growth, metastatic disease or tumour degeneration. (orig.)

  11. Global daily dynamics of the pineal transcriptome

    DEFF Research Database (Denmark)

    Bustos, Diego M; Bailey, Michael J; Sugden, David; Carter, David A; Rath, Martin F; Møller, Morten; Coon, Steven L; Weller, Joan L; Klein, David C

    2011-01-01

    Transcriptome profiling of the pineal gland has revealed night/day differences in the expression of a major fraction of the genes active in this tissue, with two-thirds of these being nocturnal increases. A set of over 600 transcripts exhibit two-fold to >100-fold daily differences in abundance. ...... modification, small molecule biology, transcription factors, vesicle biology, signaling involving Ca(2+), cyclic nucleotides, phospholipids, mitogen-activated protein kinases, the Wnt signaling pathway, and protein phosphorylation........ These changes appear to be primarily attributable to adrenergic-cyclic-AMP-dependent mechanisms, which are controlled via a neural pathway that includes the suprachiasmatic nucleus, the master circadian oscillator. In addition to melatonin synthesis, night/day differences in gene expression impact genes...

  12. Tachykinins and tachykinin-receptors in the rat pineal gland

    DEFF Research Database (Denmark)

    Mukda, S; Chetsawang, B; Govitrapong, P; Schmidt, P T; Hay-Schmidt, Anders; Møller, M

    2005-01-01

    High-pressure liquid chromatography of extracts of rat pineal glands, followed by radio immunological analysis with antibodies against tachykinins, demonstrated the presence of substance P, neurokinin A and neurokinin B in the superficial rat pineal gland. Immunohistochemistry on perfusion-fixed rat brain sections showed substance P and neurokinin A to be present in nerve fibers located both in the perivascular spaces as well as intraparenchymally between the pinealocytes. After extracting total...

  13. Neuropeptide Y in the adult and fetal human pineal gland

    DEFF Research Database (Denmark)

    Møller, Morten; Phansuwan-Pujito, Pansiri; Badiu, Corin

    2014-01-01

    Neuropeptide Y was isolated from the porcine brain in 1982 and shown to be colocalized with noradrenaline in sympathetic nerve terminals. The peptide has been demonstrated to be present in sympathetic nerve fibers innervating the pineal gland in many mammalian species. In this investigation, we show by use of immunohistochemistry that neuropeptide Y is present in nerve fibers of the adult human pineal gland. The fibers are classical neuropeptidergic fibers endowed with large boutons en passage a...

  14. Incidental pineal cysts in children who undergo 3-T MRI

    Energy Technology Data Exchange (ETDEWEB)

    Whitehead, Matthew T. [University of Tennessee Health Science Center, Department of Radiology, Memphis, TN (United States); Le Bonheur Children' s Hospital, Le Bonheur Neuroscience Institute, Memphis, TN (United States); Le Bonheur Children' s Hospital, Department of Radiology, Memphis, TN (United States); Oh, Christopher C. [University of Tennessee Health Science Center, Department of Radiology, Memphis, TN (United States); Le Bonheur Children' s Hospital, Le Bonheur Neuroscience Institute, Memphis, TN (United States); Choudhri, Asim F. [University of Tennessee Health Science Center, Department of Radiology, Memphis, TN (United States); Le Bonheur Children' s Hospital, Le Bonheur Neuroscience Institute, Memphis, TN (United States); University of Tennessee Health Science Center, Department of Neurosurgery, Memphis, TN (United States)

    2013-12-15

    Pineal cysts, both simple and complex, are commonly encountered in children. More cysts are being detected with MR technology; however, nearly all pineal cysts are benign and require no follow-up. To discover the prevalence of pineal cysts in children at our institution who have undergone high-resolution 3-T MRI. We retrospectively reviewed 100 consecutive 3-T brain MRIs in children ages 1 month to 17 years (mean 6.8 {+-} 5.1 years). We evaluated 3-D volumetric T1-W imaging, axial T2-W imaging, axial T2-W FLAIR (fluid attenuated inversion recovery) and coronal STIR (short tau inversion recovery) sequences. Pineal parenchymal and cyst volumes were measured in three planes. Cysts were analyzed for the presence and degree of complexity. Pineal cysts were present in 57% of children, with a mean maximum linear dimension of 4.2 mm (range 1.5-16 mm). Of these cysts, 24.6% showed thin septations or fluid levels reflecting complexity. None of the cysts demonstrated complete T2/FLAIR signal suppression. No cyst wall thickening or nodularity was present. There was no significant difference between the ages of children with and without cysts. Cysts were more commonly encountered in girls than boys (67% vs. 52%; P = 0.043). There was a slight trend toward increasing pineal gland volume with age. Pineal cysts are often present in children and can be incidentally detected by 3-T MRI. Characteristic-appearing pineal cysts in children are benign, incidental findings, for which follow-up is not required if there are no referable symptoms or excessive size. (orig.)

  15. Incidental pineal cysts in children who undergo 3-T MRI

    International Nuclear Information System (INIS)

    Pineal cysts, both simple and complex, are commonly encountered in children. More cysts are being detected with MR technology; however, nearly all pineal cysts are benign and require no follow-up. To discover the prevalence of pineal cysts in children at our institution who have undergone high-resolution 3-T MRI. We retrospectively reviewed 100 consecutive 3-T brain MRIs in children ages 1 month to 17 years (mean 6.8 ± 5.1 years). We evaluated 3-D volumetric T1-W imaging, axial T2-W imaging, axial T2-W FLAIR (fluid attenuated inversion recovery) and coronal STIR (short tau inversion recovery) sequences. Pineal parenchymal and cyst volumes were measured in three planes. Cysts were analyzed for the presence and degree of complexity. Pineal cysts were present in 57% of children, with a mean maximum linear dimension of 4.2 mm (range 1.5-16 mm). Of these cysts, 24.6% showed thin septations or fluid levels reflecting complexity. None of the cysts demonstrated complete T2/FLAIR signal suppression. No cyst wall thickening or nodularity was present. There was no significant difference between the ages of children with and without cysts. Cysts were more commonly encountered in girls than boys (67% vs. 52%; P = 0.043). There was a slight trend toward increasing pineal gland volume with age. Pineal cysts are often present in children and can be incidentally detected by 3-T MRI. Characteristic-appearing pineal cysts in children are benign, incidental findings, for which follow-up is not required if there are no referable symptoms or excessive size. (orig.)

  16. Supratentorial tumors; Supratentorielle Tumoren

    Energy Technology Data Exchange (ETDEWEB)

    Grunwald, I.; Dillmann, K.; Roth, C.; Backens, M.; Reith, W. [Universitaetsklinikum Saarland, Homburg (Germany). Klinik fuer Diagnostische und Interventionelle Neuroradiologie

    2007-06-15

    Magnetic resonance imaging is a routine diagnostic measure for a suspected intracerebral mass. Computed tomography is usually also indicated. Further diagnostic procedures as well as the interpretation of the findings vary depending on the tumor location. This contribution discusses the symptoms and diagnostics for supratentorial tumors separated in relation to their intra- or extracranial location. Supratentorial tumors include astrocytoma, differentiated by their circumscribed and diffuse growth, ganglioglioma, ependyoma, neurocytoma, primitive neuroectodermal tumors (PNET), oligodendroglioma, dysembryoplastic neuroepithelial tumors (DNET), meningoangiomatosis, pineal tumors, hamartoma, lymphoma, craniopharyngeoma and metastases. The supratentorial extracranial tumors include the choroid plexus, colloid cysts, meningeoma, infantile myofibromatosis and lipoma. The most common subforms, especially of astrocytoma, will also be presented. (orig.)

  17. Pineal and cortical melatonin receptors MT1 and MT2 are decreased in Alzheimer’s disease

    Directory of Open Access Journals (Sweden)

    P Brunner

    2009-06-01

    Full Text Available The pineal hormone melatonin is involved in physiological transduction of temporal information from the light dark cycle to circadian and seasonal behavioural rhythms, as well as possessing neuroprotective properties. Melatonin and its receptors MT1 and MT2, which belong to the family of G protein- coupled receptors, are impaired in Alzheimer’s disease (AD with severe consequences to neuropathology and clinical symptoms. The present data provides the first immunohistochemical evidence for the cellular localization of the both melatonin receptors in the human pineal gland and occipital cortex, and demonstrates their alterations in AD.We localized MT1 and MT2 in the pineal gland and occipital cortex of 7 elderly controls and 11 AD patients using immunohistochemistry with peroxidase-staining. In the pineal gland both MT1 and MT2 were localized to pinealocytes, whereas in the cortex both receptors were expressed in some pyramidal and non-pyramidal cells. In patients with AD, parallel to degenerative tissue changes, there was an overall decrease in the intensity of receptors in both brain regions. In line with our previous findings, melatonin receptor expression in AD is impaired in two additional brain areas, and may contribute to disease pathology.

  18. [Analysis of brain tumors in children from the Rzeszów region].

    Science.gov (United States)

    Dzianott, A; Korczowski, R; Czyzyk, E; Mazur, A

    1995-03-01

    The authors present an analysis of brain tumors diagnosed in the pediatric ward of the voivodship hospital in Rzeszów between 1988 and 1992. Age, sex and clinical manifestation leading to hospitalisation, localisation and histopathology of the tumors were assessed. PMID:8657489

  19. Regional cerebral blood flow alterations remote from the site of intracranial tumors

    DEFF Research Database (Denmark)

    Endo, H; Larsen, B; Lassen, N A

    1977-01-01

    Regional cerebral blood flow (rCBF) was investigated in 12 patients with brain tumors, using a 254-channel dynamic gamma camera. In nine of the 12 cases, hyperemic regions with loss of autoregulation were seen in sites remote from the tumor (the area around the tumor was in most cases also...... hyperemic). These remote rCBF abnormalities were found in the lower posterior part of the hemisphere in six cases, and in the frontal region in three. The location of the remote rCBF abnormality seemed to depend on the site of the tumor: cases with frontal and posterior fossa mass lesions had hyperemia in...

  20. The dielectric properties of human pineal gland tissue and RF absorption due to wireless communication devices in the frequency range 400-1850 MHz

    Energy Technology Data Exchange (ETDEWEB)

    Schmid, Gernot [Austrian Research Centers GmbH-ARC, ITM, A-2444 Seibersdorf (Austria); Ueberbacher, Richard [Austrian Research Centers GmbH-ARC, ITM, A-2444 Seibersdorf (Austria); Samaras, Theodoros [Department of Physics, Aristotle University of Thessaloniki, GR-54124 Thessaloniki (Greece); Tschabitscher, Manfred [Center of Anatomy and Cell Biology, Medical University of Vienna, A-1090 Vienna (Austria); Mazal, Peter R [Department of Clinical Pathology, Medical University Vienna, A-1090 Vienna (Austria)

    2007-09-07

    In order to enable a detailed analysis of radio frequency (RF) absorption in the human pineal gland, the dielectric properties of a sample of 20 freshly removed pineal glands were measured less than 20 h after death. Furthermore, a corresponding high resolution numerical model of the brain region surrounding the pineal gland was developed, based on a real human tissue sample. After inserting this model into a commercially available numerical head model, FDTD-based computations for exposure scenarios with generic models of handheld devices operated close to the head in the frequency range 400-1850 MHz were carried out. For typical output power values of real handheld mobile communication devices, the obtained results showed only very small amounts of absorbed RF power in the pineal gland when compared to SAR limits according to international safety standards. The highest absorption was found for the 400 MHz irradiation. In this case the RF power absorbed inside the pineal gland (organ mass 96 mg) was as low as 11 {mu}W, when considering a device of 500 mW output power operated close to the ear. For typical mobile phone frequencies (900 MHz and 1850 MHz) and output power values (250 mW and 125 mW) the corresponding values of absorbed RF power in the pineal gland were found to be lower by a factor of 4.2 and 36, respectively. These results indicate that temperature-related biologically relevant effects on the pineal gland induced by the RF emissions of typical handheld mobile communication devices are unlikely.

  1. The dielectric properties of human pineal gland tissue and RF absorption due to wireless communication devices in the frequency range 400-1850 MHz

    International Nuclear Information System (INIS)

    In order to enable a detailed analysis of radio frequency (RF) absorption in the human pineal gland, the dielectric properties of a sample of 20 freshly removed pineal glands were measured less than 20 h after death. Furthermore, a corresponding high resolution numerical model of the brain region surrounding the pineal gland was developed, based on a real human tissue sample. After inserting this model into a commercially available numerical head model, FDTD-based computations for exposure scenarios with generic models of handheld devices operated close to the head in the frequency range 400-1850 MHz were carried out. For typical output power values of real handheld mobile communication devices, the obtained results showed only very small amounts of absorbed RF power in the pineal gland when compared to SAR limits according to international safety standards. The highest absorption was found for the 400 MHz irradiation. In this case the RF power absorbed inside the pineal gland (organ mass 96 mg) was as low as 11 ?W, when considering a device of 500 mW output power operated close to the ear. For typical mobile phone frequencies (900 MHz and 1850 MHz) and output power values (250 mW and 125 mW) the corresponding values of absorbed RF power in the pineal gland were found to be lower by a factor of 4.2 and 36, respectively. These results indicate that temperature-related biologically relevant effects on the pineal gland induced by the RF emissions of typical handheld mobile communication devices are unlikely

  2. Mutation Screening in the Mitochondrial D-Loop Region of Tumoral and Non-tumoral Breast Cancer in Iranian Patients

    Directory of Open Access Journals (Sweden)

    Mansour Heidari

    2012-07-01

    Full Text Available The mitochondrial DNA (mtDNA mutations in mitochondrial coding and non coding regions seem to be important in carcinogenesis. The aim of this investigation was to evaluate coding region (mt-tRNAPhe and tRNAPro and non-coding sequence, mitochondrial displacement loop (mtDNA D-loop, in the cancerous and non-cancerous lesions of Iranian patients with breast cancer (BC. Genomic DNA was extracted from 50 breast tumors and surrounding normal tissue pairs as well as from 50 unrelated normal breast tissues from Iranian Kurdish population. Subsequently, PCR amplification was performed using specific primers, and then PCR products were subjected to direct sequencing. 41 genetic variants were identified in mtDNA D-loop among tumoral and non-tumoral tissues but not in tRNAPhe and tRNAPro sequences. Our findings indicated that C182T, 194insT, 285insA and 16342delT were just found in BC tumors whereas 302insC, C309T and C16069T found in both tumors and surrounding normal tissues. Although our findings showed that the observed genetic variations were not restricted to breast cancer tissues, some genetic changes were found only in BC tumors. Our results, in agreement with the evidence from earlier studies, confirm that the mtDNA genetic alterations might be implicated in tumor initiation, progression and development. text-align: justify;

  3. Malignant giant cell tumor of soft parts in lumbosacral region

    Directory of Open Access Journals (Sweden)

    Jadali F

    2008-04-01

    Full Text Available Background: Giant cell tumor of soft parts is a rare neoplasm that mainly affects adulst and the elderly and is usually located in the extremities. Here we report a child with giant cell tumor of soft tissue, which is a very rare condition in childhood. Clinical presentation : A 5 year old girl presented with a 5 month history of left lower extremity pain. She had developed paraplegia before admission. On examination, mild left lumbosacral swelling and tenderness was found. Abdominal and pelvic CT-Scan revealed an expansile lytic lesion of the left side of sacrum with significant soft tissue component extending toward the left iliac bone. Lumbar MRI revealed a space occupying lesion originating from posterior L5 elements, projecting toward the L1. Intervention : The patient underwent surgery. A firm epidural hemorrhagic tumor of L5, S1, and S2 with no spinal cord involvement was found. Partial tumor resection (measuring 3*1*0.5 cm in maximal diameter and laminectomy was done. Conclusion : Primary giant cell tumors of soft tissue are distinctive, rare neoplasms that exhibit a wide clinicopathologic spectrum similar to osseous GCTs and need to be differentiated from other giant cell rich soft tissue tumors. Recognition of this tumor is important due to its behavior as a low grade malignancy, but this cannot be predicted and metastasis does occur rarely

  4. Tumors and tumor - like lesions of the oro - facial region at Mayo hospital, Lahore - a five year study

    International Nuclear Information System (INIS)

    The oro-facial region including the oral cavity, the maxilla and mandible and related tissues can be the site of a multitude of neoplastic conditions. These tumours have a predilection for the entire facial region; however, odontogenic tumours tend to affect the mandible more than the maxilla. We report results from a retrospective study spanning five years on the frequency, clinical presentation, sites and character of orofacial tumors seen in the main referral hospital of Pakistan. Patients and Methods: Records of consecutive patients of all age and sex seen by the author's team at the Department of Oral and Maxillofacial Surgery, Mayo Hospital with tumours affecting the oro-facial region from January 2005 to December 2009 were retrieved, coded and entered into a database. The data were then analyzed by age, sex, presenting signs and symptoms, site of lesion, and their histology. Results: A total of 237 patients with oro-facial swellings were retrieved from the registry. The complete data set was obtained for 189 patients, comprising 108 (57.9%) males and 81 (42%) females. The most common clinical presenting features were mandibular facial swelling (63%), intra-oral swelling (55%), and ulceration (29%). The tumors were found in the mandible 67 (35%), buccal mucosa 33 (17%), floor of the mouth 22 (11%) and tongue 29 (15%). The remainder making up almost 20% was found in the palate, submandibular region, pre auricular region and lips. Ninety three (49.2%) of the patients presented with lesions that were classified as malignant of which 64 (69%) were diagnosed as squamous cell carcinoma (SCC). seventy (37.0%) had benign odontogenic tumors and twenty six (13.7%) had non-odontogenic tumor - like lesions. Sixty - four (69%) of malignant tumors were squamous cell carcinoma; sixty four (86.4%) of the benign odontogenic tumors were classified as ameloblastoma. The mean age at presentation of all lesions was 40.4 years with over 50% of benign lesions in patients aged between 30 and 40 years. Malignant tumors were more commonly detected in patients between 41 and 70 years (63%). Conclusion: Tumors and tumor - like lesions of the oro-facial region comprising the mandible tongue and adjacent structures are a diverse group of neoplasm and are seen commonly in practice of maxillofacial surgery. Both malignant and benign tumours are seen. In the present study, SCC and ameloblastoma were the commonest malignant and benign odontogenic tumours seen respectively; the two representing more than 65% of all tumors. (author)

  5. Tumors and pseudotumors at the temporomandibular joint region in pediatric patients

    Science.gov (United States)

    Wei, Wen-Bin; Chen, Min-Jie; Yang, Chi; Qiu, Yating; Zhou, Qin

    2015-01-01

    Objective: To describe the clinical manifestations and types of, and our surgical experience with, neoplasms in the region of the temporomandibular joint (TMJ) in pediatric patients. Materials and Methods: From September 1997 to December 2013, a total of 18 patients with neoplasms in the region of the TMJ were treated at our department. They all underwent open surgeries. The clinical manifestations and radiological aspects of all the patients were reviewed. The average follow-up period was 61.8 months with a range of 12-221 months. We reviewed the history, physical examination, images, and related radiological examinations. Results: Of the 18 patients, 14 had benign tumors or pseudotumors, and four had malignant tumors. The ratio of pseudotumor to benign tumor to malignant tumor was 2.5:1:1. Limitations of mouth opening were more likely to occur with malignant tumors, and facial deformity had a higher incidence in benign tumors. Local resection was the first choice for patients with benign tumors or pseudotumors. All patients with malignant tumors underwent whole-tumor resection along the boundary, including the joint capsule, disc, and part of the temporal bone and mandible. During the follow-up period, no tumor reformation or new deformity was detected. Conclusions: In the diagnosis of masses in the TMJ region, CT and MRI play an important role. Surgical removal of the mass with/without joint attachment was sufficient to treat benign and malignant tumors.

  6. Tumor odontógeno adenomatoide en región mandibular / Adenomatoid odontogenic tumor in mandibular region

    Scientific Electronic Library Online (English)

    Ernesto, Sánchez Cabrales; Dadonim, Vila Morales; Ángel Mario, Felipe Garmendia; Alain, Serra Ortega; Alma, Torres Gómez de Cádiz.

    2010-12-01

    Full Text Available El tumor odontogénico adenomatoide es un tumor poco frecuente derivado del epitelio odontontogénico, que contiene estructuras canaliculares con modificaciones inductivas de intensidad variable en el tejido conjuntivo. Es una lesión de crecimiento lento y poco invasiva pero que se puede asemejar a ot [...] ras lesiones odontógenas de mayor agresividad como el quiste dentígero y el ameloblastoma entre otros. Su localización clásica (área de caninos superiores) nos orienta al diagnóstico y su patrón histológico ductiforme es muy propio de este tumor. Otros tumores que se encuentran dentro de este grupo son el fibroma ameloblástico, el odontoameloblastoma, el quiste odontógeno calcificante y los odontomas compuesto y complejo. Este grupo de lesiones puede o no tener formaciones de tejido duro dental dentro de ellos. Por esta razón, se presenta un paciente con este tipo de tumor, al que se le realizó estudio histopatológico, se revisó la literatura acerca de este tumor odontogénico benigno y sus características clínicas, radiográficas, tratamiento, así como los diagnósticos diferenciales que se deben tener en cuenta. Abstract in english The adenomatoid odontogenic tumor is an uncommon neoplasm derivative of the odontogenic epithelium containing canalicular structures with inductor modifications of variable intensity in the conjunctival tissue. It is a slow growth lesion and no much invasive but that may to be similar to other odont [...] ogenic lesions more aggressive including the dentigerous cyst and the ameloblastoma among others. Its classical location (upper canine area) guides us to diagnosis and its duct histological pattern is very typical of this tumor. Other tumors included in this group are the ameloblastic fibroma, the ameloblastic odontoma, the calcified odontogenic cyst and composed and complex odontomas. This group of lesions may or not to have formations of hard tissue inside. Thus, authors present the case of a patient presenting with this type of tumor making a histopathology study, a literature review on this benign odontogenic tumor and its clinical radiographic features, treatment, as well as the differential diagnoses to be into account.

  7. Tumor odontógeno adenomatoide en región mandibular Adenomatoid odontogenic tumor in mandibular region

    Directory of Open Access Journals (Sweden)

    Ernesto Sánchez Cabrales

    2010-12-01

    Full Text Available El tumor odontogénico adenomatoide es un tumor poco frecuente derivado del epitelio odontontogénico, que contiene estructuras canaliculares con modificaciones inductivas de intensidad variable en el tejido conjuntivo. Es una lesión de crecimiento lento y poco invasiva pero que se puede asemejar a otras lesiones odontógenas de mayor agresividad como el quiste dentígero y el ameloblastoma entre otros. Su localización clásica (área de caninos superiores nos orienta al diagnóstico y su patrón histológico ductiforme es muy propio de este tumor. Otros tumores que se encuentran dentro de este grupo son el fibroma ameloblástico, el odontoameloblastoma, el quiste odontógeno calcificante y los odontomas compuesto y complejo. Este grupo de lesiones puede o no tener formaciones de tejido duro dental dentro de ellos. Por esta razón, se presenta un paciente con este tipo de tumor, al que se le realizó estudio histopatológico, se revisó la literatura acerca de este tumor odontogénico benigno y sus características clínicas, radiográficas, tratamiento, así como los diagnósticos diferenciales que se deben tener en cuenta.The adenomatoid odontogenic tumor is an uncommon neoplasm derivative of the odontogenic epithelium containing canalicular structures with inductor modifications of variable intensity in the conjunctival tissue. It is a slow growth lesion and no much invasive but that may to be similar to other odontogenic lesions more aggressive including the dentigerous cyst and the ameloblastoma among others. Its classical location (upper canine area guides us to diagnosis and its duct histological pattern is very typical of this tumor. Other tumors included in this group are the ameloblastic fibroma, the ameloblastic odontoma, the calcified odontogenic cyst and composed and complex odontomas. This group of lesions may or not to have formations of hard tissue inside. Thus, authors present the case of a patient presenting with this type of tumor making a histopathology study, a literature review on this benign odontogenic tumor and its clinical radiographic features, treatment, as well as the differential diagnoses to be into account.

  8. Is a neuronal chain between the pineal body and the retina in rats and hamsters? Transneural tracing studies.

    Science.gov (United States)

    Csáki, Ágnes; Vígh, Béla; Boldogk?i, Zsolt; Vereczki, Viktoria; Szél, Ágoston; Köves, Katalin

    2015-02-19

    Neuronal chains between the retina and the pineal body were investigated. Transneuronal tracers, retrograde spreading pseudorabies virus (labeled with green fluorescent protein, memGreen-RV) and virus spreading in both ante- and retrograde directions (labeled with red fluorescent protein, Ka-VHS-mCherry-A-RV) were injected into the right eye of vitreous body of intact or bilaterally sympathectomized Wistar male rats. Intact golden hamsters also received memGreen-RV into the eye and Ka-VHS-mCherry-A-RV into the pineal body. Four-five days later the animals were sacrificed. Frozen sections were prepared from the removed structures. In intact rats memGreen-RV resulted in green fluorescent labeling in the trigeminal and the superior cervical ganglia, the lateral horn of the spinal cord, the paraventricular and the suprachiasmatic nuclei, the perifornical region, the ventrolateral medulla, the locus ceruleus, and the raphe nuclei. In sympathectomized rats the labeling was missing from the brainstem but further existed in the hypothalamus. This observation indicates that the hypothalamic labeling is not mediated by the sympathetic system. One labeled neuron in the pineal body was only observed in 2/13 rats. It was independent from the sympathectomy. When the animals received Ka-VHS-mCherry-A-RV the distribution of the labeling was very similar to that of the intact group receiving retrograde virus. In golden hamsters the memGreen-RV labeled structures were seen in similar places as in rats, but virus labeled nerve cell bodies were always seen in the pineal body. Injection of Ka-VHS-mCherry-A-RV into the pineal body of hamsters resulted in labeling of the retina at both sides. It was concluded that the retinopetal neuronal chain in golden hamsters is always present but in rats it is stochastic. PMID:25543029

  9. Global daily dynamics of the pineal transcriptome

    DEFF Research Database (Denmark)

    Bustos, Diego M; Bailey, Michael J

    2011-01-01

    Transcriptome profiling of the pineal gland has revealed night/day differences in the expression of a major fraction of the genes active in this tissue, with two-thirds of these being nocturnal increases. A set of over 600 transcripts exhibit two-fold to >100-fold daily differences in abundance. These changes appear to be primarily attributable to adrenergic-cyclic-AMP-dependent mechanisms, which are controlled via a neural pathway that includes the suprachiasmatic nucleus, the master circadian oscillator. In addition to melatonin synthesis, night/day differences in gene expression impact genes associated with several specialized functions, including the immune/inflammation response, photo-transduction, and thyroid hormone/retinoic acid biology. The following nonspecialized cellular features are also affected: adhesion, cell cycle/cell death, cytoskeleton, DNA modification, endothelium, growth, RNA modification, small molecule biology, transcription factors, vesicle biology, signaling involving Ca(2+), cyclic nucleotides, phospholipids, mitogen-activated protein kinases, the Wnt signaling pathway, and protein phosphorylation.

  10. Neuroimmunomodulation of aging. A program in the pineal gland.

    Science.gov (United States)

    Pierpaoli, W

    1998-05-01

    We have investigated for 35 years the relationship between the neuroendocrine and the thymo-lymphatic, immune system. In the last decade we have shown that the pineal gland is a main adapter and fine synchronizer of environmental variables and endogenous messages into physiological modifications of basic functions. In particular the pineal gland itself seems to regulate, via circadian, night secretion of melatonin, all basic hormonal functions and also immunity. We have shown with several in vivo models that this fundamental role of the pineal gland decays during aging. Aging itself seems to be a strictly pineal-programmed event similar to growth and puberty. The continuation of our interventions with melatonin against the typical degenerative diseases of aging must be based on an accurate evaluation of its mechanisms of action. Melatonin being a ubiquitous molecule in nature, we suggest that it has acquired during evolution of the species numerous levels of activities. In fact, melatonin can be found in a large variety of cells and tissues, and bindings sites and "receptors" have been identified in many tissues and cells of the neuroendocrine and immune system. Therefore, the progressive understanding of the aging-programming role of the pineal gland also depends on studies of melatonin and its basic regulatory function. Our present studies will be described. PMID:9629275

  11. The influence of sex steroids on pineal enzymes

    International Nuclear Information System (INIS)

    The influence of the gonadal sex steroids namely, estradiol, progesterone and testosterone on the two major enzymes responsible for the synthesis of melatonin in the pineal gland was investigated. These enzymes are Serotonin-N-acetyltransferase (SNAT) and Hydroxyindole-O-methyltransferase (H10MT). Testosterone was found to be the only sex steroid capable of influencing SNAT activity whereas all three of the sex steroids were found to influence H10MT activity in a biphasic dose-dependent manner. The influence of these sex steroids on radiolabelled serotonin metabolism by pineals in organ culture was also investigated. Ovariectomy, castration and the sex steroids were all found to alter the pattern of the radiolabelled serotonin metabolism by these pineal glands in organ culture

  12. Symptomatic intracystic hemorrhage in pineal cysts. Report of 3 cases.

    Science.gov (United States)

    Sarikaya-Seiwert, Sevgi; Turowski, Bernd; Hänggi, Daniel; Janssen, Giesela; Steiger, Hans-Jakob; Stummer, Walter

    2009-08-01

    Pineal cysts are benign and often asymptomatic intracranial entities. Occasionally they can lead to neurological symptoms through growth or due to intracystic hemorrhage. The purpose of the current report is to describe their clinical characteristics and treatment options. In the current study, the authors illustrate the course of disease in 3 patients who developed neurological symptoms due to hemorrhage into a pineal cyst. Two of their patients had additional cerebral disease, and regular MR imaging examinations were conducted. This circumstance allowed documentation of growth and intracystic hemorrhage. After the occurrence of new neurological symptoms with severe headache, MR images showed a fluid-fluid interface due to intracystic hemorrhage. The third patient presented with acute triventricular hydrocephalus and papilledema due to aqueductal stenosis caused by intracystic hemorrhage. In all 3 cases, excision of the pineal cysts via an infratentorial/supracerebellar approach was performed. Histological examination revealed the characteristic structure of pineal cyst in all cases, with hemorrhagic residues in the form of hemosiderin deposits. All patients recovered fully after surgical removal of the cysts. Furthermore, resolution of occlusive hydrocephalus could be demonstrated in those cases with ventricular enlargement. Pineal cysts without neurological symptoms are often discovered as incidental findings on cranial MR images. In contrast, neurological symptoms such as severe headache, diplopia, or Parinaud syndrome, may occur as a result of pineal apoplexy due to intracystic hemorrhage. The authors' cases confirm that MR imaging can identify intracystic hemorrhage by a characteristic fluid-fluid interface. Their experience suggests that microsurgical resection of cysts may be an effective and curative treatment option. PMID:19645546

  13. Conservatively managed pineal apoplexy in an anticoagulated patient

    Energy Technology Data Exchange (ETDEWEB)

    Werder, Gabriel M. [William Beaumont Hospital, Department of Radiology, 3600 West Thirteen Mile Road, Royal Oak, MI 48073 (United States); St Christopher Iba Mar Diop College of Medicine, Luton (United Kingdom)], E-mail: gabriel_werder@yahoo.com; Razdan, Rahul S.; Gagliardi, Joseph A.; Chaddha, Shashi K.B. [St Vincent' s Medical Center, Bridgeport, CT (United States)

    2008-02-15

    We present a case of pineal apoplexy in an anticoagulated and hypertensive 56-year-old Hispanic male. At presentation, the patient's international normalized ratio (INR) was 10.51 and his blood pressure was 200/130 mmHg. His presenting symptoms included acute onset of headache, chest pain, nausea, vomiting, vertigo, and visual disturbance. Neuroimaging demonstrated hemorrhage into a morphologically normal pineal gland. Under conservative management, the patient experienced gradual resolution of all symptoms excluding the disturbance of upward gaze.

  14. Expression of the Otx2 homeobox gene in the developing mammalian brain: embryonic and adult expression in the pineal gland

    DEFF Research Database (Denmark)

    Rath, Martin F; Muñoz, Estela; Ganguly, Surajit; Morin, Fabrice; Shi, Qiong; Klein, David C; Møller, Morten

    2006-01-01

    Otx2 is a vertebrate homeobox gene, which has been found to be essential for the development of rostral brain regions and appears to play a role in the development of retinal photoreceptor cells and pinealocytes. In this study, the temporal expression pattern of Otx2 was revealed in the rat brain, with special emphasis on the pineal gland throughout late embryonic and postnatal stages. Widespread high expression of Otx2 in the embryonic brain becomes progressively restricted in the adult to the ...

  15. Controladores del Tiempo y el Envejecimiento: Núcleo Supraquiasmático y Glándula Pineal / Aging Process Entrainment: Suprachiasmatic Nucleus and Pineal Gland

    Scientific Electronic Library Online (English)

    Parménides, Guadarrama-Ortiz; Ricardo, Ramírez-Aguilar; Alejandro, Madrid-Sánchez; Carlos, Castillo-Rangel; Diana, Carrasco-Alcántara; Raúl, Aguilar-Roblero.

    2014-06-01

    Full Text Available El núcleo supraquiasmático (NSQ) es el principal reloj biológico de los mamíferos y sincroniza la actividad de la glándula pineal al ciclo luz-oscuridad a través de una vía polisináptica. El efecto de asa de retroalimentación neuroendocrina se lleva a cabo por la melatonina. El presente trabajo pret [...] ende demostrar que la glándula pineal modula la sensibilidad a la luz en el NSQ. Se utilizaron ratas Wistar, y se asignaron a 3 grupos: grupo A (falsa pinealectomía -sham-, sin luz), grupo B (falsa pinealectomía -sham- + luz) y grupo C al cual se le realizó la pinealectomía + luz, después de la manipulación se sacrifican para realizar inmunohistoquímica para c-Fos y al final conteo celular por técnica de estereología. Se obtuvo una reducción del 46,8% del promedio de células inmunorreactivas a c-Fos en el grupo C en comparación del grupo B. Este trabajo muestra que la sensibilidad a la luz está modulada por la actividad de la glándula pineal. Abstract in english The suprachiasmatic nucleus (SCN) is the main and major biological clock in mammals and is responsible for the synchronization of the pineal gland to the light/darkness cycle through a polysynaptic pathway. The neuroendocrine feedback loop effect is carried out by melatonin. This study was carried o [...] ut to demonstrate that the pineal gland adjusts the sensibility to light in the suprachiasmatic nucleus. Wistar rats were allocated in 3 groups: Group A (sham pinalectomy, without light), group B (sham pinealectomy + light) and group C which underwent real pinalectomy + light. After the intervention the animals were slain to perform immunohistochemistry for c-Fos and cell counting by stereology technique. A 46.8% average reduction in c-Fos immunoreactive cells was achieved in-group C as compared with group B. The present work shows that sensibility to the light is modulate by the activity of the pineal gland.

  16. Analysis of MRI appearance of aggressive soft tissue tumor in hip joint region: compared with pathology

    International Nuclear Information System (INIS)

    Objective: To analyze the MRI appearance of soft tissue tumor in hip joint region, and compare it with pathological features. Methods: MR appearance of 19 soft tissue tumor in hip joint region were retrospectively analyzed, including 12 male and 7 female, 45.2 years averaged. All patients had taken common MR scanning and Gd-DTPA contrast scanning. Results: There was 5 aggressive fibromatosis, 5 malignant fibrous histiocytoma, 2 synovial sarcoma, 4 liposarcoma, 1 lymphoma, 1 primitive neuroectodermal tumor and 1 metastatic tumor. Of 19 cases, 13 with hemorrhage and necrosis, 14 with peripheral edema, nerve and vessel involved in 11. Aggressive fibromatosis appeared as isointensity or hypointensity on T1WI, and moderate hyperintensity on T2WI with low signal inside. Malignant tumor were mostly ill-defined. After contrast scanning, tumors enhanced apparently. Malignant fibrous histiocytoma showed isointensity and heter-hypointensity on T1WI, and heter-hypointensity on T2WI. Necrosis and hemorrhage occurred. All cases showed strong enhancement, except for the areas of necrosis. Edema around tumor can be seen in most cases. Conclusion: MRI can demonstrate the from and internal and peripheral structure of soft tissue tumor in hip joint region, and can contribute to the diagnosis before operation. (authors)

  17. CN-12PINEAL PARENCHYMAL TUMOUR OF INTERMEDIATE DIFFERENTIATION: CASE SERIES FROM A SINGLE INSTITUTE

    Science.gov (United States)

    Mahtab, Najibah; Ramamurthy, Sindhu; Willis, Nick; Lewis, Joanne; Lethbridge, Emma

    2014-01-01

    INTRODUCTION: Pineal parenchymal tumours of intermediate differentiation (PPTID) are a group of rare tumours with intermediate malignant potential between pineocytoma and pineoblastoma, for which there is currently no standard treatment paradigm. METHODS: Between 2001 and 2014, five patients with PPTID were treated at our institute. We retrospectively evaluated clinical outcomes. Patient demographics, presentation, staging, surgery, radiotherapy (RT) technique, late toxicities and any chemotherapy administered were noted from the hospital electronic data base. RESULTS: Patient age range 20-74 years. Common presenting symptom was headache and visual disturbance and neurological sign was diplopia. All had ventriculostomy plus or minus ventriculo-peritoneal shunt to relieve hydrocephalus. Two patients had biopsy only and three patients had excision of pineal tumour. Three patients underwent whole brain RT with boost to pineal region [35.07Gy in 21 fractions - whole brain, average boost dose- 17.81Gy (16.7- 20.04 Gy) at 1.67Gy/fraction]. Two patients had limited field RT to the pineal region (54Gy and 39.6 Gy delivered in 1.8 Gy/fraction). Four patients had complete radiological response on MRI post-RT. One patient had partial radiological response. Two patients recurred after an average disease free survival period of 54.5 months from diagnosis: one recurred locally and was retreated with radiosurgery; the other developed disseminated leptomeningeal disease and received platinum based palliative chemotherapy. Four patients are alive to date. Average overall survival including relapsed patients is 102.5 months. Median DFS and OS are 41 and 100 months respectively. All patients developed mild cognitive impairment. The patient who received platinum chemotherapy developed severe neuropathy. CONCLUSION: Patients with PPTID in this case series survived medium term and four remain on follow up. A prospective multi institutional study is recommended due to the potential for late adverse effects. However, because this entity is rare, the difficulties in achieving this are recognised therefore cases should be collated at centres for review.

  18. FULLY AUTOMATED APPROACH TO IDENTIFY BRAIN TUMORS USING DYNAMIC REGION MERGING

    Directory of Open Access Journals (Sweden)

    ASHWINI JANGDE, NAVNEET SAHU

    2013-08-01

    Full Text Available : Image segmentation is a fundamental task of computer vision application. In this paper address the automatic image segmentation algorithum, which exploit the information obtain from deducting tumor in brain MRI. Many segmentation technic are used to deduct the tumor portion like Thresholding technic, Hybrid technic , Boundary based technic, and Region based technic but in this all technic should deducted the initial tumor tissue but when the secondary tumor present or more than one tumor are present in same brain image it is difficult to deducted the irregular tissue from the regular surrounding tissue to get real identification of involved and non involved area which help the surgeon to distinguish the total effected area covered by (primary & secondary tumor portion. The proposed method is DRM(dynamic region growingto deducted the tumor boundary in region merging style .In this paper two essential issue in a region merging algorithms : order of merging and stopping criteria.in the proposed method this two issued are solved by a novel predicates ,which is defined by a sequential probability ratio test (SPRTand minimum cost criterion. We also proved that the producedsegmentation satisfied certain global properties

  19. Tumor extragonadal de células germinales en mediastino: aportación de un caso / Extragonadal germ cell tumor in mediastinum: case report

    Scientific Electronic Library Online (English)

    A., Zavala Elizondo; R., Martínez Montelongo; J.E., González.

    2008-03-01

    Full Text Available Los tumores de células germinales de origen extragonadal son descritos infrecuentemente en la literatura, siendo menos de 1.000 casos. Los sitios de origen por orden de frecuencia son mediastino, retroperitoneo, región sacro coccígea y glándula pineal. Este caso es de un germinoma primario en medias [...] tino en un paciente de 27 años de edad. En los estudios de imagen se demostró una masa mediastinal, se tomo una biopsia para llegar al diagnóstico. Marcadores tumorales normales, el ultrasonido testicular reportó la presencia de microlitiasis bilateral. El paciente fue tratado con poliquimioterapia y resección de masa residual. La evolución fue satisfactoria con respuesta completa. Abstract in english The Germ Cell tumors of extragonadal origin are infrequent cases being described in literature less than 1000 cases. The frequent origin sites are mediastinum, retroperitoneum, sacrococcygeal region, and the pineal gland. There was a primary case of germinoma in mediastinum in a 27 years patient. In [...] the image studies a mediastinal mass was demonstrated, a biopsy was taken arriving at the diagnosis. Normal tumor markers, testicular ultrasonography reported the presence of bilateral microlitiasis. It was treating with polychemotherapy and later residual mass was dried. The evolution was satisfactory with complete answer.

  20. Stereotactic radiosurgery for CNS nongerminomatous germ cell tumors. Report of four cases.

    Science.gov (United States)

    Hasegawa, Toshinori; Kondziolka, Douglas; Hadjipanayis, Constantinos G; Flickinger, John C; Lunsford, L Dade

    2003-06-01

    In this study, we evaluated the results in four patients with nongerminomatous germ cell tumors (NGGCT) of the pineal region. All underwent radiosurgery in conjunction with surgical resection, fractionated radiotherapy or chemotherapy. Four male patients with pineal region NGGCT were treated with radiosurgery. The mean age was 16.5 years. Three patients had histological confirmation by stereotactic biopsy or craniotomy prior to radiosurgery. One patient was diagnosed by serum and CSF tumor markers. The mean tumor volume was 10.5 cm(3). Radiosurgery was performed with mean maximum and marginal doses of 28 and 14 Gy, respectively. At last follow-up, three patients were alive and one was dead. The mean follow-up after diagnosis and after radiosurgery was 34 and 25 months, respectively. At last follow-up, two tumors had regressed, one was unchanged and one had progressed. No patient had complications after radiosurgery. Radiosurgery can play an important adjuvant role for NGGCT patients who also undergo multimodal management. In the case of prepubertal patients, radiosurgery may play an important role by reducing the radiation dose to the surrounding normal brain. PMID:12759512

  1. Circadian genomics of the chick pineal gland in vitro

    Directory of Open Access Journals (Sweden)

    Thomas Terry L

    2008-05-01

    Full Text Available Abstract Background Chick pinealocytes exhibit all the characteristics of a complete circadian system, comprising photoreceptive inputs, molecular clockworks and an easily measured rhythmic output, melatonin biosynthesis. These properties make the in vitro pineal a particularly useful model for exploring circadian control of gene transcription in a pacemaker tissue, as well as regulation of the transcriptome by primary inputs to the clock (both photic and noradrenergic. Results We used microarray analysis to investigate the expression of approximately 8000 genes within cultured pinealocytes subjected to both LD and DD. We report that a reduced subset of genes was rhythmically expressed in vitro compared to those previously published in vivo, and that gene expression rhythms were lower in amplitude, although the functional distribution of the rhythmic transcriptome was largely similar. We also investigated the effects of 6-hour pulses of light or of norepinephrine on gene expression in free-running cultures during both subjective day and night. As expected, both light and norepinephrine inhibited melatonin production; however, the two treatments differentially enhanced or suppressed specific sets of genes in a fashion that was dependent upon time of day. Conclusion Our combined approach of utilizing a temporal, photic and pharmacological microarray experiment allowed us to identify novel genes linking clock input to clock function within the pineal. We identified approximately 30 rhythmic, light-responsive, NE-insensitive genes with no previously known clock function, which may play a role in circadian regulation of the pineal. These are candidates for future functional genomics experiments to elucidate their potential role in circadian physiology. Further, we hypothesize that the pineal circadian transcriptome is reduced but functionally conserved in vitro, and supports an endogenous role for the pineal in regulating local rhythms in metabolism, immune function, and other conserved pathways.

  2. Biological Clocks in the Atlantic Salmon Pineal Organ

    Directory of Open Access Journals (Sweden)

    Elsbeth Mcstay

    2010-08-01

    Full Text Available To date the majority of work on biological clocks in teleosts has focused on the zebrafish model. However, very little attention has focused on clocks in seasonal temperate fish species such as the Atlantic salmon (Salmo salar. In order to unravel some of the mechanisms underling seasonality in the Atlantic salmon we have investigated whether daily patterns of gene expression in representative clock genes (Clock and per2 vary under different seasonal photoperiods, Long day (16L:8D, 12L:12D and Short day (8L:16D, in the brain, pectoral fin and liver of salmon parr. Results showed there to be distinct rhythmicity in the expression of Per2 and Clock in the brain and the liver however the tissues displayed a differential response to seasonal photoperiod both in terms of the presence and phase of the rhythms observed. In a second body of work we investigated the presence of clock genes in the salmon pineal. Of all teleosts studied so far, salmonids are the only fish in which pineal melatonin synthesis does not exhibit an endogenous "clock controlled" rhythm however it remains to be seen whether a clock is present in the salmonid pineal. Individual pineal organs were isolated from salmon parr acclimated to 12L:12D and maintained in culture under three different photoperiods (LD, LD /DL switch and DD. Patterns of Clock, Per2 and AANAT2 expression were measured in conjunction with melatonin from individual pineal organs. The results revealed that clock genes are indeed present suggesting that melatonin synthesis has become decoupled from the biological clock.

  3. Mutation Screening in the Mitochondrial D-Loop Region of Tumoral and Non-tumoral Breast Cancer in Iranian Patients

    OpenAIRE

    Mansour Heidari; Samira Saee-Rad; Kazem Zendehdel; Reza Raoofian; Ramesh Omranipour; Cyrus Azimi; Babak Rahmani

    2012-01-01

    The mitochondrial DNA (mtDNA) mutations in mitochondrial coding and non coding regions seem to be important in carcinogenesis. The aim of this investigation was to evaluate coding region (mt-tRNAPhe and tRNAPro) and non-coding sequence, mitochondrial displacement loop (mtDNA D-loop), in the cancerous and non-cancerous lesions of Iranian patients with breast cancer (BC). Genomic DNA was extracted from 50 breast tumors and surrounding normal tissue pairs as well as from 50 unrelated normal brea...

  4. Novel somatic and germline mutations in intracranial germ cell tumors

    Science.gov (United States)

    Wang, Linghua; Yamaguchi, Shigeru; Burstein, Matthew D.; Terashima, Keita; Chang, Kyle; Ng, Ho-Keung; Nakamura, Hideo; He, Zongxiao; Doddapaneni, Harshavardhan; Lewis, Lora; Wang, Mark; Suzuki, Tomonari; Nishikawa, Ryo; Natsume, Atsushi; Terasaka, Shunsuke; Dauser, Robert; Whitehead, William; Adekunle, Adesina; Sun, Jiayi; Qiao, Yi; Marth, Gábor; Muzny, Donna M.; Gibbs, Richard A.; Leal, Suzanne M.; Wheeler, David A.; Lau, Ching C.

    2015-01-01

    Intracranial germ cell tumors (IGCTs) are a group of rare heterogeneous brain tumors which are clinically and histologically similar to the more common gonadal GCTs. IGCTs show great variation in their geographic and gender distribution, histological composition and treatment outcomes. The incidence of IGCTs is historically 5–8 fold greater in Japan and other East Asian countries than in Western countries1 with peak incidence near the time of puberty2. About half of the tumors are located in the pineal region. The male-to-female incidence ratio is approximately 3–4:1 overall but even higher for tumors located in the pineal region3. Due to the scarcity of tumor specimens available for research, little is currently known about this rare disease. Here we report the analysis of 62 cases by next generation sequencing, SNP array and expression array. We find the KIT/RAS signaling pathway frequently mutated in over 50% of IGCTs including novel recurrent somatic mutations in KIT, its downstream mediators KRAS and NRAS, and its negative regulator CBL. Novel somatic alterations in the AKT/mTOR pathway included copy number gain of the AKT1 locus at 14q32.33 in 19% of patients, with corresponding upregulation of AKT1 expression. We identified loss-of-function mutations in BCORL1, a transcriptional corepressor and tumor suppressor. We report significant enrichment of novel and rare germline variants in JMJD1C, a histone demethylase and coactivator of the androgen receptor, among Japanese IGCT patients. This study establishes a molecular foundation for understanding the biology of IGCTs and suggests potentially promising therapeutic strategies focusing on the inhibition of KIT/RAS activation and the AKT1/mTOR pathway. PMID:24896186

  5. Segmental duplications and evolutionary plasticity at tumor chromosome break-prone regions

    OpenAIRE

    Darai-Ramqvist, Eva; Sandlund, Agneta; Müller, Stefan; Klein, George, 1925-; Imreh, Stefan; Kost-Alimova, Maria

    2008-01-01

    We have previously found that the borders of evolutionarily conserved chromosomal regions often coincide with tumor-associated deletion breakpoints within human 3p12-p22. Moreover, a detailed analysis of a frequently deleted region at 3p21.3 (CER1) showed associations between tumor breaks and gene duplications. We now report on the analysis of 54 chromosome 3 breaks by multipoint FISH (mpFISH) in 10 carcinoma-derived cell lines. The centromeric region was broken in five lines. In lines with h...

  6. Malignant extrarenal rhabdoid tumor of the pelvic paravertebral region: case report

    International Nuclear Information System (INIS)

    Malignant rhabdoid tumor (MRT) is a rare but distinctive neoplasm of unknown histogenesis, occurring primarily in children. It has a characteristic histologic pattern and aggressive clinical behavior, and was originally thought to be a malignant sarcomatous variant of Wilms tumor; numerous cases of MRT arising from extrarenal sites have, however, been reported. We describe the radiologic findings of two cases of malignant extrarenal rhabdoid tumor that arose in the pelvic paravertebral region of two children. Both were confirmed by surgical excision and pathologic examination

  7. The CI findings of 6 cases of the pineal cyst. Consideration on neuroradiological images and the mechanism of occurrence of pineal cysts in childhood

    Energy Technology Data Exchange (ETDEWEB)

    Nakajou, Takahito; Kurisaka, Masahiro; Mori, Koreaki [Kochi Medical School, Nankoku (Japan)

    1995-03-01

    In comparison to adult individuals over the age of 50, pineal cysts do rarely occur in children and adolescents. Here we report on four young patients who had pineal cysts in combination with hypophyseal dwarfism. We studied an 8-year-old girl with chiasmal germinoma, an 8-year-old boy with epilepsy, a 17-year-old male with spontaneous hypophyseal dwarfism and a 11-year-old female with craniopharyngioma. We also investigated a 29-year-old man with pontine glioma and a 48-year-old women with prolactinoma. The comparison of neuroimaging the pineal cysts in children and adults revealed the characteristics of their location in the pineal gland and the presence of residual normal gland. The etiology of pineal cysts in combination with pituitary dwarfism is unclear. However, our cases would suggest that they may be related to endocrinological disorders of the hypothalamus and the pituitary gland. (author).

  8. Intracranial tumors: response and resistance to therapeutic endeavors, 1970-1980

    International Nuclear Information System (INIS)

    The response and resistance of various kinds of intracranial tumors to radiotherapy and chemotherapy is discussed. Such tumors as germinomas in the pineal and suprasellar regions are very radiosensitive and highly curable. Medulloblastomas are also very radiosensitive, but the presence of local residual resistant tumor has restricted cure rates to approximately 40%. High grade astrocytomas remain resistant to radiotherapy and virtually incurable. Inoperable deep gliomas vary widely in the response to irradiation. In addition to tumor response to treatment, consideration must also be given to reaction of normal tissue to irradiation, to chemotherapy, and to a combination of these modalities: these may produce late effects leading to disturbance of neurological and endocrine function and of intellectual and emotion disorders

  9. Depression of nocturnal pineal serotonin N-acetyltransferase activity in castrate male rats

    International Nuclear Information System (INIS)

    Pineal serotonin N-acetyltransferase (NAT) activity was examined in intact rats, castrated rats, and in rats that had been castrated and had received testosterone proprionate. Castration resulted in significantly depressing nocturnal levels of pineal NAT (p<0.05) when compared to enzyme activity in intact rats. Testosterone proprionate administration restored plasma LH levels to normal values in castrate rats but did not induce nocturnal pineal enzyme activity to levels seen in the pineal glands of intact rats. The data substantiate the existence of a feedback control of pineal biosynthetic activity by the hypophyseal-gonadal system, but the identity of the hormone(s) responsible for regulation of pineal NAT activity is not known. (author)

  10. Stereoscopic virtual reality models for planning tumor resection in the sellar region

    Directory of Open Access Journals (Sweden)

    Wang Shou-sen

    2012-11-01

    Full Text Available Abstract Background It is difficult for neurosurgeons to perceive the complex three-dimensional anatomical relationships in the sellar region. Methods To investigate the value of using a virtual reality system for planning resection of sellar region tumors. The study included 60 patients with sellar tumors. All patients underwent computed tomography angiography, MRI-T1W1, and contrast enhanced MRI-T1W1 image sequence scanning. The CT and MRI scanning data were collected and then imported into a Dextroscope imaging workstation, a virtual reality system that allows structures to be viewed stereoscopically. During preoperative assessment, typical images for each patient were chosen and printed out for use by the surgeons as references during surgery. Results All sellar tumor models clearly displayed bone, the internal carotid artery, circle of Willis and its branches, the optic nerve and chiasm, ventricular system, tumor, brain, soft tissue and adjacent structures. Depending on the location of the tumors, we simulated the transmononasal sphenoid sinus approach, transpterional approach, and other approaches. Eleven surgeons who used virtual reality models completed a survey questionnaire. Nine of the participants said that the virtual reality images were superior to other images but that other images needed to be used in combination with the virtual reality images. Conclusions The three-dimensional virtual reality models were helpful for individualized planning of surgery in the sellar region. Virtual reality appears to be promising as a valuable tool for sellar region surgery in the future.

  11. New crystal in the pineal gland : characterization and potential role in electromechano-transduction

    OpenAIRE

    Baconnier, Simon; Lang, Sidney B.; De Seze, René

    2002-01-01

    The pineal gland is a neuroendocrine transducer secreting melatonin, responsible for the physiological circadian rhythm control. A new form of biomineralization has been studied in the human pineal gland. It consists of small crystals that are less than 20 µm in length. These crystals could be responsible for an electromechanical biological transduction mechanism in the pineal gland due to their structure and piezoelectric properties. Using scanning electron microscopy (SEM) and energy disper...

  12. The perivascular phagocyte of the mouse pineal gland: An antigen-presenting cell

    DEFF Research Database (Denmark)

    Møller, Morten; Rath, Martin F; Klein, David C

    2006-01-01

    The perivascular space of the rat pineal gland is known to contain phagocytic cells that are immunoreactive for leukocyte antigens, and thus they appear to belong to the macrophage/microglial cell line. These cells also contain MHC class II proteins. We investigated this cell type in the pineal gland of mice. Actively phagocytosing cells with a prominent lysosomal system were found in the pericapillary spaces of the mouse pineal gland following intravenous injection of horseradish peroxidase. Th...

  13. The modulatory effect of substance P on rat pineal norepinephrine release and melatonin secretion

    DEFF Research Database (Denmark)

    Mukda, Sujira; Ebadi, Manuchair; Govitrapong, Piyarat; Møller, Morten

    2009-01-01

    Secretion of melatonin by the mammalian pineal gland is primarily regulated by the release of norepinephrine (NE) from sympathetic nerve terminals that originate from the superior cervical ganglia. Peptidergic nerves that originate in the perikarya located in the sensory trigeminal ganglia also innervate the pineal gland. Some of these peptidergic nerve fibers contain substance P. Previously, we have characterized neurokinin 1 type substance P receptors in the pineal gland. However, the function...

  14. The Lhx9 homeobox gene controls pineal gland development and prevents postnatal hydrocephalus

    DEFF Research Database (Denmark)

    Yamazaki, Fumiyoshi; Møller, Morten; Fu, Cong; Clokie, Samuel J; Zykovich, Artem; Coon, Steven L; Klein, David C; Rath, Martin F

    2015-01-01

    Lhx9 is a member of the LIM homeobox gene family. It is expressed during mammalian embryogenesis in the brain including the pineal gland. Deletion of Lhx9 results in sterility due to failure of gonadal development. The current study was initiated to investigate Lhx9 biology in the pineal gland. Lhx9 is highly expressed in the developing pineal gland of the rat with transcript abundance peaking early in development; transcript levels decrease postnatally to nearly undetectable levels in the adult...

  15. The pineal neurohormone melatonin and its physiologic opiatergic immunoregulatory role

    Scientific Electronic Library Online (English)

    Georges J. M., Maestroni; Ario, Conti; Walter, Pierpaoli.

    Full Text Available The pineal gland functions as a neuroendocrine transducer that coordinate the organism response to changing environmental stimuli such as light and temperature. The main and best known pineal neurohormone is melatonin that is synthesized and released in a circadian fashion with a peak during the nig [...] ht darkness hours. We have recently reported that melatonin exerts important immuno regulatory functions. Here we describe the astonishing property of exogenous melatonin which is able to counteract completely the depressive effect of anxiety-restraint stress and/or of corticosterone on thymus weight, andibody production and antiviral responses. This effect seems to be mediated by antigen-activated T cells via an opiatergic mechanism.

  16. The pineal neurohormone melatonin and its physiologic opiatergic immunoregulatory role

    Directory of Open Access Journals (Sweden)

    Georges J. M. Maestroni

    1987-01-01

    Full Text Available The pineal gland functions as a neuroendocrine transducer that coordinate the organism response to changing environmental stimuli such as light and temperature. The main and best known pineal neurohormone is melatonin that is synthesized and released in a circadian fashion with a peak during the night darkness hours. We have recently reported that melatonin exerts important immuno regulatory functions. Here we describe the astonishing property of exogenous melatonin which is able to counteract completely the depressive effect of anxiety-restraint stress and/or of corticosterone on thymus weight, andibody production and antiviral responses. This effect seems to be mediated by antigen-activated T cells via an opiatergic mechanism.

  17. A glândula pineal e o metabolismo de carboidratos

    Scientific Electronic Library Online (English)

    Patrícia Monteiro, Seraphim; Doris Hissako, Sumida; Fabiana Tumi, Nishide; Fábio Bessa, Lima; José, Cipolla Neto; Ubiratan Fabres, Machado.

    2000-08-01

    Full Text Available A influência da glândula pineal sobre o metabolismo de carboidratos vem sendo investigada há décadas. Entretanto, resultados contraditórios não esclarecem, até o momento, o verdadeiro papel da melatonina sobre a homeostasia dos carboidratos. Através de estudos recentes, contribuímos de maneira ineqü [...] ívoca para a caracterização do papel da glândula pineal como moduladora do metabolismo de carboidratos. Além disso, à luz dos conhecimentos atuais, demonstramos quais passos do mecanismo de ação da insulina estão envolvidos nessa modulação. Nossos estudos revelaram que a pinealectomia promove um quadro de resistência à insulina, sem obesidade. A captação máxima de 2-deoxi-glicose, estimulada por insulina, em adipócitos isolados está diminuída, sem entretanto modificar a capacidade da insulina ligar-se ao seu receptor e estimular a fosforilação dos substratos intracelulares representados pela pp 185. Por outro lado, em vários tecidos sensíveis à insulina, observou-se uma diminuição no conteúdo da proteína transportadora de glicose GLUT4, mas diminuição no mRNA do GLUT4 apenas em alguns desses tecidos, sugerindo uma regulação tecido-específica. Adicionalmente, foi demonstrado que a regulação da glândula pineal sobre o metabolismo de carboidratos é mediado pela melatonina: o hormônio aumentou a sensibilidade à insulina de adipócitos isolados e o tratamento de reposição com melatonina restaurou o conteúdo de GLUT4 no tecido adiposo branco. Em síntese, os estudos aqui relatados evidenciam um importante papel da glândula pineal na modulação da homeostasia de carboidratos. Essa regulação é dependente da melatonina e pode ser resumida, até o presente momento, como um aumento da sensibilidade tecidual à insulina, que envolve alterações na expressão gênica do GLUT4. Abstract in english For decades, the influence of the pineal gland on carbohydrate metabolism has been investigated. However, contradictory results have not yet elucidated the role played by melatonin in carbohydrate homeostasis. In our recent studies, we have contributed to characterize the role of the pineal gland as [...] a modulator of carbohydrate metabolism. In addition, based on present-day knowledge, we have demonstrated the steps of insulin action mechanism involved in this modulation. Our studies reveal that pinealectomy causes a condition of obesity-free insulin resistance. The maximum uptake of 2-deoxi-glucose prompted by insulin in isolated adipocytes is diminished, without however changing the insulin capacity to bind to its receptor, and to stimulate the phosphorilation of intracellular substrates represented by pp 185. Conversely, in several insulin-sensitive tissues, our studies detected a decrease in the amount of glucose transporter protein GLUT4, and a decrease in GLUT4 mRNA in only some of these tissues, suggesting a tissue-specific regulation. Additionally, it was demonstrated that the pineal gland regulation influences carbohydrate metabolism through melatonin, by our demonstration that the hormone increased insulin sensitivity of isolated adipocytes, and that melatonin replacement therapy restored the amount of GLUT4 in white adipose tissue. In summary, the studies reported here evidence an important role played by the pineal gland in the modulation of carbohydrate homeostasis. This regulation seems to be melatonin-dependent and can be described, so far, as an increase in tissue sensitivity to insulin, which involves changes in GLUT4 gene expression.

  18. A Texture based Tumor detection and automatic Segmentation using Seeded Region Growing Method

    Directory of Open Access Journals (Sweden)

    Mukesh Kumar

    2011-07-01

    Full Text Available Detection and segmentation of Brain tumor accurately is a challenging task in MRI. The MRI image is an image that produces a high contrast images indicating regular and irregular tissues that help to distinguish the overlapping in margin of each limb. All automatic seed finding methods may suffer with the problem if there is no growth of tumor and any small white part is there. But when the edges of tumor is not sharped then the segmentation results are not accurate i.e. segmentation may be over or under. This may be happened due to initial stage of the tumors [5]. So , in this paper a method of tumor detection based on texture of the MRI and if it is detected then to segment it automatically is proposed in this paper to separate the irregular from the regular surrounding tissue to get a real identification of involved and noninvolved area that help the surgeon to distinguish the involved area precisely. The method used in this paper is texture analysis and seeded region growing method and it was implemented using MATLAB 7.6.0.324 on 25 Magnetic Resonance Images having brain tumors and also on images without any abnormality to detect the tumor boundaries in 2D MRI for different cases.

  19. Regional cerebral blood flow alterations remote from the site of intracranial tumors

    DEFF Research Database (Denmark)

    Endo, H; Larsen, B

    1977-01-01

    Regional cerebral blood flow (rCBF) was investigated in 12 patients with brain tumors, using a 254-channel dynamic gamma camera. In nine of the 12 cases, hyperemic regions with loss of autoregulation were seen in sites remote from the tumor (the area around the tumor was in most cases also hyperemic). These remote rCBF abnormalities were found in the lower posterior part of the hemisphere in six cases, and in the frontal region in three. The location of the remote rCBF abnormality seemed to depend on the site of the tumor: cases with frontal and posterior fossa mass lesions had hyperemia in the lower part of the temporooccipital regions, cases with centroparietal mass lesions had hyperemia mostly in the frontal region. This may mean that the remote rCBF abnormality is due to local tissue compression against unyielding anatomical structures, namely, the tentorium and the falx. It is suggested that these abnormalities may constitute evidence of an early stage of a dangerous clinical condition: a state of preherniation.

  20. Epigenetic changes within the promoter region of the HLA-G gene in ovarian tumors

    Directory of Open Access Journals (Sweden)

    Matyunina Lilya V

    2008-05-01

    Full Text Available Abstract Background Previous findings have suggested that epigenetic-mediated HLA-G expression in tumor cells may be associated with resistance to host immunosurveillance. To explore the potential role of DNA methylation on HLA-G expression in ovarian cancer, we correlated differences in HLA-G expression with methylation changes within the HLA-G regulatory region in an ovarian cancer cell line treated with 5-aza-deoxycytidine (5-aza-dC and in malignant and benign ovarian tumor samples and ovarian surface epithelial cells (OSE isolated from patients with normal ovaries. Results A region containing an intact hypoxia response element (HRE remained completely methylated in the cell line after treatment with 5-aza-dC and was completely methylated in all of the ovarian tumor (malignant and benign samples examined, but only variably methylated in normal OSE samples. HLA-G expression was significantly increased in the 5-aza-dC treated cell line but no significant difference was detected between the tumor and OSE samples examined. Conclusion Since HRE is the binding site of a known repressor of HLA-G expression (HIF-1, we hypothesize that methylation of the region surrounding the HRE may help maintain the potential for expression of HLA-G in ovarian tumors. The fact that no correlation exists between methylation and HLA-G gene expression between ovarian tumor samples and OSE, suggests that changes in methylation may be necessary but not sufficient for HLA-G expression in ovarian cancer.

  1. Effects of reoxygenation on cells from hypoxic regions of solid tumors: Analysis of transplanted murine tumors for evidence of DNA overreplication

    International Nuclear Information System (INIS)

    Transient exposure of cultured cells to conditions of extreme hypoxia can induce DNA overreplication and the generation of cellular variants. This effect may be important for the development of tumor heterogeneity, since hypoxia may arise in solid tumors as a result of vascular insufficiency. We have investigated whether reoxygenation of cancer cells obtained from hypoxic regions of solid tumors is associated with DNA overreplication. Murine tumor cells were isolated from i.m. transplants as a function of their distance from the vasculature using a technique which involves in vivo staining of tumor tissues with the fluorochrome Hoechst 33342. Studies which determined the radiation sensitivity and cell cycle distribution of cells in the subpopulations indicated that cells were isolated from regions of the tumor which differed in oxygen levels. When KHT fibrosarcoma cells were isolated from hypoxic regions of tumors and introduced into culture (i.e., were reoxygenated), flow cytometric analysis revealed that they did not undergo any large scale DNA overreplication. These results indicate that hypoxic conditions which exist in transplanted tumors do not induce cells to undergo DNA overreplication to the same extent that is achieved after in vitro exposure of cells to hypoxia. We also found that at high concentrations (10 microM) the Hoechst dye itself induced DNA overreplication. These concentrations are frequently used to vitally stain cells for sorting according to DNA content, and this effect must be considered in the interpretation of such experiments

  2. HPV Types and Variants Among Cervical Cancer Tumors in Three Regions of Tunisia

    OpenAIRE

    KrennHrubec, Keris; Mrad, Karima; Sriha, Badreddine; Ben Ayed, Farhat; Bottalico, Danielle M.; Ostolaza, Janae; Smith, Benjamin; Tchaikovska, Tatyana; Amr S. Soliman; BURK, Robert D.

    2011-01-01

    Cervical cancer is the second most common cancer among Tunisian women, and the incidence rates vary by region. Three Tunisian registries report age-standardized rates of 6.3/105 in the central region, 5.4/105 in the north, and 2.7/105 in the south. High-risk human papillomavirus (HPV) types and their variants differ in carcinogenic potential and geographic distribution. The HPV type and variant distribution could be a factor in the differing rates between regions of Tunisia. Tumor tissue was ...

  3. The Lhx9 homeobox gene controls pineal gland development and prevents postnatal hydrocephalus

    DEFF Research Database (Denmark)

    Yamazaki, Fumiyoshi; Møller, Morten; Fu, Cong; Clokie, Samuel J; Zykovich, Artem; Coon, Steven L; Klein, David C; Rath, Martin F

    2015-01-01

    that Lhx9 contributes to the maintenance of normal brain structure. Whereas hydrocephalus is absent in neonatal Lhx9 (-/-)mutant mice, the neonatal pineal gland in these animals is hypoplastic. Accordingly, it appears that Lhx9 is essential for early development of the mammalian pineal gland and that...

  4. Minimally Invasive-Endoscopic Intraventricular Neurosurgery

    Medline Plus

    Full Text Available ... taking out tumors such as colloid cysts, pineal region tumors. And then lastly we're now exploring ... about removal of brain tumors in the pineal region, or colloid system, the third ventricle. Without question, ...

  5. Discontinuous region growing scheme for preliminary detection of tumor in MRCP images.

    Science.gov (United States)

    Logeswaran, Rajasvaran; Eswaran, Chikkannan

    2006-08-01

    Tumors are generally difficult to detect in Magnetic Resonance (MR) images as they can be of varying intensities and do not appear as clear structures on these images. This difficulty is more prominent in MR Cholangiopancreatography (MRCP), which is the MR technology using a special sequence of T2-weighted imaging to identify the biliary tract, pancreatic duct, and gallbladder in the liver region, as MRCP images are more noisy in nature and are acquired for a more focused area with too much flexibility in position orientation for convenient computer-aided diagnosis. Based on the principle that the tumor mass manifests itself as blockage of the biliary tree structure, this paper introduces a technique that uses a region growing algorithm to identify discontinuities in the biliary tree as a means to preliminary detection of a possible tumor, in a fashion similar to the visual observation used by most radiologists in making their preliminary diagnosis. Through the use of appropriate image normalization, watershed segmentation, thresholding, rule-based region growing, and region analysis, the proposed technique is shown in this paper to be successful in identifying MRCP images with liver carcinoma from those with normal liver. Acquisition standardization, interactive image selection, and optimum image orientation will further enhance the accuracy of this proposed scheme for use in aiding clinical diagnosis at medical institutions. PMID:16978012

  6. Tumors in the region of the sella turcica; Tumoren der Sellaregion

    Energy Technology Data Exchange (ETDEWEB)

    Reith, W. [Universitaetsklinikum des Saarlandes, Klinik fuer Diagnostischeund Interventionelle Neuroradiologie, Homburg/Saar (Germany)

    2009-07-15

    Tumors of the pituitary gland can lead to limitation of hypophysis function (hypophysis insufficiency) or hypersecretion of different hormones (acromegaly, Cushing's syndrome, prolactinoma, TSH-secreting adenoma). The optic chiasma lies in close proximity to the pituitary gland and can be compressed by tumors leading to visual disturbances (bilateral hemianopsia). Tumors can be separated into hormone secreting and hormone inactive tumors, as well as into microadenoma with a diameter <10 mm and macroadenomas >10 mm. A rare group of tumors of the hypophysis region are craniopharyngiomas, meningiomas, germinomas, gliomas, metastases and granulomotous inflammations, such as sarcoidosis and tuberculosis. (orig.) [German] Bei Tumoren der Hypophysenregion kann es zu einer Einschraenkung der Hypophysenfunktion (Hypophyseninsuffizienz) kommen, aber auch zu einem Hypersekretionssyndrom (Akromegalie, Cushing-Syndrom, Prolaktinom, TSH-sezernierendes Adenom). Unmittelbar ueber der Hypophysenregion liegt das Chiasma opticum, wodurch es bei Tumoren der Hypophysenregion zur Beeintraechtigung des Sehens kommen kann, meist als Verschlechterung des Sehfeldes beider Augen nach lateral (bitemporale Hemianopsie). Man unterscheidet hormonaktive und -inaktive Tumoren. Es werden Mikroadenome mit einem Durchmesser bis 10 mm und Makroadenome, die groesser als 10 mm sind, unterschieden. Eine seltenere Gruppe von Tumoren der Hypophysenregion sind die Kraniopharyngeome, Meningeome, Germinome, Gliome, Metastasen und granulomatoese Entzuendungen (Sarkoidose, Tuberkulose). (orig.)

  7. Megaendoprosthesis in the treatment of bone tumors in the knee and hip region

    Directory of Open Access Journals (Sweden)

    Barjaktarovi? Radoslav

    2011-01-01

    Full Text Available Background/Aim. For almost two decades extremity amputation has not been the only viable option for patients with from bone cancer in the region of the hip and knee. Remarkable advances in implant technology, surgical reconstructive technique and adoption of new chemotherapy protocols provide a new option for surgeons who diagnose and treat bone tumors. Megaendoprosthesis has become widely accepted alternative in limb salvage surgery of the extremities. The aim of this study was to present an outcome of the treatment of bone tumors in the knee and hip region by the use of custom made megaendoprothesis. Methods. In the period 2006-2008 we adopted new clinical practice protocols for preoperative management in candidates for tumor megaprostheses of the hip and knee including: surgical tumor staging, histopathological verification, determinants of anatomical-mechanical defect, status of soft tissues, CT evaluation of the referent measures of pelvis, femur and tibia necessary for creation of custom made endoprosthesis and surgery plan, as well as modern, less invasive surgical approach. The patients were monitored during ? 24 months after the surgery for detecting possible complications. Results. All procedures were performed without complications during and immediately after the surgery. During the follow-up period not less than 24 months we failed to record any significant complications. Conclusion. Custom made megaendoprosthesis are the method of choice in the treatment of bone tumors in the region of the hip and knee at the Orthopedics and Traumatology Clinic, Military Medical Academy, Belgrade. The greatest challenge - ensuring longevity of a prosthesis can be achieved not only by prevention of common complications of arthroplasty procedures but, certainly, with the introduction of new methods for preoperative planning - computer-assisted technique of measuring referent sizes and software solutions for the selection and design of custom-made components of an endoprosthesis.

  8. Intracranial tumors in children less than 2 years of age

    International Nuclear Information System (INIS)

    We analyzed the characteristic CT findings in twelve cases of intracranial tumors in children under 2 years of age. The histological classification of them was as follows: 2 were teratomas, 3 ependymoma and ependymoblastomas, 2 medulloblastomas, 2 craniopharyngiomas, and 3 were other gliomas, including a pontine glioma. 1. Ten cases were located along the central neural axis. The supratentorial/infratentorial ratio became nearly equal at each age before and after the first year. 2. With regard to tumor size, approximately 70 % out of the brain tumors were more than 5 cm in diameter; especially, four cases had diameters of more than 7 cm. In the case of the teratomas, the cranial cavity was filled with several nodular tumors of varying densities. On admission, an ependymoblastoma in the posterior fossa had already invaded the pineal region. 3. Hydrocephalus was a frequent finding except for the two craniopharyngiomas and the pontine glioma. Some demonstrated an eminent ventricular collapse and a displacement of the midline structures because of the large size of the tumor masses. 4. The malignant gliomas had less peritumoral edemas in proportion to the large sizes of the tumor masses. The prognosis of some brain tumors in our cases less than 2 years of age was extremely poor, but an aggressive approach to them with surgical treatment, irradiation, and adjuvant chemotherapy may improve their chances of survival. (author)

  9. A novel gene therapy-based approach that selectively targets hypoxic regions within solid tumors

    International Nuclear Information System (INIS)

    There is compelling evidence that malignant cells present within the hypoxic regions that are commonly found within solid tumors contribute significantly to local recurrence following radiation therapy. We describe now a novel strategy designed to target such cells that exploits the differential production within hypoxic regions of the pro-angiogenic cytokine vascular endothelial cell growth factor (VEGF). Specifically, we have generated cDNA constructs that encode two distinct chimeric cell surface proteins that incorporate, respectively, the extracellular domains of the VEGF receptors Flk-1 or Flt-1, fused in frame to the membrane spanning and cytoplasmic domains of the pro-apoptotic protein Fas. Both chimeric proteins (Flk/Fas and Flt/Fas) appear stable and can be readily detected on the surface of transfected cells by Western blot and/or FACS analysis. Importantly, tumor cells expressing the chimeric proteins were rapidly killed in a dose-dependent fashion upon the addition of exogenous recombinant VEGF. Adenoviral vectors encoding Flk/Fas have been generated and shown to induce tumor cells to undergo apoptosis upon transfer to hypoxic conditions in vitro. This activity is dependent upon the endogenous production of VEGF. Studies are currently underway to test the ability of adenoviral Flk/Fas (Ad.Flk/Fas) to reduce tumor recurrence in vivo when used as an adjuvant therapy in conjunction with clinically relevant doses of ionizing radiation

  10. Clinical usefulness of computed tomography for evaluation of the effectiveness of radiation therapy of brain tumors

    International Nuclear Information System (INIS)

    In order to evaluate the effectiveness of radiation therapy for brain tumor, CT findings before, during, and after radiation therapy were studied in 48 patients with brain tumor (12 glioblastomas, 5 craniopharyngiomas, 4 pituitary adenomas, 2 medulloblastomas, 2 reticulum cell sarcomas, ependymoblastoma, oligodendroglioma, germinoma, squamous cell carcinoma, teratocarcinoma, meningioma, chordoma, 6 metastatic tumors, and 10 unbiopsied tumors). CT findings such as tumor size, mass effect, central lucency, and peripheral low density decreased in 69%, 63%, 65%, and 47%, respectively, after irradiation. Changes in tumor size correlated with clinical course in about 90% of the patients. Radiosensitivity of the brain tumors was assessed from the degree of decrease in tumor size demonstrated on CT. Radiosensitive tumors such as germinoma of pineal and suprasellar region could be diagnosed clinically without surgical biopsy since marked response to radiation was observed on serial CT scans during the course of radiation therapy. Thus, CT scan study can be considered to be highly useful for evaluating the effectiveness of radiation therapy for brain tumors. (author)

  11. Circadian changes in long noncoding RNAs in the pineal gland

    DEFF Research Database (Denmark)

    Coon, Steven L; Munson, Peter J; Cherukuri, Praveen F; Sugden, David; Rath, Martin Fredensborg; Møller, Morten; Clokie, Samuel J H; Fu, Cong; Olanich, Mary E; Rangel, Zoila; Werner, Thomas; Mullikin, James C; Klein, David C

    2012-01-01

    Long noncoding RNAs (lncRNAs) play a broad range of biological roles, including regulation of expression of genes and chromosomes. Here, we present evidence that lncRNAs are involved in vertebrate circadian biology. Differential night/day expression of 112 lncRNAs (0.3 to >50 kb) occurs in the rat pineal gland, which is the source of melatonin, the hormone of the night. Approximately one-half of these changes reflect nocturnal increases. Studies of eight lncRNAs with 2- to >100-fold daily rhythm...

  12. Induction of cancer cell death by proton beam in tumor hypoxic region

    International Nuclear Information System (INIS)

    The physical properties of charged particles such as protons are uniquely suited to target the radiation dose precisely in the tumor. In proton therapy, the Bragg peak is spread out by modulating or degrading the energy of the particles to cover a well defined target volume at a given depth. Due to heterogeneity in the various tumors and end-points as well as in the physical properties of the beams considered, it is difficult to fit the various results into a clear general description of the biological effect of proton in tumor therapy. Tumor hypoxia is a main obstacle to radiotherapy, including gamma-ray. Survived tumor cells under hypoxic region are resistant to radiation and more aggressive to be metastasized. To investigate the dose of proton beam to induce cell death of various tumor cells and hypoxic tumor cells at the Bragg peak in vitro, we used 3 kinds of tumor cells, lung cancer, leukemia and hepatoma cells. Proton beam induces apoptosis in Lewis lung carcinoma cells dose dependently and, slightly in leukemia but not in hepatoma cells at all. Above 1000 gray of proton beam, 60% of cells died even the hypoxic cells in Lewis lung carcinoma cells. But the Molt-4 leukemia cells showed milder effect, 20% cell death by the above 1000 Gray of proton beam and typical resistant pattern (5-10%) of hypoxia in desferrioxamine treated cells. Hepatoma cells (HepG2) were not responsive to proton beam even in rather higher dose (4000G). However, by the gamma-irradiation, Molt-4 was more sensitive than hepatoma or lung cancer cells, but still showed hypoxic resistance. The cell death by proton beam in Lewis lung carcinoma cells was confirmed by PARP cleavage and may be mediated by increased p53. Pro-caspases were also activated and cleaved by the proton beam irradiations for lung cancer cell death. In conclusion, high dose of proton beam (above 1000 gray) may be a good therapeutic radiation even in hypoxic region at the Bragg peak, but further investigations about the cancer cell specificity and the mechanism of resistance as well as in vivo study should be performed

  13. Segmentation of Tumor Region in MRI Images of Brain using Mathematical Morphology

    Directory of Open Access Journals (Sweden)

    Ashwini Gade

    2014-06-01

    Full Text Available This paper introduces an efficient detection of brain tumor from cerebral MRI images. The methodology consists of two steps: enhancement and segmentation. To improve the quality of images and limit the risk of distinct regions fusion in the segmentation phase an enhancement process is applied. We applied mathematical morphology to increase the contrast in MRI images and to segment MRI images. Some of experimental results on brain images show the feasibility and the performance of the proposed approach.

  14. Molecular characterization of Wilms tumor from a resource-constrained region of sub-Saharan Africa

    OpenAIRE

    Andrew J Murphy; Axt, Jason R.; de Caestecker, Christian; Pierce, Janene; Correa, Hernan; Seeley, Erin H.; Richard M. Caprioli; Newton, Mark W.; Mark P. de Caestecker; Lovvorn, Harold N.

    2012-01-01

    Sub-Saharan African children have an increased incidence of Wilms tumor (WT) and experience alarmingly poor outcomes. Although these outcomes are largely due to inadequate therapy, we hypothesized that WT from this region exhibit features of biologic aggressiveness that may warrant broader implementation of high-risk therapeutic protocols. We evaluated 15 Kenyan WT (KWT) for features of aggressive disease (blastemal predominance, Ki67/cellular proliferation) and treatment resistance (anaplasi...

  15. Case of the month. April 1996--pituitary tumor.

    Science.gov (United States)

    Kohler, L

    1996-10-01

    A 20 year old man presented with intermittent diplopia and difficulty focusing his leftward gaze during the past month. His past medical history was only significant for a dermoid cyst in the posterior fossa which was removed at age 10. MRI scans demonstrated a perisellar mass, eroding the sphenoid and surrounding the right carotid artery as well as extending into the sella. A transsphenoidal endoscopic resection was performed. The tumor was diagnosed as a germinoma (seminoma). Most germinomas in the brain arise in the pineal, however, germ cell neoplasms (including teratomas, germinomas and non-germinomatous germ cell neoplasms) are not unknown in the perisellar region and typically arise in the hypothalamic region and present with diabetes insipidus, visual disturbances or hypopituitism. PMID:8944324

  16. Buschke-Lowenstein tumor of the inguinal region: A rare entity in a rarer location

    Directory of Open Access Journals (Sweden)

    Priyanka Aggarwal

    2015-02-01

    Full Text Available Buschke–Lowenstein tumor (BLT, also known as giant condyloma accuminata, first described in 1896 by Buschke, is a rare, slow?growing, locally invasive, mass lesion commonly affecting the anogenital region in immunocompromised males. This florid type of verrucous carcinoma is known for its high rate of recurrence as well as malignant conversion to squamous cell carcinoma. BLTs have been commonly reported to involve the penis, scrotum, bladder, vulva and perianal or anorectal regions. Our index case remains distinguished on the account of the rare anatomical location, causing a diagnostic dilemma, and once diagnosed managed adequately via surgery alone

  17. Hypofractionation Results in Reduced Tumor Cell Kill Compared to Conventional Fractionation for Tumors With Regions of Hypoxia

    International Nuclear Information System (INIS)

    Purpose: Tumor hypoxia has been observed in many human cancers and is associated with treatment failure in radiation therapy. The purpose of this study is to quantify the effect of different radiation fractionation schemes on tumor cell killing, assuming a realistic distribution of tumor oxygenation. Methods and Materials: A probability density function for the partial pressure of oxygen in a tumor cell population is quantified as a function of radial distance from the capillary wall. Corresponding hypoxia reduction factors for cell killing are determined. The surviving fraction of a tumor consisting of maximally resistant cells, cells at intermediate levels of hypoxia, and normoxic cells is calculated as a function of dose per fraction for an equivalent tumor biological effective dose under normoxic conditions. Results: Increasing hypoxia as a function of distance from blood vessels results in a decrease in tumor cell killing for a typical radiotherapy fractionation scheme by a factor of 105 over a distance of 130 ?m. For head-and-neck cancer and prostate cancer, the fraction of tumor clonogens killed over a full treatment course decreases by up to a factor of ?103 as the dose per fraction is increased from 2 to 24 Gy and from 2 to 18 Gy, respectively. Conclusions: Hypofractionation of a radiotherapy regimen can result in a significant decrease in tumor cell killing compared to standard fractionation as a result of tumor hypoxia. There is a potential for large errors when calculating alternate fractionations using formalisms that do not account for tumor hypoxia.

  18. Circadian Dynamics of the Cone-Rod Homeobox (CRX) Transcription Factor in the Rat Pineal Gland and Its Role in Regulation of Arylalkylamine N-Acetyltransferase (AANAT)

    DEFF Research Database (Denmark)

    Rohde, Kristian; Rovsing, Louise; Ho, Anthony K; Møller, Morten; Rath, Martin Fredensborg

    2014-01-01

    The cone-rod homeobox (Crx) gene encodes a transcription factor in the retina and pineal gland. Crx deficiency influences the pineal transcriptome, including a reduced expression of arylalkylamine N-acetyltransferase (Aanat), a key enzyme in nocturnal pineal melatonin production. However, previous functional studies on pineal Crx have been performed in melatonin-deficient mice. In this study, we have investigated the role of Crx in the melatonin-proficient rat pineal gland. The current study sho...

  19. Major chromosomal breakpoint intervals in breast cancer tumors co-localize with differentially methylated regions.

    Directory of Open Access Journals (Sweden)

    Man-Hung EricTang

    2012-12-01

    Full Text Available Solid tumors exhibit chromosomal rearrangements resulting in gain or loss of multiple loci (copy number variation and translocations that occasionally result in the creation of novel chimeric genes. In the case of breast cancer, although most individual tumors each have unique CNV landscape the breakpoints, as measured over large datasets, appear to be non-randomly distributed in the genome. Breakpoints show a significant regional concentration at genomic loci spanning perhaps several megabases. The proximal cause of these breakpoint concentrations is a subject of speculation but is, as yet, largely unknown. To shed light on this issue, we have performed a bio-statistical analysis on our previously published data for a set of 119 breast tumors and normal controls, where each sample has both high resolution CNV and methylation data. The method examined the distribution of closeness of breakpoint regions with differentially methylated regions, coupled with additional genomic parameters, such as repeat elements and designated fragile sites in the reference genome. Through this analysis, we have identified a set of 91 regional loci called breakpoint enriched differentially methylated regions (BEDMRs characterized by altered DNA methylation in cancer compared to normal cells that are associated with frequent breakpoint concentrations within a distance of 1Mb. BEDMR loci are further associated with local hypomethylation (66% concentrations of the Alu SINE repeats within 3Mb and tend to occur near a number of cancer related genes such as the protocadherins, AKT1, DUB3, GAB2. BEDMRs seem to deregulate members of the histone gene family and chromatin remodeling factors e.g JMJD1B which might affect the chromatin structure and disrupt coordinate signaling and repair. From this analysis we propose that preference for chromosomal breakpoints is related to genome structure coupled with alterations in DNA methylation and hence chromatin structure associated with tumorigenesis.

  20. Regional cerebral blood flow in various types of brain tumor. Effect of the space-occupying lesion on blood flow in brain tissue close to and remote from tumor site

    DEFF Research Database (Denmark)

    Kuroda, K; Skyhøj Olsen, T; Lassen, N A

    1982-01-01

    Regional cerebral blood flow (rCBF) was measured in 23 patients with brain tumors using the 133Xe intra-carotid injection method and a 254 channel gamma camera. The glioblastomas (4) and astrocytomas (4) all showed hyperemia in the tumor and tumor-near region. This was also seen in several...... meningiomas (4 of 7 cases) in which most of the tumor itself did not receive any isotope. Brain metastases (6) usually had a low flow in the tumor and tumor-near region. The glioblastomas tended to show markedly bending 133Xe wash-out curves pointing to pronounced heterogeneity of blood flow. Most of the flow...... maps, regardless of the tumor types, showed widespread abnormalities of rCBF not only in the tumor region but also in the region remote from the tumor. It is concluded that measurement of rCBF cannot yield accurate differential diagnostic information, but that the widespread derangement of the brain...

  1. HPV types and variants among cervical cancer tumors in three regions of Tunisia.

    Science.gov (United States)

    KrennHrubec, Keris; Mrad, Karima; Sriha, Badreddine; Ben Ayed, Farhat; Bottalico, Danielle M; Ostolaza, Janae; Smith, Benjamin; Tchaikovska, Tatyana; Soliman, Amr S; Burk, Robert D

    2011-04-01

    Cervical cancer is the second most common cancer among Tunisian women, and the incidence rates vary by region. Three Tunisian registries report age-standardized rates of 6.3/10(5) in the central region, 5.4/10(5) in the north, and 2.7/10(5) in the south. High-risk human papillomavirus (HPV) types and their variants differ in carcinogenic potential and geographic distribution. The HPV type and variant distribution could be a factor in the differing rates between regions of Tunisia. Tumor tissue was collected from 142 Tunisian cervical cancer patients. Demographic and reproductive characteristics of the patients were abstracted from cancer registry and hospital records. HPV type and variant analyses were performed using PCR-based Luminex and dot-blot hybridization assays. Eighty-three percent of tumors were infected with at least one HPV type. European variants of HPV16/18 were the most prevalent in tumors from all three regions, with all HPV18 infections and 64% of HPV16 infections being of European lineage. A higher frequency of HPV16 was present in Northern Tunisia (80%) than in Central (68%) or Southern Tunisia (50%) (P=0.02). HPV18/45 was significantly more common in adenocarcinomas (50%) than in squamous cell carcinomas (11%) (P=0.004). Frequent infection with European HPV variants most likely reflects the history of European migration to Tunisia. In addition to the importance of understanding the variants of HPV in Tunisia, behavioral and cultural attitudes towards screening and age-specific infection rates should be investigated to aid the development of future vaccination and HPV screening programs and policies. PMID:21328380

  2. Tumor Teratóide Rabdóide Atípico Num Adulto / Atypical Teratoid Rhabdoid Tumor in an Adult

    Scientific Electronic Library Online (English)

    Cláudia, Caeiro; Isabel, Augusto; Teresa, Jaraquemada; Cristina, Sarmento; Margarida, Damasceno.

    Full Text Available O tumor teratóide rabdóide atípico (TTRA) é uma neoplasia rara e agressiva, mais comum na infância e de mau prognóstico. Apenas 23 casos foram descritos em adultos. Permanece por estabelecer uma estratégia terapêutica, mas com ressecção macroscopicamente completa (RMC), radioterapia (RT) e quimioter [...] apia baseada em platinos e agentes alquilantes parecem obter-se os melhores resultados. Descreve-se o caso de uma mulher de 39 anos que iniciou um quadro de cefaleias, vertigens, perturbações visuais e ataxia. A RMN mostrou hidrocefalia relacionada com uma massa na região pineal. O tratamento consistiu em RMC, RT e 3 ciclos do esquema ICE. A doente permanece sem evidência de doença 30 meses após o diagnóstico. A propósito deste caso, procedeu-se a uma revisão da literatura. Abstract in english Atypical teratoid rhabdoid tumor (AT/RT) is a rare and aggressive malignancy, which is more common in early childhood and carries a poor prognosis. Only 23 cases have been described in adults. A treatment strategy is yet to be established but gross total resection (GTR), early radiotherapy (RT) and [...] platinum and alkylator-based chemotherapy seem to be associated with better outcome. We report on a 39 year-old female who presented with headache, vertigo, blurry vision and ataxia. The MRI revealed hydrocephalus related to a mass at the pineal region. The treatment consisted of GTR, RT and 3 cycles of an outpatient-based ICE regimen. The patient remains disease-free 30 months after diagnosis. Following this case, a review of the literature is undertaken.

  3. Combined autofluorescence and Raman spectroscopy method for skin tumor detection in visible and near infrared regions

    Science.gov (United States)

    Zakharov, V. P.; Bratchenko, I. A.; Artemyev, D. N.; Myakinin, O. O.; Khristoforova, Y. A.; Kozlov, S. V.; Moryatov, A. A.

    2015-07-01

    The combined application of Raman and autofluorescence spectroscopy in visible and near infrared regions for the analysis of malignant neoplasms of human skin was demonstrated. Ex vivo experiments were performed for 130 skin tissue samples: 28 malignant melanomas, 19 basal cell carcinomas, 15 benign tumors, 9 nevi and 59 normal tissues. Proposed method of Raman spectra analysis allows for malignant melanoma differentiating from other skin tissues with accuracy of 84% (sensitivity of 97%, specificity of 72%). Autofluorescence analysis in near infrared and visible regions helped us to increase the diagnostic accuracy by 5-10%. Registration of autofluorescence in near infrared region is realized in one optical unit with Raman spectroscopy. Thus, the proposed method of combined skin tissues study makes possible simultaneous large skin area study with autofluorescence spectra analysis and precise neoplasm type determination with Raman spectroscopy.

  4. Morphological Characteristics and Embryological Development of Pineal Gland and Experimental Grafting Procedures

    Directory of Open Access Journals (Sweden)

    Mehmet Turgut

    2003-02-01

    Full Text Available The pineal gland is a major neuroendocrine organ both in human and animals and its principal product is melatonin. It has been implicated in a number of physiological functions (circadian rhytms, sleep, reproduction, and immune system. It is notable that transplantation of the pineal gland into different anatomical locations (the third or fourth cerebral ventricle, hypothalamus, cortical cerebral tissue, and anterior chamber of the eye appears to evoke a degree of functional recovery. The present review focuses upon the morphological characteristics and the embryological development of the pineal gland as well as experimental grafting procedures into some structures in pinealectomized animals. It has been demonstrated that pinealocytes survive transplantation into these sites and exhibit ultrastructural features of active secretion. Recent investigations have shown that the transplanted pineal gland in the anterior chamber of the eye is reinnervated by neurons. [Archives Medical Review Journal 2003; 12(1.000: 65-76

  5. Evaluation of the regional cerebral blood flow in and around brain tumors by means of Xe-enhanced CT

    International Nuclear Information System (INIS)

    The cerebral blood flow of various brain tumors was evaluated by means of Xe-enhanced CT. Eleven gliomas, 5 meningiomas, 15 metastatic brain tumors, 4 pituitary adenomas, and 2 others were included in this study. The brain tumors showed quite a wide variation in regional cerebral blood flow (r-CBF) and in pathology. Therefore, it seems to be very difficult to predict tumor pathology by means of Xe-CT alone. The r-CBF values, though, demonstrated certain differences in size and in pattern. The highest r-CBF values were finally by pituitary adenomas. Because of the extremely low r-CBF values in edema tissue around such brain tumors as meningiomas and metastatic brain tumors, the biggest r-CBF gradient between tumor and its edema has been shown in these tumors. Most benign tumors, like astrocytoma GI, GII and meningioma, demonstrated a homogeneous r-CBF pattern, unlike the heterogeneous or indefinite patterns shown in malignant gliomas and metastatic tumors. (author)

  6. Delayed lateral rectus palsy following resection of a pineal cyst in sitting position: direct or indirect compressive phenomenon?

    Science.gov (United States)

    Stevens, Qualls E; Colen, Chaim B; Ham, Steven D; Kattner, Keith A; Sood, Sandeep

    2007-12-01

    A rare case of delayed lateral rectus palsy in a patient following resection of a pineal lesion in the sitting position is presented. Postoperative pneumocephalus is common following craniospinal surgical intervention in the sitting position. The sixth cranial nerve is frequently injured because of its prolonged intracranial course. A 13-year-old girl was evaluated for unremitting headaches. No focal deficits were demonstrated on neurological examination. Magnetic resonance imaging revealed a cystlike pineal region mass with peripheral enhancement following intravenous contrast administration. A supracerebellar infratentorial craniotomy was performed in the sitting position, and complete resection of the lesion was achieved. Her postoperative course was complicated by sixth nerve palsy on the third postoperative day. Her symptoms improved with conservative management. The occurrence of sixth cranial nerve palsy secondary to pneumocephalus is a rare entity. Even rarer is the report of this anomaly following craniotomy in the sitting position. This patient's symptoms manifested in a delayed fashion. Although uncommon, this complication should be considered in patients undergoing cranial or spinal surgical interventions in this position. PMID:18174563

  7. Brain tumors in children; Hirntumoren beim Kind

    Energy Technology Data Exchange (ETDEWEB)

    Harting, I.; Seitz, A. [Universitaetsklinikum Heidelberg (Germany). Abt. Neuroradiologie

    2009-06-15

    Brain tumors are common in children; in Germany approximately 400 children are diagnosed every year. In the posterior fossa, cerebellar neoplasms outnumber brainstem gliomas. In contrast to their rarity in adults, brainstem gliomas are not uncommon in children. Supratentorial tumors can be subdivided by location into neoplasms of the cerebral hemispheres, suprasellar and pineal tumors. Astrocytoma is the most common pediatric brain tumor followed by medulloblastoma, ependymoma and craniopharyngeoma. The combination of imaging morphology, tumor localisation and patient age at manifestation form the basis of the neuroradiological differential diagnosis. (orig.)

  8. 3D high-content screening for the identification of compounds that target cells in dormant tumor spheroid regions

    International Nuclear Information System (INIS)

    Cancer cells in poorly vascularized tumor regions need to adapt to an unfavorable metabolic microenvironment. As distance from supplying blood vessels increases, oxygen and nutrient concentrations decrease and cancer cells react by stopping cell cycle progression and becoming dormant. As cytostatic drugs mainly target proliferating cells, cancer cell dormancy is considered as a major resistance mechanism to this class of anti-cancer drugs. Therefore, substances that target cancer cells in poorly vascularized tumor regions have the potential to enhance cytostatic-based chemotherapy of solid tumors. With three-dimensional growth conditions, multicellular tumor spheroids (MCTS) reproduce several parameters of the tumor microenvironment, including oxygen and nutrient gradients as well as the development of dormant tumor regions. We here report the setup of a 3D cell culture compatible high-content screening system and the identification of nine substances from two commercially available drug libraries that specifically target cells in inner MCTS core regions, while cells in outer MCTS regions or in 2D cell culture remain unaffected. We elucidated the mode of action of the identified compounds as inhibitors of the respiratory chain and show that induction of cell death in inner MCTS core regions critically depends on extracellular glucose concentrations. Finally, combinational treatment with cytostatics showed increased induction of cell death in MCTS. The data presented here shows for the first time a high-content based screening setup on 3D tumor spheroids for the identification of substances that specifically induce cell death in inner tumor spheroid core regions. This validates the approach to use 3D cell culture screening systems to identify substances that would not be detectable by 2D based screening in otherwise similar culture conditions. - Highlights: • Establishment of a novel method for 3D cell culture based high-content screening. • First reported high-content screen for the identification of compounds that target cells in dormant tumor spheroid regions. • Metabolite profiling by NMR spectroscopy on 3D tumor spheroids. • Identification of respiratory chain inhibitors to specifically induce cell death in inner tumor spheroid regions. • Respiratory chain inhibitors enhance cytostatic based therapy in vitro

  9. 3D high-content screening for the identification of compounds that target cells in dormant tumor spheroid regions

    Energy Technology Data Exchange (ETDEWEB)

    Wenzel, Carsten; Riefke, Björn; Gründemann, Stephan; Krebs, Alice; Christian, Sven; Prinz, Florian; Osterland, Marc; Golfier, Sven; Räse, Sebastian [Bayer Pharma AG, Global Drug Discovery, Muellerstrasse 178, 13353 Berlin (Germany); Ansari, Nariman [Physical Biology Group, Buchmann Institute for Molecular Life Sciences (BMLS), Goethe University Frankfurt (Germany); Esner, Milan; Bickle, Marc [Max Planck Institute of Molecular Cell Biology and Genetics, High-Throughput Technology Development Studio (TDS), Dresden (Germany); Pampaloni, Francesco; Mattheyer, Christian; Stelzer, Ernst H. [Physical Biology Group, Buchmann Institute for Molecular Life Sciences (BMLS), Goethe University Frankfurt (Germany); Parczyk, Karsten; Prechtl, Stefan [Bayer Pharma AG, Global Drug Discovery, Muellerstrasse 178, 13353 Berlin (Germany); Steigemann, Patrick, E-mail: Patrick.Steigemann@bayer.com [Bayer Pharma AG, Global Drug Discovery, Muellerstrasse 178, 13353 Berlin (Germany)

    2014-04-15

    Cancer cells in poorly vascularized tumor regions need to adapt to an unfavorable metabolic microenvironment. As distance from supplying blood vessels increases, oxygen and nutrient concentrations decrease and cancer cells react by stopping cell cycle progression and becoming dormant. As cytostatic drugs mainly target proliferating cells, cancer cell dormancy is considered as a major resistance mechanism to this class of anti-cancer drugs. Therefore, substances that target cancer cells in poorly vascularized tumor regions have the potential to enhance cytostatic-based chemotherapy of solid tumors. With three-dimensional growth conditions, multicellular tumor spheroids (MCTS) reproduce several parameters of the tumor microenvironment, including oxygen and nutrient gradients as well as the development of dormant tumor regions. We here report the setup of a 3D cell culture compatible high-content screening system and the identification of nine substances from two commercially available drug libraries that specifically target cells in inner MCTS core regions, while cells in outer MCTS regions or in 2D cell culture remain unaffected. We elucidated the mode of action of the identified compounds as inhibitors of the respiratory chain and show that induction of cell death in inner MCTS core regions critically depends on extracellular glucose concentrations. Finally, combinational treatment with cytostatics showed increased induction of cell death in MCTS. The data presented here shows for the first time a high-content based screening setup on 3D tumor spheroids for the identification of substances that specifically induce cell death in inner tumor spheroid core regions. This validates the approach to use 3D cell culture screening systems to identify substances that would not be detectable by 2D based screening in otherwise similar culture conditions. - Highlights: • Establishment of a novel method for 3D cell culture based high-content screening. • First reported high-content screen for the identification of compounds that target cells in dormant tumor spheroid regions. • Metabolite profiling by NMR spectroscopy on 3D tumor spheroids. • Identification of respiratory chain inhibitors to specifically induce cell death in inner tumor spheroid regions. • Respiratory chain inhibitors enhance cytostatic based therapy in vitro.

  10. Bioelectric Activity in the Suprachiasmatic Nucleus—Pineal Gland System in Children with Adolescent Idiopathic Scoliosis

    OpenAIRE

    Dmitry Yu Pinchuk; Bekshaev, Sergey S.; Bumakova, Svetlana A.; Mikhail G. Dudin; Pinchuk, Olga D.

    2012-01-01

    The purpose of this work is to identify a role of the pineal gland/suprachiasmatic nucleus system in adolescent idiopathic scoliosis (AIS) aetiology and pathogenesis. To analyze electroencephalograms of 292 children with AIS and in 46 healthy subjects, a processing method was used to assess three-dimensional coordinates of electric equivalent dipole sources (EEDSs) within the brain. Amounts of EEDSs in the pineal gland and suprachiasmatic nucleus (SCN) area were assessed in different age grou...

  11. Rax: Developmental and Daily Expression Patterns in the Rat Pineal Gland and Retina

    DEFF Research Database (Denmark)

    Rohde, Kristian; Klein, David C; Møller, Morten; Rath, Martin F

    2011-01-01

    Retina and anterior neural fold homeobox (Rax) gene encodes a transcription factor essential for vertebrate eye development. Recent microarray studies indicate that Rax is expressed in the adult rat pineal gland and retina. The present study reveals that Rax expression levels in the rat change significantly during retinal development with a peak occurring at embryonic day (E) 18, whereas Rax expression in the pineal is relatively delayed and not detectable until E20. In both tissues, Rax is expr...

  12. Proteomic analysis of day-night variations in protein levels in the rat pineal gland

    DEFF Research Database (Denmark)

    Møller, Morten; Sparre, Thomas; Bache, Nicolai; Roepstorff, Peter; Vorum, Henrik

    2007-01-01

    The pineal gland secretes the hormone melatonin. This secretion exhibits a circadian rhythm with a zenith during night and a nadir during day. We have performed proteome analysis of the superficial pineal gland in rats during daytime and nighttime. The proteins were extracted and subjected to 2-DE. Of 1747 protein spots revealed by electrophoresis, densitometric analysis showed the up-regulation of 25 proteins during nighttime and of 35 proteins during daytime. Thirty-seven of the proteins were ...

  13. Shadow response in the blind cavefish Astyanax reveals conservation of a functional pineal eye

    OpenAIRE

    Yoshizawa, Masato; JEFFERY, William R.

    2008-01-01

    The blind cavefish Astyanax mexicanus undergoes bilateral eye degeneration during embryonic development. Despite the absence of light in the cave environment, cavefish have retained a structurally intact pineal eye. We show here that contrary to visual degeneration in the bilateral eyes, the cavefish pineal eye has conserved the ability to detect light. Larvae of two different Astyanax cavefish populations and the con-specific sighted surface-dwelling form (surface fish) respond similarly to ...

  14. [Symptomatic glial cysts of the pineal gland: report of two cases and review of the literature].

    Science.gov (United States)

    Vajtai, I; Bodosi, M; Varga, Z; Ormos, J; Vörös, E

    1995-08-27

    Referring to two individual cases, the authors review clinical, radiological and histological features of benign glial cysts of the pineal gland. Both patients were young females with aggravating headaches and with convulsions in one case. Symptoms were referable to a space-occupying cystic mass of the pineal gland. On histology, both lesions proved to be non neoplastic cysts without an epithelial lining. Their histogenesis and low growth potential were reinforced by immunohistochemical analysis of pineal antigens and proliferation markers. Glial cysts of the pineal gland are not infrequent, but symptomatic occurrences are exceptional. Most glial cysts are of dysontogenic or degenerative origin. Sometimes, however, the role of hormonal influences or paraneoplastic factors must be considered. Symptoms caused by glial cysts of the pineal gland are non-specific and radiologic imaging technics may contribute little to etiologic diagnosis. Pineal cysts are curable by surgical resection or stereotactic decompression. Whatever the diagnostic approach, emphasis must be laid on the histologic examination in order to avoid unnecessarily aggressive treatment. PMID:7675431

  15. Night/day changes in pineal expression of >600 genes: central role of adrenergic/cAMP signaling

    DEFF Research Database (Denmark)

    Bailey, Michael J; Coon, Steven L; Carter, John David; Humphries, Ann; Kim, Jong-So; Shi, Qiong; Gaildrat, Pascaline; Morin, Fabrice; Ganguly, Surajit; Hogenesch, John B; Weller, Joan L; Rath, Martin F; Møller, Morten; Baler, Ruben; Sugden, David; Rangel, Zoila G; Munson, Peter J; Klein, David C

    2009-01-01

    The pineal gland plays an essential role in vertebrate chronobiology by converting time into a hormonal signal, melatonin, which is always elevated at night. Here we have analyzed the rodent pineal transcriptome using Affymetrix GeneChip(R) technology to obtain a more complete description of pineal cell biology. The effort revealed that 604 genes (1,268 probe sets) with Entrez Gene identifiers are differentially expressed greater than 2-fold between midnight and mid-day (false discovery rate

  16. Differential effect of benserazide (Ro4-4602) on the concentration of indoleamines in rat pineal and hypothalamus.

    OpenAIRE

    Arendt, J.; Ho, A K; Laud, C.; Marston, A; Nohria, V; J. A. Smith; Symons, A M

    1981-01-01

    1 Low doses (50 and 80 mg/kg) of benserazide (Ro4-4602), an aromatic amino acid decarboxylase inhibitor, markedly reduced 5-hydroxytryptamine and melatonin in the rat pineal gland without affecting hypothalamic 5-hydroxytryptamine. 2 This differential effect shows that inhibition of the pineal gland decarboxylase activity is possible, and confirms that the rat pineal gland is accessible to peripherally acting agents.

  17. Yoga Therapy in Treating Patients With Malignant Brain Tumors

    Science.gov (United States)

    2015-07-27

    Adult Anaplastic Astrocytoma; Adult Anaplastic Ependymoma; Adult Anaplastic Meningioma; Adult Anaplastic Oligodendroglioma; Adult Brain Stem Glioma; Adult Choroid Plexus Tumor; Adult Diffuse Astrocytoma; Adult Ependymoblastoma; Adult Ependymoma; Adult Giant Cell Glioblastoma; Adult Glioblastoma; Adult Gliosarcoma; Adult Grade II Meningioma; Adult Medulloblastoma; Adult Meningeal Hemangiopericytoma; Adult Mixed Glioma; Adult Oligodendroglioma; Adult Papillary Meningioma; Adult Pineal Gland Astrocytoma; Adult Pineoblastoma; Adult Pineocytoma; Adult Supratentorial Primitive Neuroectodermal Tumor (PNET); Recurrent Adult Brain Tumor

  18. Primary (Poorly Differentiated Sclerosing Liposarcoma of Temporal Region. An Uncommon Tumor in a Rare Site: A Case Report

    Directory of Open Access Journals (Sweden)

    Anuradha CK Rao

    2015-02-01

    Full Text Available Liposarcoma (LS in the head and neck region is a rare tumor. The sclerosing variant of LS is a subtype of well-differentiated LS characterized by areas of conventional LS admixed with hypocellular areas of stromal sclerosis that show atypical lipomatous cells. The (poorly differentiated sclerosing LS, on the other hand, is more cellular with atypical, pleomorphic and often bizarre giant tumor cells admixed with atypical lipoblasts. We report a case of poorly differentiated sclerosing LS of temporal region in a 49-year-old man. Radiologically, the tumor was dumbbell shaped with intra and extra cranial extension. In this case, we discuss the clinico-radiological and pathological findings of an unusual tumor in a rare location. [J Interdiscipl Histopathol 2015; 3(1.000: 33-35

  19. Structural and functional characterization of the acidic region from the RIZ tumor suppressor.

    Science.gov (United States)

    Sun, Yizhi; Stine, Jessica M; Atwater, Daniel Z; Sharmin, Ayesha; Ross, J B Alexander; Briknarová, Klára

    2015-02-17

    RIZ (retinoblastoma protein-interacting zinc finger protein), also denoted PRDM2, is a transcriptional regulator and tumor suppressor. It was initially identified because of its ability to interact with another well-established tumor suppressor, the retinoblastoma protein (Rb). A short motif, IRCDE, in the acidic region (AR) of RIZ was reported to play an important role in the interaction with the pocket domain of Rb. The IRCDE motif is similar to a consensus Rb-binding sequence LXCXE (where X denotes any amino acid) that is found in several viral Rb-inactivating oncoproteins. To improve our understanding of the molecular basis of binding of Rb to RIZ, we investigated the interaction between purified recombinant AR and the pocket domain of Rb using nuclear magnetic resonance spectroscopy, isothermal titration calorimetry, and fluorescence anisotropy experiments. We show that AR is intrinsically disordered and that it binds the pocket domain with submicromolar affinity. We also demonstrate that the interaction between AR and the pocket domain is mediated primarily by the short stretch of residues containing the IRCDE motif and that the contribution of other parts of AR to the interaction with the pocket domain is minimal. Overall, our data provide clear evidence that RIZ is one of the few cellular proteins that can interact directly with the LXCXE-binding cleft on Rb. PMID:25640033

  20. Fully Automated Approach to Identify Brain Tumors in 2D MRI Using Thresholding and Region Growing Method?

    OpenAIRE

    Yogesh Dewangan; Aakanksha S. Choubey?

    2014-01-01

    Automated brain tumor segmentation and detection are vastly important in medical diagnostics because it provides information related to anatomical structures as well as potential abnormal tissue necessary to delineate appropriate surgical planning. As the segmentation of anatomical regions of the brain is the basic problem in medical image analysis. Segmentation of Brain tumor appropriately is a difficult task in MRI. The MRI image is an image that produces a high contrast images ...

  1. Cytogenetic analysis of tumoral thyroid tissues of thyroid glands of people from Gomel region as against Brest one

    International Nuclear Information System (INIS)

    The analysis in vivo of histologically normal and tumoral thyroid tissues has shown that in organism of examined patients with thyroid cancer mutation process taken place not only in tumor but in histologically normal tissue. As a result of investigations pursued a significant increase in the level of aberrant cells in thyroid cell populations was revealed in people from Gomel regions as against Brest one

  2. Immune Monitoring of the Circulation and the Tumor Microenvironment in Patients with Regionally Advanced Melanoma Receiving Neoadjuvant Ipilimumab

    OpenAIRE

    Ahmad A Tarhini; Edington, Howard; Butterfield, Lisa H.; LIN, YAN; Shuai, Yongli; Tawbi, Hussein; Sander, Cindy; Yin, Yan; Holtzman, Matthew; Johnson, Jonas; Rao, Uma N M; Kirkwood, John M

    2014-01-01

    We evaluated neoadjuvant ipilimumab in patients with surgically operable regionally advanced melanoma in order to define markers of activity in the blood and tumor as assessed at baseline (before ipilimumab) and early on-treatment. Patients were treated with ipilimumab (10 mg/kg intravenously every 3 weeks ×2 doses) bracketing surgery. Tumor and blood biospecimens were obtained at baseline and at surgery. Flow cytometry and immunohistochemistry for select biomarkers were performed. Thirty fiv...

  3. Reciprocal interdependence between pineal gland and avian immune system. NEL Review.

    Science.gov (United States)

    Skwarlo-Sonta, Krystyna

    1999-01-01

    The immune system of mammals and birds exhibits the same basic anatomical and functional organization, including dichotomy into the cellular and humoral immune response. Specificities of avian immune system may be, however, very useful for understanding numerous phylogenetic and evolutionary mysteries. Similarities and differences between mammals and birds in terms of several pineal gland functions are well known, and they seem to include the immunomodulatory activity of melatonin (MEL) as well. Embryonic pinealectomy of the chicken demonstrated functional interrelationships between the development of the pineal gland, immune system and/or neuroendocrine network, and embryonic bursectomy influenced the diurnal rhythm of the pineal gland function and abolished the effect of immunization on serum MEL level. Also immunization with a thymo-dependent antigen (SRBC) evoked some changes in the chicken nocturnal pineal NAT activity. We have found that the pineal gland and MEL control the diurnal rhythm of immunity in the chicken, but we were not able to demonstrate any immunostimulatory and anti-glucocorticoid MEL effects, regardless of the chicken's age, sex, season, and hormone dose used. The existence of functional connections between the pineal gland and the immune system in chickens was, however, confirmed in other experimental approaches. Specific and reversible binding of 2-[125I]iodoMEL to the membrane preparations from lymphoid glands was demonstrated in several avian species. In vitro MEL diminished lymphocyte proliferation stimulated by the common T-cell mitogens, while alone failed to influence the blast formation. Reciprocal functional connections between the avian immune system and the pineal gland seem to be well documented, but the mechanism(s) involved have to be elucidated. PMID:11462106

  4. Induction of cancer cell death by proton beam in tumor hypoxic region

    International Nuclear Information System (INIS)

    Proton beam has been applied to treat various tumor patients in clinical studies. However, it is still undefined whether proton radiation can inhibit the blood vessel formation and induce the cell death in vascular endothelial cells in growing organs. The aim of this study are first, to develop an optimal animal model for the observation of blood vessel development with low dose of proton beam and second, to investigate the effect of low dose proton beam on the inhibition of blood vessel formation induced by hypoxic conditions. In this study, flk1-GFP transgenic zebrafish embryos were used to directly visualize and determine the inhibition of blood vessels by low dose (1, 2, 5 Gy) of proton beam with spread out Bragg peak (SOBP). And we observed cell death by acridine orange staining at 96 hours post fertilization (hpf) stage of embryos after proton irradiation. We also compared the effects of proton beam with those of gamma-ray. An antioxidant, N-acetyl cystein (NAC) was used to investigate whether reactive oxygen species (ROS) were involved in the cell deaths induced by proton irradiation. Irradiated flk-1-GFP transgenic embryos with proton beam irradiation (35 MeV, spread out Bragg peak, SOBP) demonstrated a marked inhibition of embryonic growth and an altered fluorescent blood vessel development in the trunk region. When the cells with DNA damage in the irradiated zebrafish were stained with acridine orange, green fluorescent cell death spots were increased in trunk regions compared to non-irradiated control embryos. Proton beam also significantly increased the cell death rate in human umbilical vein endothelial cells (HUVEC), but pretreatment of N-acetyl cystein (NAC), an antioxidant, recovered the proton-induced cell death rate (p<0.01). Moreover, pretreatment of NAC abrogated the effect of proton beam on the inhibition of trunk vessel development and malformation of trunk truncation. From this study, we found that proton radiation therapy can inhibit the blood vessel growth which is probably induced in hypoxic region in vivo in zebrafish embryos. The inhibition of blood vessel formation by proton beam might be caused by vascular cell death through the increased ROS generation. Therefore, proton therapy can be applied to treat tumor angiogenesis as well as abnormal vessel formation developing in hypoxic region

  5. Induction of cancer cell death by proton beam in tumor hypoxic region

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Y. M.; Heo, T. R.; Lee, K. B.; Jang, K. H.; Kim, H. N.; Lee, S. H.; Jeong, M. H. [Kyungpook National University, Daegu (Korea, Republic of)

    2008-04-15

    Proton beam has been applied to treat various tumor patients in clinical studies. However, it is still undefined whether proton radiation can inhibit the blood vessel formation and induce the cell death in vascular endothelial cells in growing organs. The aim of this study are first, to develop an optimal animal model for the observation of blood vessel development with low dose of proton beam and second, to investigate the effect of low dose proton beam on the inhibition of blood vessel formation induced by hypoxic conditions. In this study, flk1-GFP transgenic zebrafish embryos were used to directly visualize and determine the inhibition of blood vessels by low dose (1, 2, 5 Gy) of proton beam with spread out Bragg peak (SOBP). And we observed cell death by acridine orange staining at 96 hours post fertilization (hpf) stage of embryos after proton irradiation. We also compared the effects of proton beam with those of gamma-ray. An antioxidant, N-acetyl cystein (NAC) was used to investigate whether reactive oxygen species (ROS) were involved in the cell deaths induced by proton irradiation. Irradiated flk-1-GFP transgenic embryos with proton beam irradiation (35 MeV, spread out Bragg peak, SOBP) demonstrated a marked inhibition of embryonic growth and an altered fluorescent blood vessel development in the trunk region. When the cells with DNA damage in the irradiated zebrafish were stained with acridine orange, green fluorescent cell death spots were increased in trunk regions compared to non-irradiated control embryos. Proton beam also significantly increased the cell death rate in human umbilical vein endothelial cells (HUVEC), but pretreatment of N-acetyl cystein (NAC), an antioxidant, recovered the proton-induced cell death rate (p<0.01). Moreover, pretreatment of NAC abrogated the effect of proton beam on the inhibition of trunk vessel development and malformation of trunk truncation. From this study, we found that proton radiation therapy can inhibit the blood vessel growth which is probably induced in hypoxic region in vivo in zebrafish embryos. The inhibition of blood vessel formation by proton beam might be caused by vascular cell death through the increased ROS generation. Therefore, proton therapy can be applied to treat tumor angiogenesis as well as abnormal vessel formation developing in hypoxic region

  6. Contrast enhancement and morphological findings of hematopoietic regions of bone marrow on MR imaging. Comparative study with spondylitis and vertebral tumors

    Energy Technology Data Exchange (ETDEWEB)

    Amano, Yasuo; Hayashi, Hiromitsu; Matsuura, Maki; Watari, Jun; Kumazaki, Tatsuo [Nippon Medical School, Tokyo (Japan)

    1995-06-01

    The enhanced MR findings of hematopoietic regions in aplastic anemia were compared with those of spondylitis, metastatic vertebral tumors and hematologic neoplasms. The enhanced MR images showed hematopoietic regions to homogeneously enhance and occupy the margin of vertebral bodies, while spondylitis and metastatic tumors appeared as round, inhomogeneously enhancing lesions. MR images of leukemia and myelodysplastic syndrome showed homogeneous enhancement at the margins of vertebrae that was difficult to differentiate from hematopoietic regions. Enhanced MR images were useful in detecting the hematopoietic areas in marrow and differentiating them from spondylitis and metastatic tumors, although further experience is needed to distinguish between tumorous hyperplastic regions and benign hematopoietic regions in marrow. (author).

  7. Buschke-Löwenstein tumor: Squamous cell carcinoma of the anogenital region

    Directory of Open Access Journals (Sweden)

    Turkalj Ivan

    2014-01-01

    Full Text Available Introduction. Buschke-Lcwenstein tumor (BLT, as a rare form of condylomata acuminatum, was firstly described by Buschke in 1886 as a "carcinoma-like condyloma acuminatum of the penis”. BLT is generally considered to be a low-grade variant of squamous cell carcinoma of the anogenital region. Case Outline. We describe a case of BLT in a 56-year-old male patient who was referred to our institute due to a large defect in the gluteal region. The biopsy of the lesion was performed and the diagnosis of BLT was made on histopathological examination. Magnetic resonance imaging of the pelvis showed the extensive vegetant lesion that significantly infiltrated pelvic organs accompanied with an enlargement of para-iliac lymph nodes. Sygmoidostomy for fecal diversion was done and chemotherapy with 5-fluorouracil and cisplatin was initiated. Unfortunately, the patient’s severe condition caused fatal outcome. Conclusion. Our case points out that BLT should be treated at the initial stage in order to prevent untreatable condition which happened in our patient. Therefore, early diagnostics and staging of the disease using modern technologies are crucial in order to treat patients effectively.

  8. Labelling of the pineal gland with 99mTc-glucose-6-phosphate

    International Nuclear Information System (INIS)

    Lately, the pineal body has been the subject of a large variety of studies. Only recently it has been understood the role played by this endocrine gland to maintain the balance of the human body and also in animal models. Although small in dimensions, the pineal body is a very active organ, able to transmit precise temporal information. It probably participates in the synchronization of several organic functions. The present work aims to study a possible use of 99mTc-glucose-6-P as a tracer for the pineal gland. Histoautoradiographic studies have been performed in Wistar rats. Tomoscintigraphic studies were acquired in patients and in albine rabbits (oryctolagus cuniculus hyplus). The labelling efficiency and the radiochemical purity of the labelled products have always been tested. Animal and human SPECT exams, show an activity focus projected over the area corresponding to the pineal body localization. Autoradiographic studies using [1-14C]-glucose-6-P did not reveal a more relevant activity at the pineal level, probably due to its hepatic conversion to 14C-glucose. (author)

  9. Comparison of calcification of pineal, habenular commissure and choroid plexus on plain films and computed tomography

    International Nuclear Information System (INIS)

    Skull radiographs and CT scans of 1,000 consecutive patients were examined for evidence of calcification in the pineal gland, habenular commissure and choroid plexuses. Plain film results were in agreement with previous surveys suggesting that the CT scan results may be accepted as general findings. Pineal calcification was seen on films in 61% and on CT scans in 83% of those over 30. On both films and CT scans calcification was 10% higher in males. Only 1% had a pineal 12 mm or larger on films. In at least 5% it was impossible to separate the habenula from the pineal by CT: including these, 5% had pineals larger than the accepted upper limit of normal. Measurements from males were 0.4 mm larger than for females on films and 0.2 mm larger on CT scans. Habenular commissure calcification was seen on films in 13% and on CT in 15% of those over 30, being 10% higher in males. Bilateral choroid plexus calcification was seen on frontal films in 15% and on CT in 77% of those over 30. On skull films the frequency of calcification was 2%-3% higher for adult males than females and on CT 7% higher. Calcification was seen on the lateral but not the frontal film in 128 patients. One choroid plexus only was seen on 14/ frontal films and on 49 CT scans. (orig.) 891 AJ/orig. 892 MKO

  10. Lack of pineal beta-adrenergic receptor alterations in suicide victims with major depression.

    Science.gov (United States)

    Little, K Y; Ranc, J; Gilmore, J; Patel, A; Clark, T B

    1997-01-01

    Noradrenergic function may be altered in depressive illness and thereby contribute to decreased pineal production of melatonin levels, as previously described in some depressed subjects. In the present study, the hypothesis was tested that pineal beta-adrenergic binding would be increased in persons committing suicide with evidence of depressive disorders, reflecting diminished noradrenergic input. Initially, post-mortem human pineal glands were obtained at autopsy. Diagnostic and symptomatic information was then systematically collected from family members using standardized interview techniques. Seven subjects who committed suicide and suffered from major depression, and without exposure to treatment for depressive symptoms were age- and sex-matched with control subjects. Pineal beta-adrenergic binding was assessed by quantitative autoradiography employing four concentrations of [125I]pindolol. Because of possibly complex adrenergic regulation of the pineal, beta-adrenergic receptor binding were subtyped using the selective blocker ICI 89406. No differences in beta-adrenergic receptors were detected between subjects with major depression compared to the matched controls. PMID:9141151

  11. Macro-microscopical aspects of the buffalo (Bubalus bubalis Linnaeus, 1758 pineal gland

    Directory of Open Access Journals (Sweden)

    Francisco Javier Hernandez Blazquez

    2009-06-01

    Full Text Available Gross and microscopical aspects of the buffalo pineal gland were described in seasonal parturition animals, since this gland is responsible for melatonin secretion which acts upon the hypothalamus-hypophysis reproductive axis feedback system. (Hafez, 1995. For the present study, 11 cross-bred buffaloes, predominantly of the Mediterranean breed, from the Pirassununga Campus - USP (University of São Paulo, were killed in different photoperiods in the slaughterhouse. The pineal glands were obtained, fixed, weighed, measured, photographed, processed, cut into sections and stained. All glands demonstrated the same global shape, with a mean length of 8.82 ± 1.07mm and a width of 7.91 ± 0.83mm, and a stem length of 5.50 ± 4.18mm. The stems had a microscopically visible lumen. The mean gland weight was 251.45 ± 83.1mg. The buffalo pineal gland presented right and left lobes of different sizes. Microscopically, they were surrounded by a connective tissue layer with blood vessels infiltrating into the glandular parenchyma, which became separated into glial cell lobules. A great number of the pinealocytes were arranged in irregular strings, and cells from the connective tissue could be observed in the glandular parenchyma. We conclude that the buffalo pineal gland is similar to that of pineal cows and that it does not show morphologic alterations during different photoperiods of the year.

  12. Degranulating mast cells in fibrotic regions of human tumors and evidence that mast cell heparin interferes with the growth of tumor cells through a mechanism involving fibroblasts

    International Nuclear Information System (INIS)

    The purpose of this study was to test the hypothesis that mast cells that are present in fibrotic regions of cancer can suppress the growth of tumor cells through an indirect mechanism involving peri-tumoral fibroblasts. We first immunostained a wide variety of human cancers for the presence of degranulated mast cells. In a subsequent series of controlled in vitro experiments, we then co-cultured UACC-812 human breast cancer cells with normal fibroblasts in the presence or absence of different combinations and doses of mast cell tryptase, mast cell heparin, a lysate of the human mast cell line HMC-1, and fibroblast growth factor-7 (FGF-7), a powerful, heparin-binding growth factor for breast epithelial cells. Degranulating mast cells were localized predominantly in the fibrous tissue of every case of breast cancer, head and neck cancer, lung cancer, ovarian cancer, non-Hodgkin's lymphoma, and Hodgkin's disease that we examined. Mast cell tryptase and HMC-1 lysate had no significant effect on the clonogenic growth of cancer cells co-cultured with fibroblasts. By contrast, mast cell heparin at multiple doses significantly reduced the size and number of colonies of tumor cells co-cultured with fibroblasts, especially in the presence of FGF-7. Neither heparin nor FGF-7, individually or in combination, produced any significant effect on the clonogenic growth of breast cancer cells cultured without fibroblasts. Degranulating mast cells are restricted to peri-tumoral fibrous tissue, and mast cell heparin is a powerful inhibitor of clonogenic growth of tumor cells co-cultured with fibroblasts. These results may help to explain the well-known ability of heparin to inhibit the growth of primary and metastatic tumors

  13. Night/day changes in pineal expression of >600 genes: central role of adrenergic/cAMP signaling

    DEFF Research Database (Denmark)

    Bailey, Michael J; Coon, Steven L; Carter, John David; Humphries, Ann; Kim, Jong-So; Shi, Qiong; Gaildrat, Pascaline; Morin, Fabrice; Ganguly, Surajit; Hogenesch, John B; Weller, Joan L; Rath, Martin F; Møller, Morten; Baler, Ruben; Sugden, David; Rangel, Zoila G; Munson, Peter J; Klein, David C

    2009-01-01

    The pineal gland plays an essential role in vertebrate chronobiology by converting time into a hormonal signal, melatonin, which is always elevated at night. Here we have analyzed the rodent pineal transcriptome using Affymetrix GeneChip(R) technology to obtain a more complete description of pine...

  14. Prevention and treatment of the effects of radiation treatment of tumors in the oral and maxillo-facial regions

    International Nuclear Information System (INIS)

    The headings of this book are: Indications for and therapeutic value of radiotherapy or radiochemotherapy of head and neck tumors; literature review of radiation injuries and side effects of radiotherapy in the orofacial region; peri-radiotherapeutic regimen; radiation induced caries; radiation induced xerostomia; radiation induced changes of the jaw and osteoradionecrosis

  15. Abordaje endoscópico de los quistes gliales pineales sintomaticos

    Scientific Electronic Library Online (English)

    Gloria, Villalba Martínez; Luis Alberto, Caral Pons; Bartolomeu, Fiol Busquets; Neus, Fabregas Juliá; Teresa, Ribalta Ribas; Teresa, Boget Prats; Antoni, Raspall Borell; Enric, Ferrer Rodríguez.

    2009-12-01

    Full Text Available Objetivo. Los quistes gliales pineales (QGP) son infrecuentes. El manejo quirúrgico de estos quistes no está consensuado. En la literatura se recogen 18 casos tratados por vía endoscópica. El objetivo de este trabajo es contribuir con nuestra experiencia en el tratamiento endoscópico de los QGP. Mat [...] erial y método. Entre 1999 y 2004, cinco pacientes con QGP sintomáticos, con o sin hidrocefalia, se trataron mediante vintriculostomía premamilar endoscópica (VPE) y fenestración del quiste. Se utilizó un endoscopio rígido, con sistema de neuronavegación en los casos sin hidrocefalia. Resultados. En el período de seguimiento (de 6 meses a 4 años) se recoge una resolución clínica en 4 casos y una disminución del tamaño del quiste en todos los casos. Todas las VPE fueron permeables en el seguimiento. No hubo déficits clínicos permanentes en ningún caso. Discusión. No existe en la literatura un acuerdo en el mejor tratamiento quirúrgico de los QGP. A pesar de la gran aceptación de la vía endoscópica, un gran número de autores abogan por una cirugía abierta o por una cirugía extereotáxica como la mejor opción. Además, existen algunas diferencias en el manejo quirúrgico endoscópico según ofrece la literatura. Conclusión. La VPE con la fenestración del quiste es un tratamiento eficiente debido a la baja morbilidad y a la eficacia en la resolución clínica y radiológica de los QGP con o sin hidrocefalia. La cirugía abierta, especialmente con la ayuda endoscópica, podría ser un tratamietno de segunda elección, y la cirugía estereotáxica debería abandonarse en estos casos. Abstract in english Objetive. Sympotomatic glial pineal cyst (GPC) are unfrequent. Surgical management of these cysts is not consensed. In the literature there are 18 cases reported treated by endoscopic approach. The purpose of this study is to contribute with our experience to the endoscopic treatment of the GPC. Mat [...] erials and Methods. Between 1999 and 2004, five patients with GPC underwent an endoscopic third ventriculostomy (ETV) and cyst fenestration. We have used a rigid endoscope, with neuronavegation system in the cases without hydrocephalus. Results. In the follow-up period ranged from 6 months to 4 tears we have reported: clinical resolution in four cases and cyst size decrease in all cases. All the ETV have been patent. There was not perman ent morbility and not surgery related death. Discussion. An agreement doesn't exist in the literature about the better treatment of the surgery or by stereotaxy as the best treatment. There are great differences in the surgical management between the 18 endoscopic cases reported in the literature, and also in relation with our cases. Conclusion. The ETV with endoscopic cyst fenestration is an efficient treatment due to the low morbidity and the effectiveness in the treatment of the GPC with or without hydrocephalus. The open surgery (specially with the endoscope assisting microneurosurgery) wolud be a second choice technique, and the stereotactic surgery must be abandoned.

  16. Numerical model for RF capacitive regional deep hyperthermia in pelvic tumors.

    Science.gov (United States)

    D'Ambrosio, Valentina; Dughiero, Fabrizio

    2007-05-01

    A numerical model based on Finite Element Method (FEM) for the prediction of power density distribution and temperature during RF-capacitive hyperthermia treatment has been presented in the paper and the results are discussed. In particular the models are related to the treatment of pelvic tumors where it is more difficult to localize and focus heat in deep regions. The geometrical and physical model of the patient is reconstructed with a segmentation procedure by means of dedicated software. The geometrical meshed model has been used as input for the solution of coupled electromagnetic and thermal problems. A deep analysis of different configurations derived from specific scientific literature of the last years has been presented in the paper and discussed. The results obtained by FEM analyses have demonstrated the suitability of this method for the prediction of power and temperature distribution during RF capacitive hyperthermia and that the calculation procedure is an efficient mean to evaluate the efficacy of the heating system. PMID:17372778

  17. A 5'-region polymorphism modulates promoter activity of the tumor suppressor gene MFSD2A

    Directory of Open Access Journals (Sweden)

    Kunitoh Hideo

    2011-07-01

    Full Text Available Abstract Background The MFSD2A gene maps within a linkage disequilibrium block containing the MYCL1-EcoRI polymorphism associated with prognosis and survival in lung cancer patients. Survival discrepancies between Asians and Caucasians point to ethnic differences in allelic frequencies of the functional genetic variations. Results Analysis of three single-nucleotide polymorphisms (SNPs mapping in the MFSD2A 5'-regulatory region using a luciferase reporter system showed that SNP rs12072037, in linkage disequilibrium with the MYCL1-EcoRI polymorphism and polymorphic in Asians but not in Caucasians, modulated transcriptional activity of the MFSD2A promoter in cell lines expressing AHR and ARNT transcription factors, which potentially bind to the SNP site. Conclusion SNP rs12072037 modulates MFSD2A promoter activity and thus might affect MFSD2A levels in normal lung and in lung tumors, representing a candidate ethnically specific genetic factor underlying the association between the MYCL1 locus and lung cancer patients' survival.

  18. Genetic variability in the tumor necrosis factor-lymphotoxin region influences susceptibility to rheumatoid arthritis

    Energy Technology Data Exchange (ETDEWEB)

    Mulcahy, B.; Waldron-Lynch, F.; Adams, C.; O`Gara, F. [Cork Univ. Hospital (Ireland)] [and others

    1996-09-01

    The major histocompatibility complex class H1 tumor necrosis factor-tymphotoxin (TNF-LT) region (6p21.3) was investigated as a possible susceptibility locus for rheumatoid arthritis (RA). Inheritance of five TNF microsatellite markers was determined in 50 multiplex families. Overall, 47 different haplotypes were observed. One of these, the TNF a6, b5, c1, d3, e3 (H1) haplotype, was present in 35.3% of affected, but in only 20.5% of unaffected, individuals (P < .005). This haplotype accounted for 21.5% of the parental haplotypes transmitted to affected offspring and only 7.3 % not transmitted to affected offspring (P = .0003). The TNF a6 and TNF c1 alleles were individually associated with RA (P = .0005 and .0008, respectively), as were the HLA-DRB1 {open_quotes}shared epitope{close_quotes} (SE) (P = .0001) and HLA-DRB1*0401 (P = .0018). Both univariate and bivariate conditional logistic regression analysis showed significant effects of TNF c1 and SE in increasing risk to RA (P < .001). Stratification by the presence of SE indicated an independent effect of the TNFc1 allele (P = .0003) and the HLA A1, BS, DR3 extended haplotype (always TNFa2, b3, c1, d1, e3) (P = .0027) in SE heterozygotes, while the H1 haplotype was associated with RA in SE homozygotes (P = .0018). The TNF-LT region appears to influence susceptibility to RA, distinct from HLA-DR. 50 refs., 1 fig., 1 tab.

  19. NeuroD1: developmental expression and regulated genes in the rodent pineal gland

    DEFF Research Database (Denmark)

    Muñoz, Estela M; Bailey, Michael J; Rath, Martin F; Shi, Qiong; Morin, Fabrice; Coon, Steven L; Møller, Morten; Klein, David C

    2007-01-01

    development. Pineal NeuroD1 levels are similar during the day and night, and do not appear to be influenced by sympathetic neural input. Gene expression analysis of the pineal glands from neonatal NeuroD1 knockout mice identifies 127 transcripts that are down-regulated (>twofold, p <0.05) and 16 that are up......-regulated (>twofold, p <0.05). According to quantitative RT-PCR, the most dramatically down-regulated gene is kinesin family member 5C ( approximately 100-fold) and the most dramatically up-regulated gene is glutamic acid decarboxylase 1 ( approximately fourfold). Other impacted transcripts encode proteins involved...

  20. Nucleolus-like bodies in the pineal gland of the adult yak (Bos grunniens)

    Scientific Electronic Library Online (English)

    Zhaohui H., Xie; Ping, Gan.

    Full Text Available The pineal glands of adult yak were studied electron microscopically. Nucleolus-like bodies (NLBs) were found mostly in the pinealocytes and the interstitial cells of the pineal glands of the yak. The NLBs were electron-dense, round or ovoid bodies with a diameter of 50 nm -500 nm. Two types of gran [...] ules were identified as melanin. These may correspond to different stages of a progressive storage of melanin. Rough endoplasmic reticula with abundant ribosomes were observed. There was no correlation between the number of NLBs and the sex of the animals.

  1. Cyst or tumor in the buccomaxillary region: Review of literature and a case report.

    Science.gov (United States)

    Raheel, Syed Ahmed; Kujan, Omar Bashar; Dwedary, Hisham Mohammed Najeeb; Sikander, Mohammed Hilal; Mankar, Sunil; Amrin, M Nidha

    2015-08-01

    Odontogenic tumors (OTs) include entities of a hamartomatous nature, such as odontoma, benign neoplasms like an adenomatoid odontogenic tumor (AOT), some benign neoplasms are aggressive as in the case of ameloblastoma. The AOT is a rare odontogenic tumor constituting only 3% of all the OT and very often misdiagnosed as an odontogenic cyst. We report a case of an intra-osseous type of AOT occurred in a young 16-year-old female located in the anterior maxilla along with the clinical, radiological, histological features, and literature review related to the tumor affecting the patient. PMID:26538960

  2. Tumores de células germinativas intracranianos na infância: avaliação de 14 casos / Primary intracranial germ cell tumors in children: evaluation of fourteen cases

    Scientific Electronic Library Online (English)

    Patrícia Imperatriz Porto, Rondinelli; Carlos Alberto Martinez, Osório; Luís Fernando, Lopes.

    2005-09-01

    Full Text Available Este estudo avalia o diagnóstico, a terapia e a sobrevida de 14 pacientes com tumor de células germinativas intracraniano durante o período entre 1991 e 2001. Onze pacientes eram do sexo masculino e três do feminino. A média de idade do grupo foi 12,5 anos (20 dias-18 anos). Na admissão, os mais com [...] uns sintomas foram cefaléia (10/14), vômitos (6/14) e visuais (6/14). Os tumores estavam localizados em região hipotalâmica/hipofisária em 10 casos, suprasselar em 3 casos e intraparenquimatosa em 1 caso. Histologicamente, havia 1 caso de carcinoma embrionário, 5 de germinomas, 2 de teratoma maduro, 1 de teratoma imaturo e 5 de tumores mistos. O tratamento foi variável, dependendo da histologia da lesão. Três pacientes morreram após a progressão tumoral ou recidiva e um paciente morreu devido causa não relacionada ao tumor. Os demais estão vivos e sem doença. Abstract in english This study evaluates the diagnosis, therapy and survival of 14 patients with primary intracranial germ cell tumors during the period from 1991 to 2001. There were 11 males and 3 females. Mean age was 12.2 years old (20 days-18 years). On admission, the most common symptoms were headache (10/14), vom [...] iting (6/14) and visual (6/14). The tumor was in pineal and hypothalamic region in 10 cases, suprasellar in 3 cases, and in the cerebral parenchyma in 1 case. Histologically there were 1 embryonal carcinoma, 5 germinomas, 2 mature teratomas, 1 immature teratoma and 5 mixed germ cell tumors. Treatment differed among the patients according to the type of tumor. Three patients died after tumor progression or relapse and one patient died from another condition. The remaining patients are alive and without disease.

  3. Close encounters: RIDGEs, hyperacetylated chromatin, radiation breakpoints and genes differentially expressed in tumors cluster at specific human chromosome regions.

    Science.gov (United States)

    Folle, G A; Liddle, P; Lafon-Hughes, L; Di Tomaso, M V

    2010-01-01

    Through analysis of published data we positioned along human chromosome idiograms (850 bands) hyperacetylated H4 chromatin (H4(+a)), regions of increased gene expression (RIDGEs), antiRIDGEs, ionizing radiation breakpoints, integration sites of highly expressed GFP reporter constructs and candidate genes differentially expressed in tumor tissues. Highly expressed regions of the human genome (especially RIDGEs) seem to be more sensitive to radiation damage. Comparatively, antiRIDGEs appear as radiation resistant. Tumor deregulated genes tend to cluster along and in the neighborhood of RIDGEs. We detected 35 clusters of genes differentially expressed in tumor tissues which colocalize with RIDGEs; 23 of these clusters also exhibit radiation damage. RIDGEs also accumulate highly expressed GFP reporter construct integration sites, evolutionary breakpoints as well as amplicons and/or deletion-prone chromosome segments in tumors. This could indicate that abnormal gene (up- or down-) regulation might require high-throughput transcription nuclear micro-environments to occur. Our results suggest that the human genome is a combination of regions with marked disparities regarding the topology of increased gene expression, ionizing radiation damage, evolutionary breakpoints, integration sites, and abnormal gene regulation. PMID:20407218

  4. Development of a novel cyclic RGD peptide for multiple targeting approaches of liposomes to tumor region.

    Science.gov (United States)

    Amin, Mohamadreza; Mansourian, Mercedeh; Koning, Gerben A; Badiee, Ali; Jaafari, Mahmoud Reza; Ten Hagen, Timo L M

    2015-12-28

    Liposomes containing cytotoxic agents and targeted with Arg-Gly-Asp based peptides have frequently been used against ?v?3 integrin on tumor neovasculature. However, like many other ligand modified liposomes these preparations suffered from enhanced uptake by the reticulo endothelial system (RES) and off-targeted interaction with integrin receptors vastly expressed in normal organs causing poor biodistribution and toxic effects. Here we mainly focus on development of a RGD-modified liposomal delivery system to enhance both targeting selectivity and tumor uptake. First, sterically stabilized liposomal doxorubicin (SSLD) prepared and decorated with cRGDfK and RGDyC peptides differ in their physical properties. Stability assessments as well as in vitro and in vivo studies revealed that increasing the peptide hydrophobicity promotes the therapeutic efficacy of RGD-SSLD in a C-26 tumor model due to decreased recognition by RES and opsonization and limited off-targeted interactions. Then a novel N-methylated RGD peptide was designed and its capability in targeting integrin presenting cells was comprehensively assessed both in vitro and in vivo. RGDf[N-methyl]C promotes the liposome internalization by HUVEC via integrin mediated endocytosis. Intravital microscopy in window chamber bearing mice illustrated the capability of RGDf[N-methyl]C-liposomes in targeting both tumor vasculature and tumor cells in murine B16F0 and human BLM tumor models. Quantitative biodistribution in mice bearing B16F0 tumor revealed its high affinity to tumor with no considerable affinity to normal organs. Treatment by high dose of RGDf[N-methyl]C-SSLD was found more effective than non-targeted SSLD and no toxic side effect was observed. In conclusion, the RGDf[N-methyl]C-liposome was found promising in targeting tumor vasculature as well as other cells inside the tumor. PMID:26526970

  5. Morphologic Changes in Rat's Pineal Gland After Eliminating Retinal Photic Stimulation / Cambios Morfológicos en la Glándula Pineal de Ratas Luego de la Eliminación de la Estimulación Fótica Retiniana

    Scientific Electronic Library Online (English)

    Ignacio, Roa Henriquez; Iván, Suazo Galdames; Mario, Cantín López; Daniela, Zavando Matamata.

    2008-09-01

    Full Text Available La secreción de melatonina por parte de glándula pineal de los mamíferos es regulada por la estimulación luminosa mediante complejas vías neuro anatómicas que incluyen la retina, el núcleo supraquiasmático hipotalámico, el núcleo intermediolateral de la médula torácica y finalmente el ganglio cervic [...] al superior. El propósito de este estudio fue analizar los cambios en la densidad de pinealocitos y vasos sanguíneos de la glándula pineal, luego de eliminar la estimulación fótica en ratas. Se utilizaron 13 ratas adultas Sprague Dawley divididas en 2 grupos, Grupo I actuó como control, y el Grupo II fue sometido a una lesión retiniana, por medio de alcoholización bilateral de ambos bulbos oculares. Luego de tres semanas las glándulas de ambos grupos fueron procesadas para hematoxilina-eosina y observadas al microscopio óptico. El grupo II presentó valores mayores en el número de pinealocitos y de vasos sanguíneos observados, las diferencias con el Grupo I fueron significativas con p Abstract in english Melatonin secretion from mammalian pineal glands is regulated by light stimulation by means of a complex neuroanatomical pathway that includes the retina, hypothalamic suprachiasmatic nucleus, intermediolateral nucleus of the thoracic spinal cord, and finally, the superior cervical ganglia. The purp [...] ose of this study was to analyze the changes in the pinealocytes and the blood vessel density of the pineal gland after eliminating photic stimulation in rats. Thirteen adult Sprague-Dawley rats were divided into 2 groups, Group I acted as control, and Group II was subjected to a retinal lesión, by means of alcohol injected bilaterally to both ocular bulbs. After 3 weeks, the glands of both groups were processed with hematoxilin-eosin (HE) and observed with an optic microscope. Group II results presented higher valúes in the number of pinealocytes and in the blood vessels observed. The differences with Group I was significant at p

  6. Stereotactic gamma radiosurgery of brain tumors

    International Nuclear Information System (INIS)

    One thousand cases with various head and neck diseases have been treated by gamma radiosurgery at Komaki City Hospital since May 1991. Five hundred and sixty-eight out of 1,000 cases were neoplastic lesions which consisted of 173 cases of neurinoma, 108 of metastatic tumors, 103 of meningioma, 69 of gliomas, 27 of pituitary adenoma, 26 of craniopharyngioma, 13 of pineal tumors, 11 of chordoma, 6 of malignant lymphoma, 5 of hemangioblastoma and so on. The most effective result has been shown in metastatic brain tumors. The complete response (disappearance of the lesion) was obtained in more than 50% of the treated lesions, and the control rate of 85% was maintained for more than 12 months. Next effective results were shown in craniopharyngioma, malignant pineal tumors and malignant lymphoma. There was a group which showed moderate response but no tumor disappearance. Those were pituitary adenoma, acoustic neurinoma, meningioma and chordoma. Gliomas showed less response and even progression of tumor at relatively higher rate. It has been found that malignant gliomas showed difficult control of the tumor and progression rate of 70%, while benign gliomas showed the control rate of more than 90%. Besides intracranial lesions, malignant skull base tumors such as chordoma, naso-pharyngeal cancer, adenoid cystic cancer showed better response to gamma radiosurgery and higher control rate for longer period of time with high QOL compaired to conventional irradiation. (author)d to conventional irradiation. (author)

  7. A Texture based Tumor detection and automatic Segmentation using Seeded Region Growing Method

    OpenAIRE

    Mukesh Kumar,; Kamal K. Mehta

    2011-01-01

    Detection and segmentation of Brain tumor accurately is a challenging task in MRI. The MRI image is an image that produces a high contrast images indicating regular and irregular tissues that help to distinguish the overlapping in margin of each limb. All automatic seed finding methods may suffer with the problem if there is no growth of tumor and any small white part is there. But when the edges of tumor is not sharped then the segmentation results are not accurate i.e. segmentation may be ...

  8. Pineal physiology in microgravity - Relation to rat gonadal function aboard Cosmos 1887

    Science.gov (United States)

    Holley, Daniel C.; Markley, Carol L.; Soliman, Magdi R. I.; Kaddis, Farida; Krasnov, Igor'

    1991-01-01

    Results are reported from an analysis of pineal glands obtained for five male rats flown aboard an orbiting satellite for their melatonin, serotonin (5-HT), 5-hydroxyindole acetic acid (5-HIA), and calcium content. Plasma 5-HT and 5-HIAA were measured. These parameters were compared to indicators of gonadal function: plasma testosterone concentration and spermatogonia development. Plasma melotonin was found to be low at the time of euthanasia and was not different among the experimental groups. Pineal calcium of flight animals was not different from ground controls. Pineal 5-HT and 5-HIAA in the flight group were significantly higher than those in ground controls. These findings suggest a possible increase in pineal 5-HT turnover in flight animals which may result in increased melatonin secretion. It is argued that the alteration of pinal 5-HT turnover and its expected effects on melatonin secretion may partially explain the lower plasma testosterone levels and 4-11 percent fewer spermatogonia cells observed in flight animals.

  9. Insulin modulates norepinephrine-mediated melatonin synthesis in cultured rat pineal gland

    Science.gov (United States)

    The mammalian pineal gland synthesizes melatonin in a circadian manner, peaking during the dark phase. This synthesis is primarily regulated by sympathetic innervations via noradrenergic fibers, but is also modulated by many peptidergic and hormonal systems. A growing number of studies reveal a comp...

  10. [Dependence of atropin-induced amnesia fluctuations on the state of pineal gland].

    Science.gov (United States)

    Arushanian, E B; Be?er, E V; skorniakoc, A A

    2009-01-01

    Atropin produces weakening of the memory on the model of passive avoidance reaction in rats, the effect being more pronounced in evening hours. The drug effect is increased in pinealectomized animals and attenuated by the pineal hormone melatonin, also differently in daytime. PMID:19803360

  11. Alterações celulares na glândula pineal de ratas albinas: efeito da estimulação sonora diária

    Scientific Electronic Library Online (English)

    Belarmino Alves de, Azevedo; Pedro, Fontana Junior.

    Full Text Available Foi observado haver uma relação entre o estímulo sonoro intenso e alterações morfológicas na glândula (g.l) pineal de ratas adultas. Estes animais foram estimulados por uma campainha elétrica, com nível de intensidade sonora em torno de 110 db, por 1, 2, 4 e 7 dias e como também por mais 10 estímulo [...] s sucessivos no sétimo dia. Foram observadas alterações celulares, tais como: núcleos picnóticos, vacuolizações e perda do aspecto lobular da distribuição dos pinealócitos, sendo que estas alterações se agravam com o aumento do número de estimulações. Abstract in english The authors studied the effect of noise (110 dB), delivered by an eletric bell, upon parenchima cells of pineal gland of albino female rats. Several experimental groups were previously formed and stimulated during, 1, 2, 4 and 7 days. In addition another group was formed and stimulated during 7 days [...] plus 10 additional stimulations of about 3 minutes each after the routine stimulations in the seventh day. The authors observed that a single stimulation of about 3 minutes was sufficient to determine alterations in the parenchima cells of the pineal of experimental animals; the changes were characterized by picnolisis in some groups, whereas in others groups picnolisis and interstitials vacuolizations were evidently increased directly with stimulation. The results suggest that the sound stimulation has a destructible effect upon the parenchima cells of the pineal gland of the female albino rats.

  12. Dark photokinesis behavior in larval zebrafish does not require the eyes or the pineal

    Directory of Open Access Journals (Sweden)

    Kandice Fero

    2012-04-01

    Full Text Available Evidence that deep brain photoreception influences physiology has been reported from a variety of non-mammalian vertebrates including fish. We tested whether light modifies behavior in zebrafish larvae through deep brain photosensors. We found that after genetic or surgical disruption of retinal function, blind larvae still aggregate on the lit side of a chamber during a phototaxis assay. Whereas intact larvae navigate toward the lit area through directional turn maneuvers, blind larvae do not display directed orientation while aggregating in the light. Upon loss of ambient light, blind larvae showed the same period of hyperactivity seen in intact larvae. This behavior in both groups is typified by increased turn initiation and greater swim displacement; such features are indicative of a navigation strategy by 'kinesis,' where increased locomotion with frequent turning enables an animal to move to a target region. Thus, the hyperactive response to loss of light may represent a 'dark photokinesis.' As larvae normally navigate in a three-dimensional habitat, we characterized vertical swimming during dark photokinesis. After loss of light, both intact and blind larvae swim downward then rapidly return to the surface when light is restored (the 'dive response'. To uncover the extra-ocular pathway driving dark photokinesis, we tested whether loss of the photoreceptive pineal organ, using nitroreductase mediated ablation in conjunction with enucleation, eliminated the response. Double-lesioned larvae retained robust hyperactivity and dive responses, suggesting a deep brain photosensor drives dark photokinesis. Neuroanatomical considerations led us to test orthopedia (otpa mutants which showed a defect in the dive response and a loss of turn initiation during dark photokinesis. These results suggest that Otpa specifies a population of photosensitive neurons that function as deep brain photoreceptors underlying a non-directional strategy for light-seeking behavior.

  13. Pineal nitric oxide synthase, but not heme oxygenase, mRNA is suppressed by continuous exposure to light.

    OpenAIRE

    Jacobs, RA; Schaad, NC; Vanecek, J; Leaver, S; Aubry, JM; Korf, HW; Dahia, PL; Chew, SL; Grossman, AB

    1999-01-01

    We have previously shown that exposure of rats to constant light (LL) induced a decrease in NO synthase (NOS) activity in the pineal gland. We report here that the use of the sensitive technique of RT-PCR has demonstrated that mRNA for neuronal NOS is present in the pineal, and that it is photoneurally regulated. There was a marked decrease in pineal neuronal NOS mRNA levels in continuous light conditions, similar to the changes seen in NOS enzyme activity. Inducible NOS was not present in th...

  14. Characterization of lymphocyte subsets over a 24-hour period in Pineal-Associated Lymphoid Tissue (PALT in the chicken

    Directory of Open Access Journals (Sweden)

    McNulty John A

    2006-01-01

    Full Text Available Abstract Background Homeostatic trafficking of lymphocytes in the brain has important relevance to the understanding of CNS disease processes. The pineal gland of the chicken contains large accumulations of lymphocytes that suggest an important role related to homeostatic circadian neuro-immune interactions. The purpose of this initial study was to characterize the lymphocyte subsets in the pineal gland and quantitate the distribution and frequency of lymphocyte phenotypes at two time points over the 24-hour light:dark cycle. Results PALT comprised approximately 10% of the total pineal area. Image analysis of immunocytochemically stained sections showed that the majority of lymphocytes were CD3+ (80% with the remaining 20% comprising B-cells and monocytes (Bu-1+, which tended to distribute along the periphery of the PALT. T-cell subsets in PALT included CD4+ (75–80%, CD8+ (20–25%, TCRαβ/Vβ1+ (60%, and TCRγδ+ (15%. All of the T-cell phenotypes were commonly found within the interfollicular septa and follicles of the pineal gland. However, the ratios of CD8+/CD4+ and TCRγδ+/TCRαβ/Vβ1+ within the pineal tissue were each 1:1, in contrast to the PALT where the ratios of CD8+/CD4+ and TCRγδ+/TCRαβ/Vβ1+ each approximated 1:4. Bu-1+ cells were only rarely seen in the pineal interstitial spaces, but ramified Bu-1+ microglia/macrophages were common in the pineal follicles. Effects of the 24-h light:dark cycle on these lymphocyte-pineal interactions were suggested by an increase in the area of PALT, a decline in the density of TCRαβ/Vβ1+ cells, and a decline in the area density of Bu-1+ microglia at the light:dark interphase (1900 h compared to the dark:light interphase (0700 h. Conclusion The degree of lymphocyte infiltration in the pineal suggests novel mechanisms of neuro-immune interactions in this part of the brain. Our results further suggest that these interactions have a temporal component related to the 24-hour light:dark cycle and that CD8+ and TCRγδ+ T-cells are preferentially recruited to the pineal follicles. Pineal microglia/macrophages were common and represent an important candidate for mediating these lymphocyte-pineal interactions via secretion of cytokines and chemokines.

  15. Automatic Diagnosis of Abnormal Tumor Region from Brain Computed Tomography Images Using Wavelet Based Statistical Texture Features

    CERN Document Server

    Padma, A

    2011-01-01

    The research work presented in this paper is to achieve the tissue classification and automatically diagnosis the abnormal tumor region present in Computed Tomography (CT) images using the wavelet based statistical texture analysis method. Comparative studies of texture analysis method are performed for the proposed wavelet based texture analysis method and Spatial Gray Level Dependence Method (SGLDM). Our proposed system consists of four phases i) Discrete Wavelet Decomposition (ii) Feature extraction (iii) Feature selection (iv) Analysis of extracted texture features by classifier. A wavelet based statistical texture feature set is derived from normal and tumor regions. Genetic Algorithm (GA) is used to select the optimal texture features from the set of extracted texture features. We construct the Support Vector Machine (SVM) based classifier and evaluate the performance of classifier by comparing the classification results of the SVM based classifier with the Back Propagation Neural network classifier(BPN...

  16. Correlación tomográfica y clínica, pre y posquirúrgica en los tumores de la región selar Pre- and postsurgical tomographic and clinical correlation in the tumors of the sellar region

    Directory of Open Access Journals (Sweden)

    Tania García Moreira

    2008-03-01

    Full Text Available La alta prevalencia de los macroadenomas hipofisarios en el mundo motivó la realización de esta investigación, cuyo objetivo fue demostrar el valor diagnóstico de la tomografía computadorizada y su utilidad para definir la técnica quirúrgica en estos casos. Para ello se estudiaron 124 pacientes operados con el diagnóstico clínico y tomográfico de macroadenomas hipofisarios y otros tumores de la región selar menos frecuentes. El 100 % de los tumores con crecimiento C-E y C-D se abordaron por vía transcraneal y el 99 restante con crecimiento A, B ó C se utilizó la vía transesfenoidal. Las complicaciones tomográficas y clínicas fueron superiores en la primera vía y se destacaron los restos tumorales (40 %, las recidivas (28 % y daño de los nervios craneales (28 %. La mejoría clínica posoperatoria alcanzada fue ostensible al igual que el grado de control de los adenomas, lo cual demostró el alto valor diagnóstico de la tomografía computadorizada y su utilidad para trazar la estrategia quirúrgica correcta, esto muestra una alta sensibilidad en la detección de algunas complicaciones posoperatorias que se pueden valorar con este método.The high prevalence of hypophyseal macroadenomas in the world motivated us to conduct this research aimed at demonstrating the value of computerized tomography and its usefulness to define the surgical technique in these cases. To this end, 124 patients operated on with the clinical tomographic diagnosis of hypophyseal macroadenomas and other tumors of the sellar region that were less common were studied. 100 % of the tumors with C-E and C-D growth were approached by transcranial route, whereas in the other 99 with A, B or C growth, it was used the transsphenoidal route. The tomographic and clinical complications were higher in the first route, and the tumor debris (40 %, the relapses (28 % and the damage of the cranial nerves (28 % stood out. The postoperative clinical improvement attained was significant the same as the degree of control of the adenomas, which showed the high diagnostic value of computerized tomography and its usefulness to establish the suitable surgical strategy. This shows a high sensitivity in the detection of some postoperative complications that may be assessed by using this method.

  17. Tumors of the posterior third ventricular region in pediatric patients: The Indian perspective and a review of literature

    OpenAIRE

    Sanjay Behari; Sushila Jaiswal; Prakash Nair; Pallav Garg; Jaiswal, Awadhesh K

    2011-01-01

    Background: Diverse tumors in the posterior third ventricular region (TPTVR) frequently occur in children. A decade?s experience with pediatric TPTVR is presented, focusing on the Indian perspective. Materials and Methods: 25 children (age range: 3-18 years; mean age: 13.32 years; presentation range: 7 days-2.5 years) had clinico-radiological assessment with contrast computed tomography (CT) and magnetic resonance imaging (MRI). The ventricular/lumbar cerebrospinal fluid (CSF) alpha feto prot...

  18. Cancer and the endogenous "pineal clock": a means of early diagnosis and successful treatment as well as prevention of cancers.

    Science.gov (United States)

    Pierpaoli, Walter

    2013-02-01

    The majority of chronic diseases, most notably those accompanying aging, result from progressive deterioration of central neuroimmunoendocrine control, often referred to as immunological surveillance. This is as true of cancer as it is of the development of cardiovascular, autoimmune, and neurodegenerative disease, in all of these immunological surveillance break downs, leading to an unraveling of the neuroimmunoendocrine process that inhibits proliferation of preneoplastic and neoplastic cells already existing in the body. The onset of cancer is anticipated by changes in the hormonalimmune coordination resulting in chronic quantitative alterations in the synthesis and release of hormones and the loss of the natural synchronicity of that release, which occurs according to circadian rhythms in the healthy organism, principally under the control of the pineal network. Periodic circadian hormonal release is the source of immune system regulation, thus altering hormone rhythms impairs the immune system's ability to maintain control over emerging tumor cells, not necessarily to eliminate them, but to inhibit proliferation. Malignancy, then, is the result of suppression of or interference with the regular release of hormones that maintain strict regulation of the thymo-lymphatic immune system's maturation and activity. This understanding means that we can act to prevent cancer by means of efficiently monitoring and maintenance of physiological hormonal values. For the cyclic synthesis of malignancies that are metastasized, a means of xenogeneic bone marrow transplantation is proposed as an alternative therapeutic approach. PMID:23895528

  19. Seasonal postembryonic maturation of the diurnal rhythm of serotonin in the chicken pineal gland.

    Science.gov (United States)

    Piesiewicz, Aneta; Kedzierska, Urszula; Turkowska, Elzbieta; Adamska, Iwona; Majewski, Pawel M

    2015-02-01

    Previously, we have demonstrated the postembryonic development of chicken (Gallus gallus domesticus L.) pineal gland functions expressed as changes in melatonin (MEL) biosynthesis. Pineal concentrations of MEL and its precursor serotonin (5-HT) were shown to increase between the 2nd and 16th day of life. We also found that levels of the mRNAs encoding the enzymes participating in the final two steps of MEL biosynthesis from 5-HT: arylalkylamine-N-acetyltransferase (AANAT) and hydroxyindole-O-methyltransferase (HIOMT), as well as their enzymatic activities, were raised during postembryonic development. Moreover, the manner of these changes was season-of-hatch dependent, even in animals kept under constant laboratory conditions (L:D 12:12). The most pronounced changes were seen in the concentrations of 5-HT and MEL, as well as in Aanat mRNA level and its enzymatic activity. The high daily variability in 5-HT content suggested that season- and age-dependent changes in the activity of the chicken pineal gland might rely on the availability of 5-HT, i.e. it may be limited by changes in pineal tryptophan (TRP) and/or 5-hydroxytryptophan (5-HTP) levels as well as by the activity of tryptophan hydroxylase (TPH) and aromatic l-amino acid decarboxylase (AADC): two enzymes participating in the conversion of TRP to 5-HT. The present study was undertaken with the following objectives: (1) to examine whether the pineal concentration of the 5-HT precursors TRP and 5-HTP exhibit age- and season-related changes; (2) to look for season-related differences in the transcription of the Tph1 and Ddc genes encoding enzymes TPH and AADC; (3) to identify the step(s) in postembryonic development in which these season-related variations in pineal gland function are most pronounced. Male Hy-line chickens hatched in the summer or winter, from eggs laid by hens held in L:D 16:8 conditions were kept from the day of hatch in L:D 12:12 conditions. At the age of 2 or 9 days, animals were sacrificed every 2 or 4?h over a 24-h period and their pineal glands were isolated under dim red light and processed for the measurement of (i) the pineal content of TRP, 5-HTP and 5-HT, and (ii) the level of Tph1 and Ddc mRNAs. Circadian rhythmicity of all the measured parameters was evaluated by the cosinor method. The pineal levels of TRP and 5-HT as well as the Tph1 and Ddc transcripts changed during postembryonic development in a season-related way. Whereas, the 5-HTP concentration did not vary between animals from both age groups, regardless of the season. Circadian rhythmicity of all the measured parameters was dependent on both the age and the season of hatch, and was greatest in older animals in the summer. These findings indicated that the efficiency of season-related MEL biosynthesis, reported previously, is limited by 5-HT availability and this limitation depends on the transcription of both the Tph1 and Ddc genes. Moreover, Ddc mRNA level in 9-d-old birds changed rhythmically, even though this gene is generally considered to be arrhythmic. PMID:25222180

  20. Pineal Gland Plays a Role in Gonadal Development after Eyelids Separation in Puppies / La Glándula Pineal Juega un Rol en el Desarrollo Gonadal Luego de la Separación de los Párpados en Cachorros

    Scientific Electronic Library Online (English)

    Khalil, Abou-Easa; Mohammed Abu, El-Magd; Ehab, Tousson; Amin, Hassanin; Mustafa, Shukry; Mohammed, Salama.

    2015-03-01

    Full Text Available Diversos estudios morfológicos y funcionales han sido realizados sobre la glándula pineal en distintas especies de mamíferos. Sin embargo, no hay informes publicados acerca del rol de la glándula pineal en el desarrollo gonadal antes y después de la separación de los párpados en cachorros. Este estu [...] dio tuvo como objetivo trazar los cambios histo-morfológicos postnatales en la glándula pineal y las gónadas de los cachorros antes (2, 10 y 11 días de edad) y después (25, 35 y 40 días de edad) de la separación de los párpados, en un intento por investigar el posible rol de la glándula pineal en el desarrollo gonadal. En general, la diferenciación de los pinealocitos, células intersticiales endocrinas de los testículos y las células estromales del ovario coincide con el inicio de la separación de los párpados en cachorros. El examen histológico de glándula pineal y los cortes gonadales de los cachorros, después de la separación de los párpados, reveló una notable diferenciación de los pinealocitos y las células intersticiales endocrinas testiculares, así como la posible evidencia de foliculogénesis en el ovario. Sorprendentemente, en el receptor de melatonina (MT1) los niveles de expresión de proteínas fueron significativamente superiores en los ovarios y los testículos de los cachorros después de la separación de los párpados. Además, el ARNm y la expresión de la proteína AANAT, una enzima limitante de la velocidad en la biosíntesis de la melatonina, aumentaron notablemente en la glándula pineal de los cachorros con los ojos abiertos. Nuestros resultados sugieren que existe un aumento de la producción de melatonina por parte de la glándula pineal en los cachorros con los ojos abiertos, lo que podría jugar un rol vital en los cambios evolutivos observados enlas gónadas de estos cachorros. Abstract in english Several functional and morphological studies have been conducted on the pineal gland in many mammalian species; however, no published reports are available on the role of pineal gland on the gonadal development before and after eyelids separation in puppies. Therefore, this study aimed to trace the [...] postnatal histo-morphological changes in the pineal gland and gonads of puppies before (2, 10 and 11 days old) and after (25, 35 and 40 days old) eyelids separation in an attempt to investigate the possible role of pineal gland on the gonadal development. In general, the differentiation of pineal cells, interstitial endocrine cells of testes and stromal ovarian cells coincides with the start of eyelids separation in puppies. Histological examination of stained pineal and gonadal slices of puppies after eyelids separation revealed a remarkable differentiation of pinealocytes and testicular interstitial endocrine cells, as well as presence of some evidence of folliculogenesis in ovary. Surprisingly, melatonin receptor (MT1) protein expression levels were significantly increased in the ovaries and testes of puppies after eyelids separation. Moreover, the mRNA and protein expression of AANAT, a rate-limiting enzyme in melatonin biosynthesis, was notably increased in the pineal gland of opened eyes puppies. Our results suggest an increase of melatonin production from the pineal gland of opened eyes puppies and this could play a vital role in the developmental changes observed in the gonads of these puppies.

  1. SU-C-9A-01: Parameter Optimization in Adaptive Region-Growing for Tumor Segmentation in PET

    International Nuclear Information System (INIS)

    Purpose: To design a reliable method to determine the optimal parameter in the adaptive region-growing (ARG) algorithm for tumor segmentation in PET. Methods: The ARG uses an adaptive similarity criterion m - f? ? I-PET ? m + f?, so that a neighboring voxel is appended to the region based on its similarity to the current region. When increasing the relaxing factor f (f ? 0), the resulting volumes monotonically increased with a sharp increase when the region just grew into the background. The optimal f that separates the tumor from the background is defined as the first point with the local maximum curvature on an Error function fitted to the f-volume curve. The ARG was tested on a tumor segmentation Benchmark that includes ten lung cancer patients with 3D pathologic tumor volume as ground truth. For comparison, the widely used 42% and 50% SUVmax thresholding, Otsu optimal thresholding, Active Contours (AC), Geodesic Active Contours (GAC), and Graph Cuts (GC) methods were tested. The dice similarity index (DSI), volume error (VE), and maximum axis length error (MALE) were calculated to evaluate the segmentation accuracy. Results: The ARG provided the highest accuracy among all tested methods. Specifically, the ARG has an average DSI, VE, and MALE of 0.71, 0.29, and 0.16, respectively, better than the absolute 42% thresholding (DSI=0.67, VE= 0.57, and MALE=0.23), the relative 42% thresholding (DSI=0.62, VE= 0.41, and MALE=0.23), the absolute 50% thresholding (DSI=0.62, VE=0.48, and MALE=0.21), the relative 50% thresholding (DSI=0.48, VE=0.54, and MALE=0.26), OTSU (DSI=0.44, VE=0.63, and MALE=0.30), AC (DSI=0.46, VE= 0.85, and MALE=0.47), GAC (DSI=0.40, VE= 0.85, and MALE=0.46) and GC (DSI=0.66, VE= 0.54, and MALE=0.21) methods. Conclusions: The results suggest that the proposed method reliably identified the optimal relaxing factor in ARG for tumor segmentation in PET. This work was supported in part by National Cancer Institute Grant R01 CA172638; The dataset is provided by AAPM TG211

  2. SU-C-9A-01: Parameter Optimization in Adaptive Region-Growing for Tumor Segmentation in PET

    Energy Technology Data Exchange (ETDEWEB)

    Tan, S [University of Maryland School of Medicine, Baltimore, MD (United States); Huazhong University of Science and Technology, Wuhan, Hubei (China); Xue, M; Chen, W; D' Souza, W; Lu, W [University of Maryland School of Medicine, Baltimore, MD (United States); Li, H [Washington University School of Medicine, Saint Louis, MO. (United States)

    2014-06-01

    Purpose: To design a reliable method to determine the optimal parameter in the adaptive region-growing (ARG) algorithm for tumor segmentation in PET. Methods: The ARG uses an adaptive similarity criterion m - f? ? I-PET ? m + f?, so that a neighboring voxel is appended to the region based on its similarity to the current region. When increasing the relaxing factor f (f ? 0), the resulting volumes monotonically increased with a sharp increase when the region just grew into the background. The optimal f that separates the tumor from the background is defined as the first point with the local maximum curvature on an Error function fitted to the f-volume curve. The ARG was tested on a tumor segmentation Benchmark that includes ten lung cancer patients with 3D pathologic tumor volume as ground truth. For comparison, the widely used 42% and 50% SUVmax thresholding, Otsu optimal thresholding, Active Contours (AC), Geodesic Active Contours (GAC), and Graph Cuts (GC) methods were tested. The dice similarity index (DSI), volume error (VE), and maximum axis length error (MALE) were calculated to evaluate the segmentation accuracy. Results: The ARG provided the highest accuracy among all tested methods. Specifically, the ARG has an average DSI, VE, and MALE of 0.71, 0.29, and 0.16, respectively, better than the absolute 42% thresholding (DSI=0.67, VE= 0.57, and MALE=0.23), the relative 42% thresholding (DSI=0.62, VE= 0.41, and MALE=0.23), the absolute 50% thresholding (DSI=0.62, VE=0.48, and MALE=0.21), the relative 50% thresholding (DSI=0.48, VE=0.54, and MALE=0.26), OTSU (DSI=0.44, VE=0.63, and MALE=0.30), AC (DSI=0.46, VE= 0.85, and MALE=0.47), GAC (DSI=0.40, VE= 0.85, and MALE=0.46) and GC (DSI=0.66, VE= 0.54, and MALE=0.21) methods. Conclusions: The results suggest that the proposed method reliably identified the optimal relaxing factor in ARG for tumor segmentation in PET. This work was supported in part by National Cancer Institute Grant R01 CA172638; The dataset is provided by AAPM TG211.

  3. Quantitative differences in the pineal ultrastructure of perinatal and adult harp (Phoca groenlandica) and hooded seals (Cystophora cristata).

    Science.gov (United States)

    Aarseth, Jo Jorem; Stokkan, Karl-Arne

    2003-10-01

    Seals are unique among mammals in that newborns have a large pineal gland and extremely high plasma levels of melatonin at birth. Melatonin levels are also high in the seal fetus but decline rapidly during the first few days of life. The aim of the present study was to provide quantitative information about the ultrastructure of the seal pineal gland using fetal, newborn, and adult hooded seals (Cystophora cristata), and newborn and adult harp seals (Phoca groenlandica). The relative and absolute volumes of pinealocytes (Pi), arteries and veins, nerves, connective tissue, capillaries and glial cells, as well as mitocondria and lipid droplets in Pi, were calculated by use of point count analysis. Whereas the pineal ultrastructure was similar in fetuses and newborns, both seal species showed a pronounced and particular reduction in the volume of Pi and a similar reduction in pinealocyte mitochondria. There was also a shift from unmyelinated to myelinated pineal nerves in adults compared with fetal/newborns. The selective and marked reduction of Pi may explain the zonated pineal structure typical of the adult seal. The results demonstrate that the fetal gland is as large and active as that of the newborn seal and support the notion that the large size and high activity of the pineal gland in the newborn seal is a fading consequence of its prenatal condition. PMID:12932203

  4. Putative tumor-suppressor gene regions responsible for radiation lymphomagenesis in F1 mice with different p53 status

    International Nuclear Information System (INIS)

    Regions of allelic loss on chromosomes in many tumors of human and some experimental animals are generally considered to harbor tumor-suppressor genes involved in tumorigenesis. Allelotype analyses have greatly improved our understanding of the molecular mechanism of radiation lymphomagenesis. Previously, we and others found frequent loss of heterozygosity (LOH) on chromosomes 4, 11, 12, 16 and 19 in radiation-induced lymphomas from several F1 hybrid mice. To examine possible contributions of individual tumor-suppressor genes to tumorigenesis in p53 heterozygous deficiency, we investigated the genome-wide distribution and status of LOH in radiation-induced lymphomas from F1 mice with different p53 status. In this study, we found frequent LOH (more than 20%) on chromosomes 4 and 12 and on chromosomes 11, 12, 16 and 19 in radiation-induced lymphomas from (STS/A X MSM/Ms)F1 mice and (STS/A X MSM/Ms)F1-p53KO/+ mice, respectively. Low incidences of LOH (10-20%) were also observed on chromosomes 11 in mice with wild-type p53, and chromosomes 1, 2, 9, 17 and X in p53 heterozygous-deficient mice. The frequency of LOH on chromosomes 9 and 11 increased in the (STS/A X MSM/Ms)F1-p53KO/+ mice. Preferential losses of the STS-derived allele on chromosome 9 and wild-type p53 allele on chromosome 11 were also found in the p53 heterozygous-deficient mice. Thus, the putative tumor-suppressor gene regions responsible for lymphomaganesis might considerably differ due to the p53 status. (author)

  5. Morphologic study of the pineal gland of the dog/ Estudo morfológico da glândula pineal do cão

    Directory of Open Access Journals (Sweden)

    Francisco Xavier Hernandez Blazquez

    2008-08-01

    Full Text Available Following the discovery of the melatonin by Lerner et al. (1958, new research and perspectives were developed in order to improve the knowledge regarding the pineal gland. This hormone is not only related to the circadian control but also influences other behavioral functions such as the reproductive cycle and thermoregulation. In this study the morphology of the pineal gland (epiphysis cerebri from 20 dogs were analyzed by means of macroscopic and microscopic evaluation. The shape of the gland ranged from conic to “tongue-like shape” (in relation to human tongue. The gland color ranged from beige to gray-brownish and it had a gelatinous consistency. The width and length of the glands ranged from 1.38 to 2.39 mm and 1.53 to 2.96 mm, respectively. Capsule, septa, pinealocytes, glial cells and pigment granules were microscopically found in all glands. No calcareous concretions were observed.Após a descoberta da melatonina por Lerner et al. (1958, novas pesquisas e perspectivas surgiram tornando a pineal uma estrutura mais estudada. Além disso, sabe-se que este hormônio está relacionado com o controle circadiano e outras funções comportamentais fisiológicas como o ciclo reprodutivo e termorregulação. Neste trabalho, foram utilizados 20 cães e estudamos a morfologia das glândulas, empregando uma análise macroscópica e microscópica. O formato das pineais variou de cônico a glossóide (em relação à língua humana; cor entre bege e marrom-acinzentado e apresentaram consistência gelatinosa. A largura e o comprimento das glândulas variaram respectivamente de 1,38 a 2,39 mm e de 1,53 a 2,96 mm. Quanto à microscopia, utilizamos coloração de eosina-hematoxilina (HE, e em todas as pineais observamos a presença dos seguintes componentes: cápsula; septos ou trabéculas pinealócitos; células da glia; grânulos de pigmentos, e não foram notadas concreções calcáreas.

  6. Immune monitoring of the circulation and the tumor microenvironment in patients with regionally advanced melanoma receiving neoadjuvant ipilimumab.

    Science.gov (United States)

    Tarhini, Ahmad A; Edington, Howard; Butterfield, Lisa H; Lin, Yan; Shuai, Yongli; Tawbi, Hussein; Sander, Cindy; Yin, Yan; Holtzman, Matthew; Johnson, Jonas; Rao, Uma N M; Kirkwood, John M

    2014-01-01

    We evaluated neoadjuvant ipilimumab in patients with surgically operable regionally advanced melanoma in order to define markers of activity in the blood and tumor as assessed at baseline (before ipilimumab) and early on-treatment. Patients were treated with ipilimumab (10 mg/kg intravenously every 3 weeks ×2 doses) bracketing surgery. Tumor and blood biospecimens were obtained at baseline and at surgery. Flow cytometry and immunohistochemistry for select biomarkers were performed. Thirty five patients were enrolled; IIIB (3; N2b), IIIC (32; N2c, N3), IV (2). Worst toxicities included Grade 3 diarrhea/colitis (5; 14%), hepatitis (2; 6%), rash (1; 3%), elevated lipase (3; 9%). Median follow up was 18 months: among 33 evaluable patients, median progression free survival (PFS) was 11 months, 95% CI (6.2-19.2). There was a significant decrease in circulating myeloid derived suppressor cells (MDSC). Greater decrease in circulating monocyte gate MDSC Lin1-/HLA-DR-/CD33?/CD11b? was associated with improved PFS (p?=?0.03). There was a significant increase in circulating regulatory T cells (Treg; CD4?CD25hi?Foxp3?) that, unexpectedly, was associated with improved PFS (HR?=?0.57; p?=?0.034). Baseline evidence of fully activated type I CD4? and CD8? antigen-specific T cell immunity against cancer-testis (NY-ESO-1) and melanocytic lineage (MART-1, gp100) antigens was detected and was significantly potentiated after ipilimumab. In tumor, there was a significant increase in CD8? T cells after ipilimumab (p?=?0.02). Ipilimumab induced increased tumor infiltration by fully activated (CD69?) CD3?/CD4? and CD3?/CD8? T cells with evidence of induction/potentiation of memory T cells (CD45RO?). The change in Treg observed within the tumor showed an inverse relationship with clinical benefit and greater decrease in tumor MDSC subset Lin1-/HLA-DR-/CD33?/CD11b? was associated with improved PFS at one year. Neoadjuvant evaluation revealed a significant immunomodulating role for ipilimumab on Treg, MDSC and effector T cells in the circulation and tumor microenvironment that warrants further pursuit in the quest for optimizing melanoma immunotherapy. PMID:24498358

  7. Regional Chemotherapy of the Lung: Transpulmonary Chemoembolization in Malignant Lung Tumors

    Science.gov (United States)

    Vogl, Thomas J.; Shafinaderi, Mohammad; Zangos, Stefan; Lindemayr, Sebastian; Vatankhah, Khashayar

    2013-01-01

    Standard treatment options in patients with lung cancer and pulmonary metastases are surgery, radiotherapy, chemotherapy, and immunotherapy. For reducing clinical complications of surgery and achieving a better local response, transpulmonary chemoembolization of the lungs is a possible interventional technique in which anticancer drugs are administered directly into a tumor through its feeding vessels followed by occlusive agents that are injected through the delivery catheter for blocking the vessel. This allows a longer contact period in the tumor with a higher cytostatic drug concentration. The technique is safe and results present promising local response rates, but the influence on survival is still questionable. This article describes the current role of intravascular therapies in the treatment of pulmonary malignancies. PMID:24436534

  8. Nonamyloid tumoral light-chain-deposition disease (aggregoma) of the paraspinal region.

    Science.gov (United States)

    Singh, Ayushi; Okonkwo, Linda; Hoffmann, Jason C; Mazzie, Joseph P; Baadh, Amanjit S

    2015-12-01

    Aggregomas are rare localized masses of monoclonal nonamyloid immunoglobulin light-chain deposits. To date, there have been only a few reports of isolated aggregomas, with the majority detailing renal, lymph node and brain deposition. We present a rare case of paraspinal aggregoma in a 67-year-old female who presented with a complaint of cough and chest pain. Imaging demonstrated a left-sided paravertebral mass extending from T7-T10. Pathological analysis showed lamellar deposition of extracellular eosinophilic material with an associated lymphoplasmacytic nonamyloid infiltrate. To our knowledge, this is the first report of a paraspinal aggregoma. While exceedingly rare, this tumor can be included in the radiologic differential diagnosis of paravertebral soft tissue tumors in adults. The observation of our case adds to the limited understanding of the etiology, pathogenesis, natural history, and treatment of nonamyloid light-chain depositions. PMID:26253133

  9. Value of the region of interest technique in the scintigraphic diagnosis of primary bone tumors

    International Nuclear Information System (INIS)

    Employing ROI-technique, a ratio Q was obtained from relating accumulation of 99sup(m)Tc-MDP at the site of the bone lesion (n = 150) with that of contralateral non-involved osseous areas. Values of Q were correlated with histologic tumor diagnosis, its dignity and frequency. Values of Q of greater than 3.0 were found in 95% of all sarcomas, in 100% of the osteosarcomas but in only 3.8% of all benign bone tumors. Values ranging from 1.0 to 1.2 were exclusively measured in benign tumors (e.g., in 52% of juvenile bone cysts and in 67% of non-ossifing fibromas). Since the threshold - separating benign from malignant lesions - at Q = 3.0 was blurred by tumorlike lesions, metastases and especially by Paget's disease, this method does not precisely predict dignity. However, this method may complement radiographic evaluation with low values supporting the diagnosis of a benign lesion. The combined findings of radiography and these rations gained by nuclear imaging may help determine the pathway of a patient through further diagnosis and treatment. (orig.)

  10. A multi-region algorithm for markerless beam's-eye view lung tumor tracking

    International Nuclear Information System (INIS)

    Methods that allow online lung tumor tracking during radiotherapy are desirable for a variety of applications that have the potential to vastly improve treatment accuracy, dose conformity and sparing of healthy tissue. Several publications have proposed the use of an on-board kV x-ray imager to assess the tumor location during treatment. However, there is some concern that this strategy may expose the patient to a significant amount of additional dose over the course of a typical radiotherapy treatment. In this paper we present an algorithm that utilizes the on-board portal imager of the treatment machine to track lung tumors. This does not expose the patient to additional dose, but is somewhat more challenging as the quality of portal images is inferior when compared to kV x-ray images. To quantify the performance of the proposed algorithm we retrospectively applied it to portal image sequences retrieved from a dynamic chest phantom study and an SBRT treatment performed at our institution. The results were compared to manual tracking by an expert. For the phantom data the tracking error was found to be smaller than 1 mm and for the patient data smaller than 2 mm, which was in the same range as the uncertainty of the gold standard.

  11. Chromosome 9p deletions in cutaneous malignant melanoma tumors: the minimal deleted region involves markers outside the p16 (CDKN2) gene.

    OpenAIRE

    Puig, S.; Ruiz, A.; Lázaro, C.; Castel, T.; Lynch, M.; Palou, J.; Vilalta, A.; Weissenbach, J.; Mascaro, J.M.; Estivill, X

    1995-01-01

    We have analyzed 12 microsatellite markers on chromosome 9p in 54 paired cutaneous malignant melanoma (CMM) tumors and normal tissues. Forty-six percent of the tumors, including two in situ CMMs, showed loss of heterozygosity (LOH) at 9p. Only one tumor was homozygously deleted for 9p markers. The smallest deleted region was defined by five tumors and included markers D9S126 to D9S259. Loss of eight or more markers correlated significantly with worse prognosis (P < .002). Among the primary tu...

  12. Postnatal maturation of the parenchymal cell types in the rabbit pineal gland

    OpenAIRE

    García-Mauriño, J.E.; Boya, J

    1992-01-01

    An ultrastructural study on the maturation of the parenchymal rabbit pineal cell types from the first postnatal day up to 120 days is presented. Two main cell types are distinguished from the first 24h of postnatal life. Pinealocytes of the types 1 and 11 display different developmental degrees. Both immature cell types are arranged in groups. In addition, type 11 pinealocytes form rosette-like structures. Both cell types progressively become isolated and displ...

  13. Modulation of metabolic and clock gene mRNA rhythms by pineal and retinal circadian oscillators

    OpenAIRE

    Karaganis, Stephen P; Bartell, Paul A.; Shende, Vikram R.; Moore, Ashli F.; CASSONE, VINCENT M.

    2008-01-01

    Avian circadian organization involves interactions between three neural pacemakers: the suprachiasmatic nuclei (SCN), pineal, and retina. Each of these structures is linked within a neuroendocrine loop to influence downstream processes and peripheral oscillations. However, the contribution of each structure to drive or synchronize peripheral oscillators or circadian outputs in avian species is largely unknown. To explore these interactions in the chick, we measured 2-deoxy[14C]-glucose (2DG) ...

  14. Morphological study of the pineal gland of (crab eater raccoon Procyon cancrivorus (Cuvier, 1798

    Directory of Open Access Journals (Sweden)

    Leandro de Oliveira Marques

    2010-06-01

    Full Text Available The Procyon cancrivorus is a wild carnivore that is widely distributed and relatively common, but it remains little studied, and few works report on the biology of this species. The aim of this work was to characterize morphologically the pineal gland of Procyon cancrivorus through macro, microscopic and radiographic studies, and to compare them with those from other animals. In this work, four adult animals of both sexes were used, originating from the Scientific Herd of CECRIMPAS IBAMA (Process nº 02027.003731/04-76. Macroscopically, the pineal gland of Procyon cancrivorus was located between the occipital lobes of the cerebral hemispheres, cranially to the vermis cerebelar. It was positioned rostrally to the rostral colliculus and caudally to the habenular comissure. Microscopically, the gland was covered externally by a capsule deriving from the meningeal pia mater. The presence of three types of cells was noted in the glandular parenchyma: pinealocytes, glial cells and mast cells. No calcareous concretions in the pineal gland were found in the radiographic and microscopic studies.

  15. Polyomavirus BK large tumor antigen exerts tolerogenic signatures with immunodominant p53-binding regions in prostate cancer

    Directory of Open Access Journals (Sweden)

    Maurizio Provenzano

    2013-03-01

    Full Text Available Polyomavirus BK (BKV large tumor antigen (L-Tag has been recently identified as a potential co-factor in the development of prostate cancer (PCa but its role as target of immune responses in this malignancy remains unexplored. A regulatory profiling elicited by L-Tag peptide-pool stimulation has been observed in BKV seropositive PCa patients bearing BKV positive lesions and evidence of biochemical recurrence. Differently, T cells against p53-binding regions of L-Tag exquisitely belong to effector/memory CD8+ T cells populations in BKV seropositive healthy donors. The ambiguous activity of L-Tag prompted us to investigate the role of functional regions within L-Tag in eliciting peculiar immune responses in PCa. Two peptides, L-Tag406-414 and L-Tag579-587, nested in the p53-binding regions of L-Tag and previously documented to induce pro-inflammatory responses in healthy donors, triggered an immune regulatory response (IL-10- and TGF-?-producing CD4+CD25+CD127- T cells with suppressive properties in 61% and 54% of PCa patients studied (n=20, respectively. In contrast, four peptides identified within L-Tag regions non specifically required for virus-induced malignant transformation, recalled IFN-?-producing effector/memory CD8+ and CD4+ T cells with cytotoxic (CD107+ and no-exhausted (PD-1- phenotype, able to boost immunogenic activities in PCa patients with a BKV-driven tolerogenic signatures. These findings suggest that strategic regions of L-Tag appointed to carry out oncogenic activities might orchestrate tumor-promoting environment. However, it also gives evidence that a systemic boosting of BKV seropositive PCa patients with immunogenic portions of BKV L-Tag would generate potent antigen-specific immune responses and thereby break the tolerogenic potential governed by BKV L-Tag in this disease.

  16. Technical realization of a systematized radiation therapy, founded on the TNM system, of tumors in the regions of the head and neck

    International Nuclear Information System (INIS)

    Modern radiation therapy of tumors within the regions of the head and neck regards not only the concept of the target volume but also the probability of affection to the lymphatic chains. Frequency of spread to lymph nodes depends on the size of the primary tumor, and thus the extent of radiotherapeutic practical measures can be conformed to the TNM system. A radiation therapy planned in view of the TNM classification may be termed, therefore, as a systematized radiation therapy. From the standpoint of these considerations irradiation techniques using a telecobalt therapy unit and a betatron have been examined considering the application to individual tumor sites and tumor volumes in the regions of the head and neck. The techniques being most appropriate for tumors of the head and neck, with regard to the various sites or volumes, and taking into account the target volume as well as the lymphatic chains concerned are here presented. (orig.)

  17. Role of magnetic resonance imaging for evaluation of tumors in the cardiac region.

    Science.gov (United States)

    Kaminaga, Tatsuro; Takeshita, Thoru; Kimura, Izumi

    2003-12-01

    The aim of this study was to review the role of MRI in the assessment of heart neoplasm, 25 cases with heart neoplasm (10 myxoma, 6 rhabdomyoma, 5 angiosarcoma, 2 mesothelioma, 1 lymphoma, and 1 fibroma) were examined with MRI and echocardiography. Multislice T1- and T2-weighted spin-echo images and static gradient-echo images were taken in appropriate directions with electrocardiogram gating. Gadolinium enhancement was performed in 21 cases. Transthoracic echocardiography was performed in all cases. Except for the 5 patients with rhabdomyoma, the pathological diagnosis was obtained. MRI proved to be useful for tissue characterization of myxoma, angiosarcoma, mesothelioma, and fibroma in cases with tuberous sclerosis. MRI also proved to be useful for detection of the tumor, depiction of contour, relation with other cardiac structures, in cases with myxoma, angiosarcoma, mesothelioma, lymphoma, and fibroma. In the differential diagnosis, MRI provided important information in cases with myxoma, rhabdomyoma, angiosarcoma, and fibroma. In cases with tumors expanding into the mediastinum, such as mesothelioma and fibroma in this report, MRI was useful in determining the location and border. In cases with tumors adjacent to pericardium, MRI was useful in detecting pericardial invasion. Gadolinium enhancement added useful information in cases with myxoma, rhabdomyoma, angiosarcoma, and mesothelioma. The role of MRI with and without Gd enhancement differs somewhat in individual types of heart neoplasm, and adaptation must be considered in each kind of neoplasm. On the other hand, MRI is an essential examination in all cases with a cardiac mass, which has not been diagnosed, since it may provide useful information for the differential diagnosis. PMID:16440217

  18. Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

    International Nuclear Information System (INIS)

    The aim of this study was to review the role of MRI in the assessment of heart neoplasm, 25 cases with heart neoplasm (10 myxoma, 6 rhabdomyoma, 5 angiosarcoma, 2 mesothelioma, 1 lymphoma, and 1 fibroma) were examined with MRI and echocardiography. Multislice T1- and T2-weighted spin-echo images and static gradient-echo images were taken in appropriate directions with electrocardiogram gating. Gadolinium enhancement was performed in 21 cases. Transthoracic echocardiography was performed in all cases. Except for the 5 patients with rhabdomyoma, the pathological diagnosis was obtained. MRI proved to be useful for tissue characterization of myxoma, angiosarcoma, mesothelioma, and fibroma in cases with tuberous sclerosis. MRI also proved to be useful for detection of the tumor, depiction of contour, relation with other cardiac structures, in cases with myxoma, angiosarcoma, mesothelioma, lymphoma, and fibroma. In the differential diagnosis, MRI provided important information in cases with myxoma, rhabdomyoma, angiosarcoma, and fibroma. In cases with tumors expanding into the mediastinum, such as mesothelioma and fibroma in this report, MRI was useful in determining the location and border. In cases with tumors adjacent to pericardium, MRI was useful in detecting pericardial invasion. Gadolinium enhancement added useful information in cases with myxoma, rhabdomyoma, angiosarcoma, and mesothelioma. The role of MRI with and without Gd enhancement differs somewhat in individual types of heart neoplasm, and adaptation must be considered in each kind of neoplasm. On the other hand, MRI is an essential examination in all cases with a cardiac mass, which has not been diagnosed, since it may provide useful information for the differential diagnosis. (orig.)

  19. Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

    Energy Technology Data Exchange (ETDEWEB)

    Kaminaga, T.; Takeshita, T.; Kimura, I. [Dept. of Radiology/Pathology, Teikyo Univ. Medical School, Tokyo (Japan)

    2003-12-01

    The aim of this study was to review the role of MRI in the assessment of heart neoplasm, 25 cases with heart neoplasm (10 myxoma, 6 rhabdomyoma, 5 angiosarcoma, 2 mesothelioma, 1 lymphoma, and 1 fibroma) were examined with MRI and echocardiography. Multislice T1- and T2-weighted spin-echo images and static gradient-echo images were taken in appropriate directions with electrocardiogram gating. Gadolinium enhancement was performed in 21 cases. Transthoracic echocardiography was performed in all cases. Except for the 5 patients with rhabdomyoma, the pathological diagnosis was obtained. MRI proved to be useful for tissue characterization of myxoma, angiosarcoma, mesothelioma, and fibroma in cases with tuberous sclerosis. MRI also proved to be useful for detection of the tumor, depiction of contour, relation with other cardiac structures, in cases with myxoma, angiosarcoma, mesothelioma, lymphoma, and fibroma. In the differential diagnosis, MRI provided important information in cases with myxoma, rhabdomyoma, angiosarcoma, and fibroma. In cases with tumors expanding into the mediastinum, such as mesothelioma and fibroma in this report, MRI was useful in determining the location and border. In cases with tumors adjacent to pericardium, MRI was useful in detecting pericardial invasion. Gadolinium enhancement added useful information in cases with myxoma, rhabdomyoma, angiosarcoma, and mesothelioma. The role of MRI with and without Gd enhancement differs somewhat in individual types of heart neoplasm, and adaptation must be considered in each kind of neoplasm. On the other hand, MRI is an essential examination in all cases with a cardiac mass, which has not been diagnosed, since it may provide useful information for the differential diagnosis. (orig.)

  20. Tumor Exosomes Induce Tunneling Nanotubes in Lipid Raft-Enriched Regions of Human Mesothelioma Cells

    OpenAIRE

    Thayanithy, Venugopal; Babatunde, Victor; Dickson, Elizabeth L; Wong, Philip; Oh, Sanghoon; Ke, Xu; Barlas, Afsar; FUJISAWA, SHO; Romin, Yevgeniy; Moreira, André L.; Downey, Robert J; Steer, Clifford J.; Subramanian, Subbaya; Manova-Todorova, Katia; Moore, Malcolm A.S.

    2014-01-01

    Tunneling nanotubes (TnTs) are long, non-adherent, actin-based cellular extensions that act as conduits for transport of cellular cargo between connected cells. The mechanisms of nanotube formation and the effects of the tumor microenvironment and cellular signals on TnT formation are unknown. In the present study, we explored exosomes as potential mediators of TnT formation in mesothelioma and the potential relationship of lipid rafts to TnT formation. Mesothelioma cells co-cultured with exo...

  1. Induction of cancer cell death by proton beam in tumor hypoxic region

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Y. M.; Hur, T. R.; Lee, K. B.; Jeong, M. H.; Park, J. W. [Kyungbook National Univ., Daegu (Korea, Republic of)

    2007-04-15

    Proton beam induced apoptosis significantly in Lewis lung carcinoma cells and hepatoma HepG2 cells in a dose- and time-dependent manner, but slightly in leukemia Molt-4 cells. Relative biological effectiveness (RBE) values for death rate relative to gamma ray were ranged from 1.3 to 2.1 in LLC or HepG2 but 0.7 in Molt-4 cells at 72h after irradiation. The typical apoptosis was observed by nuclear DNA staining with DAPI. By FACS analysis after stained with PI, sub-G1 cell fraction was significantly increased but G2/M phase was not altered by proton beam irradiation measured at 24 h after irradiation. Proton beam-irradiated tumor cells induced cleavage of PARP-1 and procaspases (-3 and -9) and increased the level of p53 and p21. decreased pro-lamin B. Acitivity of caspases was significantly increased after proton beam irradiation. Furthermore, ROS were significantly increased and N-acetyl cystein (NAC) pretreatment restored the apoptotic cell death induced in proton beam-irradiated cells. In conclusion, single treatment of low energy proton beam with SOBP induced apoptosis of solid tumor cells via increased ROS, active caspase -3,-9 and p53, p2.

  2. Estudo da glândula pineal de suíno por meio de microscopia de luz - DOI: 10.4025/actascibiolsci.v25i2.2038 Study of the swine pineal gland by means of light microscopy

    Directory of Open Access Journals (Sweden)

    Kleber Fernando Pereira

    2003-04-01

    Full Text Available Foram coletadas dez glândulas pineais de suínos da raça Landrace com 180 dias de idade, sendo cinco machos e cinco fêmeas. Após a coleta, o material foi fixado em solução de formalina a 10% por um período de 48 horas e, em seguida, submetido a tratamento de rotina para inclusão em parafina e realização de cortes histológicos, que foram corados por hematoxilina-eosina e Sírius-Red F3BA. As lâminas selecionadas foram fotografadas em fotomicroscópio do Departamento de Ciências Morfofisiológicas da Universidade Estadual de Maringá. O presente estudo teve por objetivo verificar a morfologia da glândula pineal de suínos por meio de microscopia de luz. Os resultados permitem verificar que a glândula pineal de suínos apresenta-se revestida pela pia-máter que emite projeções para o interior da glândula, constituindo septos de tecido conjuntivo. A distribuição dos elementos celulares no parênquima da glândula pineal apresenta-se de maneira heterogênea, na qual se observam regiões com escassez celular e predominância de pequenos feixes de fibras conjuntivas e concreções calcárias. Os resultados permitem concluir que a glândula pineal de suínos apresenta-se delimitada por septações de tecido conjuntivo proveniente da pia-máter, e que no interior da glândula é comum a presença de concreções calcáriasTen swine pineal glands from Landrace breed at the age of 180 days were collected, 5 males and 5 females. After the collection, the material was fastened in formaline solution at 10% for a period of 48 hours, and soon after it was undergone a routine treatment for inclusion in paraffin and accomplishment of histologic courts that have been red-faced for hematoxylin-eosin and Sírius-Red F3BA. The selected sheets were photographed in fotomicroscopy from the Department of Morphologic Sciences of Universidade Estadual de Maringá (State University of Maringá. The present study aimed to verify the morphology of swine pineal gland by means of light microscopy. The results permit to verify that the swine pineal gland was covered by pia-mater which emits projections into the gland constituting septs of connective tissue. The distribution of the cellular elements in the parenchyma pineal has a heterogeneous way, with scarcity cellular areas and predominance of small bundles of connective fibers and calcarian concrections. The results allow us to conclude that the swine pineal gland structure was characterized by septations of the connective tissue of pia-mater and inside the gland parenchyma calcarian concretions were frequently observed

  3. Quantifying regional hypoxia in human tumors with positron emission tomography of [18F]fluoromisonidazole: a pretherapy study of 37 patients

    International Nuclear Information System (INIS)

    Purpose: To assess pretreatment hypoxia in a variety of tumors using positron emission tomography (PET) after injection of the hypoxia-binding radiopharmaceutical [18F]fluoromisonidazole ([18F]FMISO). Methods and Materials: Tumor fractional hypoxic volume (FHV) was determined in 21 nonsmall cell lung cancer patients, 7 head and neck cancer patients, 4 prostate cancer patients, and 5 patients with other malignancies by quantitative PET imaging after injection of [18F]FMISO (0.1 mCi/kg). The FHV was defined as the proportion of pixels in the imaged tumor volume with a tissue:blood [18F] activity ratio ? 1.4 at 120-160 min postinjection. A FHV gr 0 was taken as evidence for tumor hypoxia. Results: Hypoxia was observed in 36 of 37 tumors studied with FMISO PET imaging; FHVs ranged from 0 to 94.7%. In nonsmall cell lung cancers (n = 21), the median FHV was 47.6% and the range, 1.3 to 94.7%. There was no correlation between tumor size and FHV. In the seven head and neck carcinomas, the median FHV was 8.8%, with a range from 0.2 to 18.9%. In the group of four prostate cancers, the median and range were 18.2% and 0 to 93.9%, while in a group of five tumors of different types the median FHV was 55.2% (range: 21.4 to 85.8%). Conclusions: Hypoxia was present in 97% of the tumors studied and the extent of hypoxia varied markedly between tumors in the same site or of the same histology. Hypoxia also was distributed heterogeneously between regions within a single tumor. These results are consistent with O2 electrode measures with other types of human tumors. The intra- and intertumor variability indicate the importance of making oxygenation measures in individual tumors and the necessity to sample as much of the tumor volume as possible

  4. 18F-DOPA-PET in Finding Tumors in Patients With Newly Diagnosed Gliomas Undergoing Radiation Therapy

    Science.gov (United States)

    2015-06-23

    Adult Anaplastic (Malignant) Meningioma; Adult Anaplastic Astrocytoma; Adult Anaplastic Ependymoma; Adult Brain Stem Glioma; Adult Choroid Plexus Neoplasm; Adult Ependymoblastoma; Adult Giant Cell Glioblastoma; Adult Glioblastoma; Adult Gliosarcoma; Adult Medulloblastoma; Adult Mixed Glioma; Adult Papillary Meningioma; Adult Pineal Gland Astrocytoma; Adult Pineoblastoma; Adult Primary Melanocytic Lesion of Meninges; Adult Supratentorial Primitive Neuroectodermal Tumor

  5. Tumor exosomes induce tunneling nanotubes in lipid raft-enriched regions of human mesothelioma cells

    Energy Technology Data Exchange (ETDEWEB)

    Thayanithy, Venugopal [Department of Medicine, Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN 55455 (United States); Babatunde, Victor [Moore Laboratory, Department of Cell Biology, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Dickson, Elizabeth L. [Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN 55455 (United States); Wong, Phillip [Department of Medicine, Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN 55455 (United States); Oh, Sanghoon; Ke, Xu; Barlas, Afsar; Fujisawa, Sho; Romin, Yevgeniy [Molecular Cytology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Moreira, André L. [Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Downey, Robert J. [Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Steer, Clifford J. [Departments of Medicine and Genetics, Cell Biology and Development, University of Minnesota, Minneapolis, MN 55455 (United States); Subramanian, Subbaya [Department of Surgery, University of Minnesota, Minneapolis, MN 55455 (United States); Manova-Todorova, Katia [Molecular Cytology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Moore, Malcolm A.S. [Moore Laboratory, Department of Cell Biology, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Lou, Emil, E-mail: emil-lou@umn.edu [Department of Medicine, Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN 55455 (United States)

    2014-04-15

    Tunneling nanotubes (TnTs) are long, non-adherent, actin-based cellular extensions that act as conduits for transport of cellular cargo between connected cells. The mechanisms of nanotube formation and the effects of the tumor microenvironment and cellular signals on TnT formation are unknown. In the present study, we explored exosomes as potential mediators of TnT formation in mesothelioma and the potential relationship of lipid rafts to TnT formation. Mesothelioma cells co-cultured with exogenous mesothelioma-derived exosomes formed more TnTs than cells cultured without exosomes within 24–48 h; and this effect was most prominent in media conditions (low-serum, hyperglycemic medium) that support TnT formation (1.3–1.9-fold difference). Fluorescence and electron microscopy confirmed the purity of isolated exosomes and revealed that they localized predominantly at the base of and within TnTs, in addition to the extracellular environment. Time-lapse microscopic imaging demonstrated uptake of tumor exosomes by TnTs, which facilitated intercellular transfer of these exosomes between connected cells. Mesothelioma cells connected via TnTs were also significantly enriched for lipid rafts at nearly a 2-fold higher number compared with cells not connected by TnTs. Our findings provide supportive evidence of exosomes as potential chemotactic stimuli for TnT formation, and also lipid raft formation as a potential biomarker for TnT-forming cells. - Highlights: • Exosomes derived from malignant cells can stimulate an increased rate in the formation of tunneling nanotubes. • Tunneling nanotubes can serve as conduits for intercellular transfer of these exosomes. • Most notably, exosomes derived from benign mesothelial cells had no effect on nanotube formation. • Cells forming nanotubes were enriched in lipid rafts at a greater number compared with cells not forming nanotubes. • Our findings suggest causal and potentially synergistic association of exosomes and tunneling nanotubes in cancer.

  6. Tumor exosomes induce tunneling nanotubes in lipid raft-enriched regions of human mesothelioma cells

    International Nuclear Information System (INIS)

    Tunneling nanotubes (TnTs) are long, non-adherent, actin-based cellular extensions that act as conduits for transport of cellular cargo between connected cells. The mechanisms of nanotube formation and the effects of the tumor microenvironment and cellular signals on TnT formation are unknown. In the present study, we explored exosomes as potential mediators of TnT formation in mesothelioma and the potential relationship of lipid rafts to TnT formation. Mesothelioma cells co-cultured with exogenous mesothelioma-derived exosomes formed more TnTs than cells cultured without exosomes within 24–48 h; and this effect was most prominent in media conditions (low-serum, hyperglycemic medium) that support TnT formation (1.3–1.9-fold difference). Fluorescence and electron microscopy confirmed the purity of isolated exosomes and revealed that they localized predominantly at the base of and within TnTs, in addition to the extracellular environment. Time-lapse microscopic imaging demonstrated uptake of tumor exosomes by TnTs, which facilitated intercellular transfer of these exosomes between connected cells. Mesothelioma cells connected via TnTs were also significantly enriched for lipid rafts at nearly a 2-fold higher number compared with cells not connected by TnTs. Our findings provide supportive evidence of exosomes as potential chemotactic stimuli for TnT formation, and also lipid raft formation as a potential biomarker for TnT-forming cells. - Highlights: • Exosomes derived from malignant cells can stimulate an increased rate in the formation of tunneling nanotubes. • Tunneling nanotubes can serve as conduits for intercellular transfer of these exosomes. • Most notably, exosomes derived from benign mesothelial cells had no effect on nanotube formation. • Cells forming nanotubes were enriched in lipid rafts at a greater number compared with cells not forming nanotubes. • Our findings suggest causal and potentially synergistic association of exosomes and tunneling nanotubes in cancer

  7. Effect of steroid on brain tumors and surround edemas : observation with regional cerebral blood volume (rCBV) maps of perfusion MRI

    International Nuclear Information System (INIS)

    To observe the hemodynamic change in brain tumors and peritumoral edemas after steroid treatment, and then investigate the clinical usefulness of perfusion MRI. We acquired conventional and perfusion MR images in 15 patients with various intracranial tumors (4 glioblastoma multiformes, 4 meningiomas, 3 metastatic tumors, 1 anaplastic ependymoma, 1 anaplastic astrocytoma, 1 hemangioblastoma, and 1 pilocytic astrocytoma). For perfusion MR imaging, a 1.5T unit employing the gradient-echo EPI technique was used, and further perfusion MR images were obtained 2-10 days after intravenous steroid therapy. After processing of the raw data, regional cerebral blood volume (rCBV) maps were reconstructed. The maps were visually evaluated by comparing relative perfusion in brain tumors and peritumoral edemas with that in contralateral white matter. Objective evaluations were performed by comparing the perfusion ratios of brain tumors and peritumoral edemas. Visual evaluations of rCBV maps, showed that in most brain tumors (67%, 10/15), perfusion was high before steroid treatment and showed in (80%, 12/15) decreased afterwards. Objective evaluation, showed that in all brain tumors, perfusion decreased. Visual evaluation of perfusion change in peritumoral edemas revealed change in only one case, but objective evaluation indicated that perfusion decreased significantly in all seven cases. rCBV maps acquired by perfusion MR imaging can provide hemodynamic information about brain tumors and peritumoral edemas. Such maps could prove helpful in the preoperative planning of brain tumor surgery and the monitoring of steroid effects during conservative treatment. (author)

  8. A clinicopathologic analysis of primary orbital yolk sac tumor

    Directory of Open Access Journals (Sweden)

    PENG Ji-ying

    2012-02-01

    Full Text Available Objective On rare occasions, yolk sac tumor may arise from extragonadal sites. Orbit is an unusual location for the primary development of this tumor. The presence of intracranial yolk sac tumor on biopsy always makes the diagnosis challenge for pathologists. Herein we report a case of intracranial primary yolk sac tumor in left orbital apex. The clinicopathology of this tumor and its differential diagnosis are discussed. Methods The clinical manifestation of a patient with primary yolk sac tumor occurring in left orbital apex was presented retrospectively. Resected orbital mass was routinely paraffin-embedded and stained with hematoxylin and eosin. Dako Envision immunohistochemical staining system was used to detect the tumor antigen expressions, including alpha-fetoprotein (AFP, cytokeratin, placental alkaline phosphatase (PLAP, CD30, CD34, CD45, CD99, CD117, synaptophysin (Syn and chromogranin A (CgA. Results A 2-year-old boy presented with 3-month history of ptosis of eyelid and exophthalmos on left eye. Magnetic resonance imaging (MRI scan revealed a lesion occupied the left orbital apex with infiltration of surrounding normal structure, including left posterior ethmoid sinus, the wall of left maxillary sinus and sphenoid. However, there was no evidence of tumor infiltrating in brain parenchyma. Craniotomy was performed and the tumor was removed by en bloc resection. Grossly, the biopsy specimen received in small pieces was 1.20 cm × 1.00 cm × 1.00 cm when aggregated. No fibrous capsule, necrosis, haemorrhage and gross calcification were found in the tissue fragments. Histological examination revealed that the tumor was arranged in a reticular pattern. The cells were relatively large with a clear cytoplasm and vesicular nuclei. Scattered mitotic figures were noted. Schiller-Duval bodies and periodic acid-Schiff (PAS positive (eosinophilic bodies were evident in the tumor tissue. Immunohistochemical staining showed that the tumor cells were diffusely positive for cytokeratin (AE1/AE3 and focal positive for AFP, CD99 and CD117, but negative for PLAP, CD30, S-100, CD45 and CD34. There was no evidence of mixture of other germ cell tumor component in this tumor by serial sections. Based on clinical presentation and histological findings, a final histological diagnosis of pure primary orbital yolk sac tumor, WHO grade ?, was made according to the criteria of WHO classification. The patient has not received chemotherapy and attended follow-up for 3 months, without any neurological deficit or signs of recurrence. Conclusion Despite the lower incidence, intracranial yolk sac tumors usually develop in the midline at the pineal or suprasellar regions occurring in children with distinctive histological features and immunohistochemical phenotypes. In general, intracranial yolk sac tumors are known to entail poor prognosis even after multidisciplinary treatment of operation, radiotherapy, and chemotherapy. It is noted that intracranial yolk sac tumor should be differentiated histologically from other types of germ cell tumors and mixed germ cell tumor.

  9. Regional white matter volume and the relation with attentional functioning in survivors of malignant pediatric brain tumors

    Science.gov (United States)

    Glass, John O.; Mulhern, Raymond K.; White, Holly A.; Wilkinson, Gina M.; Reddick, Wilburn E.

    2003-05-01

    Quantitative assessment of MR examinations in 37 survivors of childhood cancer treated with central nervous system prophylaxis revealed that normal appearing white matter (NAWM) volume is associated with attention-related problems, localized specifically in the right prefrontal region. T1-, T2-, and PD-weighted images were segmented and divided into pre-frontal, frontal, parietal/temporal, and parietal/occipital regions for each hemisphere. These eight regions were analyzed in five slices centered at the level of the basal ganglia. The patient's age at diagnosis and time elapsed from diagnosis were used as covariates in the regressions. Attentional measures showed significant deficiency when compared to age and gender normative values. Total, frontal and/or prefrontal NAWM volumes from the range of slices examined were significantly associated with 5 of the 8 attentional measures. The frontal/prefrontal region of the brain is associated with executive functioning tasks and could potentially be spared as much as possible during therapy planning. The results of the present study further support the contention that NAWM is an important substrate for treatment-induced neurocognitive problems among survivors of malignant brain tumors of childhood.

  10. Alpha-2 adrenergic activity of bromocriptine and quinpirole in chicken pineal gland. Effects on melatonin synthesis and [3H]rauwolscine binding

    International Nuclear Information System (INIS)

    In the pineal gland and retina of chickens, serotonin N-acetyl-transferase (NAT) activity and melatonin content are modulated by different receptors, alpha-2 adrenergic receptors in pineal gland and D2-dopamine receptors in retina. The effect of two D2-dopamine receptor agonists, bromocriptine and quinpirole (LY 171555), on melatonin synthesis in these tissues was investigated. Systemic administrations of bromocriptine and quinpirole decreased nocturnal NAT activity and melatonin content of both pineal gland and retina. Bromocriptine was equipotent in the two tissues, whereas quinpirole was approximately 100-fold more potent in retina than in pineal gland. In pineal gland, the suppressive effects of bromocriptine and quinpirole on NAT activity were blocked by yohimbine, a selective alpha-2 adrenergic receptor antagonist, but not by spiperone, a D2-dopamine receptor antagonist. In contrast, bromocriptine- and quinpirole-induced decreases of the enzyme activity in retina were antagonized by spiperone, and not affected by yohimbine. The nocturnal increase of NAT activity of pineal glands in vitro was inhibited with an order of potency clonidine greater than bromocriptine greater than quinpirole. Additionally, bromocriptine and quinpirole displaced the specific binding of [3H]rauwolscine, an alpha-2 adrenergic receptor antagonist, to membranes from chicken pineal gland, with potencies comparable to those observed for inhibition of NAT activity in vitro. It is suggested that bromocriptine and quinpirole, in addition to their D2-dopaminergic activity, can stimulate alpha-2 adrenergic receptors in pineal gland of chicken

  11. Alpha-2 adrenergic activity of bromocriptine and quinpirole in chicken pineal gland. Effects on melatonin synthesis and ( sup 3 H)rauwolscine binding

    Energy Technology Data Exchange (ETDEWEB)

    Zawilska, J.; Iuvone, P.M. (Emory Univ. School of Medicine, Atlanta, GA (USA))

    1990-12-01

    In the pineal gland and retina of chickens, serotonin N-acetyl-transferase (NAT) activity and melatonin content are modulated by different receptors, alpha-2 adrenergic receptors in pineal gland and D2-dopamine receptors in retina. The effect of two D2-dopamine receptor agonists, bromocriptine and quinpirole (LY 171555), on melatonin synthesis in these tissues was investigated. Systemic administrations of bromocriptine and quinpirole decreased nocturnal NAT activity and melatonin content of both pineal gland and retina. Bromocriptine was equipotent in the two tissues, whereas quinpirole was approximately 100-fold more potent in retina than in pineal gland. In pineal gland, the suppressive effects of bromocriptine and quinpirole on NAT activity were blocked by yohimbine, a selective alpha-2 adrenergic receptor antagonist, but not by spiperone, a D2-dopamine receptor antagonist. In contrast, bromocriptine- and quinpirole-induced decreases of the enzyme activity in retina were antagonized by spiperone, and not affected by yohimbine. The nocturnal increase of NAT activity of pineal glands in vitro was inhibited with an order of potency clonidine greater than bromocriptine greater than quinpirole. Additionally, bromocriptine and quinpirole displaced the specific binding of (3H)rauwolscine, an alpha-2 adrenergic receptor antagonist, to membranes from chicken pineal gland, with potencies comparable to those observed for inhibition of NAT activity in vitro. It is suggested that bromocriptine and quinpirole, in addition to their D2-dopaminergic activity, can stimulate alpha-2 adrenergic receptors in pineal gland of chicken.

  12. A Modified Method to Segment Sharp and Unsharp Edged Brain Tumors in 2 D MRI Using Automatic Seeded Region Growing Method

    Directory of Open Access Journals (Sweden)

    Mukesh Kumar

    2011-05-01

    Full Text Available Segmentation of Brain tumor accurately is a challenging task in MRI. The MRI image is an image that produces a high contrast images indicating regular and irregular tissues that help to distinguish the overlapping in margin of each limb. But when the edges of tumor is not sharped then the segmentation results are not accurate i.e. segmentation may be over or under. This may be happened due to initial stage of the tumors [5]. So , in this paper a modified method of tumor line detection and segmentation is used to separate the irregular from the regular surrounding tissue to get a real identification of involved and noninvolved area that help the surgeon to distinguish the involved area precisely. The method used in this paper is seeded region growing method and it was implemented using MATLAB 7.6.0.324 on 25 Magnetic Resonance Images to detect the tumor boundaries in 2D MRI for different cases.

  13. Manual of Recommendations for the Diagnosis, Therapy, and Follow-Up of Patients with Breast Cancer of the Tumor Center Munich — a Regional Hands-On Publication

    OpenAIRE

    Janni, Wolfgang

    2008-01-01

    The revised 11th edition of the Manual of Recommendations for the Diagnosis, Therapy, and Follow-Up of Patients with Breast Cancer of the publications series of the Tumor Center Munich (Tumorzentrum Munchen, TZM) is an excellent example of a regional hands-on publication which, while based on national and international guidelines, does not replace these. By virtue of countless additions and revisions in the course of 10 editions, the `blue tumor manual for breast cancer' has matured into a ha...

  14. Localization of the human {beta}-catenin gene (CTNNB1) to 3p21: A region implicated in tumor development

    Energy Technology Data Exchange (ETDEWEB)

    Kraus, C.; Liehr, T.; Ballhausen, G. [Institut fuer Humangenetik der Universitaet, Erlangen (Germany)] [and others

    1994-09-01

    The human {beta}-catenin locus (CTNNB1) was mapped by in situ fluorescence analysis to band p21 on the short arm of chromosome 3, a region frequently affected by somatic alterations in a variety of tumors. PCR primers for the genomic amplification of {beta}-catenin sequences were selected on the basis of homology to exon 4 of the Drosophila armadillo gene. Analysis of a panel of somatic cell hybrids confirmed the localization of {beta}-catenin on human chromosome 3. Furthermore, exclusion mapping of three hybrids carrying defined fragments of the short arm of human chromosome 3 allowed us to determine the position of the CTNNB1 locus close to the marker D3S2 in 3p21. 22 refs., 3 figs.

  15. Neural networks combined with region growing techniques for tumor detection in [18F]-fluorothymidine dynamic positron emission tomography breast cancer studies

    Science.gov (United States)

    Cseh, Zoltan; Kenny, Laura; Swingland, James; Bose, Subrata; Turheimer, Federico E.

    2013-03-01

    Early detection and precise localization of malignant tumors has been a primary challenge in medical imaging in recent years. Functional modalities play a continuously increasing role in these efforts. Image segmentation algorithms which enable automatic, accurate tumor visualization and quantification on noisy positron emission tomography (PET) images would significantly improve the quality of treatment planning processes and in turn, the success of treatments. In this work a novel multistep method has been applied in order to identify tumor regions in 4D dynamic [18F] fluorothymidine (FLT) PET studies of patients with locally advanced breast cancer. In order to eliminate the effect of inherently detectable high inhomogeneity inside tumors, specific voxel-kinetic classes were initially introduced by finding characteristic FLT-uptake curves with K-means algorithm on a set of voxels collected from each tumor. Image voxel sets were then split based on voxel time-activity curve (TAC) similarities, and models were generated separately on each voxel set. At first, artificial neural networks, in comparison with linear classification algorithms were applied to distinguish tumor and healthy regions relying on the characteristics of TACs of the individual voxels. The outputs of the best model with very high specificity were then used as input seeds for region shrinking and growing techniques, the application of which considerably enhanced the sensitivity and specificity (78.65% +/- 0.65% and 98.98% +/- 0.03%, respectively) of the final image segmentation model.

  16. TransRapid TR-07 maglev-spectrum magnetic field effects on daily pineal indoleamine metabolic rhythms in rodents

    Energy Technology Data Exchange (ETDEWEB)

    Groh, K.R.

    1993-06-01

    This study examined the effects on pineal function of magnetic field (MF) exposures (ac and dc components) similar to those produced by the TransRapid TR-07 and other electromagnetic maglev systems (EMS). Rats were entrained to a light-dark cycle and then exposed to a continuous, or to an inverted, intermittent (on = 45 s, off = 15 s, induced current = 267 G/s) simulated multifrequency ac and dc magnetic field (MF) at 1 or 7 times the TR-07 maglev vehicle MF intensity for 2 hr. Other groups of rats were exposed to only the ac or the dc-component of the maglev MF. For comparison, one group was exposed to an inverted, intermittent 60-Hz MF. Each group was compared to an unexposed group of rats for changes in pineal melatonin and serotonin-N-acetyltransferase (NAT). MF exposures at an intensity equivalent to that produced by the TR-07 vehicle had no effect on melatonin or NAT compared with sham-exposed animals under any of the conditions examined. However, 7X TR-07-level continuous 2-h MF exposures significantly depressed pineal NAT by 45%. Pineal melatonin was also depressed 33--43% by a continuous 7X TR-07 MF exposure and 28% by an intermittent 60-Hz 850-mG MF, but the results were not statically significant. This study demonstrates that intermittent, combined ac and dc MFs similar to those produced by the TR-07 EMS maglev vehicle alter the normal circadian rhythm of pineal indoleamine metabolism. The pineal regulatory enzyme NAT was more sensitive to MF exposure than melatonin and may be a more desirable measure of the biological effects of MF exposure.

  17. TransRapid TR-07 maglev-spectrum magnetic field effects on daily pineal indoleamine metabolic rhythms in rodents

    Energy Technology Data Exchange (ETDEWEB)

    Groh, K.R.

    1993-01-01

    This study examined the effects on pineal function of magnetic field (MF) exposures (ac and dc components) similar to those produced by the TransRapid TR-07 and other electromagnetic maglev systems (EMS). Rats were entrained to a light-dark cycle and then exposed to a continuous, or to an inverted, intermittent (on = 45 s, off = 15 s, induced current = 267 G/s) simulated multifrequency ac and dc magnetic field (MF) at 1 or 7 times the TR-07 maglev vehicle MF intensity for 2 hr. Other groups of rats were exposed to only the ac or the dc-component of the maglev MF. For comparison, one group was exposed to an inverted, intermittent 60-Hz MF. Each group was compared to an unexposed group of rats for changes in pineal melatonin and serotonin-N-acetyltransferase (NAT). MF exposures at an intensity equivalent to that produced by the TR-07 vehicle had no effect on melatonin or NAT compared with sham-exposed animals under any of the conditions examined. However, 7X TR-07-level continuous 2-h MF exposures significantly depressed pineal NAT by 45%. Pineal melatonin was also depressed 33--43% by a continuous 7X TR-07 MF exposure and 28% by an intermittent 60-Hz 850-mG MF, but the results were not statically significant. This study demonstrates that intermittent, combined ac and dc MFs similar to those produced by the TR-07 EMS maglev vehicle alter the normal circadian rhythm of pineal indoleamine metabolism. The pineal regulatory enzyme NAT was more sensitive to MF exposure than melatonin and may be a more desirable measure of the biological effects of MF exposure.

  18. Diagnostic study with CT and MR on the metastasis of malignant brain tumors

    International Nuclear Information System (INIS)

    Forty cases of malignant brain tumors with metastasis which involved 14 malignant gliomas, 15 medulloblastomas and 11 germ cell tumors were studied on CT and MRI. In malignant glioma, transventricular metastasis was seen most frequently, estimating 8 cases (57%) of 14 malignant gliomas with metastasis and showing ependymal-subependymal enhancement on contrast-enhanced CT (CECT). Most of the medulloblastoma with metastasis demonstrated diffuse subarachnoid seeding in the craniospinal space and on image analysis diffuse sulcal-cisternal enhancement was characterized. Trans-ventricular metastasis in medulloblastoma was less than in malignant glioma showing 3 cases (20%) of 15 medulloblastomas, which in most cases showed a nodular tumor in the ventricular wall by metastasis. There were six patients who, on the first admission, were found to have germ cell tumors of the broad infiltrating type with multiple lesions. The tumor sites of metastasis were different from those with malignant gliomas, being frequently localized in the pineal and/or the suprasellar region, on the ventricular wall and in the basal ganglia. Metastasis to a remote area in germ cell tumors was to spinal cords, to the ventricular wall and basal cistern around the brain stem by CSF dissemination, to the lung by hematogenous metastasis and to the peritoneal wall or organs through V-P shunt tube. T1-weighted Gd-DTPA MRI was more useful and sensitive than CECT for diagnosis of the leptomeningeal metastasis, particularly for sulcal-cisternal and spinal metastasis. It will be used more often as the first choice for diagnosis of intrathecal metastasis in the future. (author)

  19. Thyroid hormone and adrenergic signaling interact to control pineal expression of the dopamine receptor D4 gene (Drd4)

    DEFF Research Database (Denmark)

    Kim, Jong-So; Bailey, Michael J; Weller, Joan L; Sugden, David; Rath, Martin F; Møller, Morten; Klein, David C

    2009-01-01

    Dopamine plays diverse and important roles in vertebrate biology, impacting behavior and physiology through actions mediated by specific G-protein-coupled receptors, one of which is the dopamine receptor D4 (Drd4). Here we present studies on the >100-fold daily rhythm in rat pineal Drd4 expression. Our studies indicate that Drd4 is the dominant dopamine receptor gene expressed in the pineal gland. The gene is expressed in pinealocytes at levels which are approximately 100-fold greater than in ot...

  20. Developmental and Diurnal Expression of the Synaptosomal-Associated Protein 25 (Snap25) in the Rat Pineal Gland

    DEFF Research Database (Denmark)

    Karlsen, Anna S; Rath, Martin Fredensborg; Rohde, Kristian; Toft, Trine; Møller, Morten

    2013-01-01

    Snap25 (synaptosomal-associated protein) is a 25 kDa protein, belonging to the SNARE-family (soluble N-ethylmaleimide-sensitive factor attachment protein receptors) of proteins, essential for synaptic and secretory vesicle exocytosis. Snap25 has by immunohistochemistry been demonstrated in the rat pineal gland but the biological importance of this is unknown. In this study, we demonstrate a high expression of mRNA encoding Snap25 in all parts of the rat pineal complex, the superficial-, and deep...

  1. [Complex estimation of the psychotropic activity spectrum of pineal hormone melatonin in young healthy humans].

    Science.gov (United States)

    Arushanian, É B; Naumov, S S; Faians, A A

    2012-01-01

    Effects of the pineal hormone melatonin (melaxen, 1.5 mg, 2 weeks) on a complex of psychophysiological indices have been studied on a group of healthy human volunteers in comparison to placebo. The drug improved the concentration of attention, improved its stability in the presence of visual hindrances, and increased the critical frequency of merging light flashes. The administration of melatonin also significantly increased the transient memory volume and reduced the levels of depression and anxiety. Shifts in the psychoemotional state were more pronounced than changes in the cognitive functions. PMID:23240152

  2. Computer-assisted delineation of lung tumor regions in treatment planning CT images with PET/CT image sets based on an optimum contour selection method

    International Nuclear Information System (INIS)

    To assist radiation oncologists in the delineation of tumor regions during treatment planning for lung cancer, we have proposed an automated contouring algorithm based on an optimum contour selection (OCS) method for treatment planning computed tomography (CT) images with positron emission tomography (PET)/CT images. The basic concept of the OCS is to select a global optimum object contour based on multiple active delineations with a level set method around tumors. First, the PET images were registered to the planning CT images by using affine transformation matrices. The initial gross tumor volume (GTV) of each lung tumor was identified by thresholding the PET image at a certain standardized uptake value, and then each initial GTV location was corrected in the region of interest of the planning CT image. Finally, the contours of final GTV regions were determined in the planning CT images by using the OCS. The proposed method was evaluated by testing six cases with a Dice similarity coefficient (DSC), which denoted the degree of region similarity between the GTVs contoured by radiation oncologists and the proposed method. The average three-dimensional DSC for the six cases was 0.78 by the proposed method, but only 0.34 by a conventional method based on a simple level set method. The proposed method may be helpful for treatment planners in contouring the GTV regions. (author)

  3. A glândula pineal e o metabolismo de carboidratos

    Directory of Open Access Journals (Sweden)

    Patrícia Monteiro Seraphim

    2000-08-01

    Full Text Available A influência da glândula pineal sobre o metabolismo de carboidratos vem sendo investigada há décadas. Entretanto, resultados contraditórios não esclarecem, até o momento, o verdadeiro papel da melatonina sobre a homeostasia dos carboidratos. Através de estudos recentes, contribuímos de maneira ineqüívoca para a caracterização do papel da glândula pineal como moduladora do metabolismo de carboidratos. Além disso, à luz dos conhecimentos atuais, demonstramos quais passos do mecanismo de ação da insulina estão envolvidos nessa modulação. Nossos estudos revelaram que a pinealectomia promove um quadro de resistência à insulina, sem obesidade. A captação máxima de 2-deoxi-glicose, estimulada por insulina, em adipócitos isolados está diminuída, sem entretanto modificar a capacidade da insulina ligar-se ao seu receptor e estimular a fosforilação dos substratos intracelulares representados pela pp 185. Por outro lado, em vários tecidos sensíveis à insulina, observou-se uma diminuição no conteúdo da proteína transportadora de glicose GLUT4, mas diminuição no mRNA do GLUT4 apenas em alguns desses tecidos, sugerindo uma regulação tecido-específica. Adicionalmente, foi demonstrado que a regulação da glândula pineal sobre o metabolismo de carboidratos é mediado pela melatonina: o hormônio aumentou a sensibilidade à insulina de adipócitos isolados e o tratamento de reposição com melatonina restaurou o conteúdo de GLUT4 no tecido adiposo branco. Em síntese, os estudos aqui relatados evidenciam um importante papel da glândula pineal na modulação da homeostasia de carboidratos. Essa regulação é dependente da melatonina e pode ser resumida, até o presente momento, como um aumento da sensibilidade tecidual à insulina, que envolve alterações na expressão gênica do GLUT4.For decades, the influence of the pineal gland on carbohydrate metabolism has been investigated. However, contradictory results have not yet elucidated the role played by melatonin in carbohydrate homeostasis. In our recent studies, we have contributed to characterize the role of the pineal gland as a modulator of carbohydrate metabolism. In addition, based on present-day knowledge, we have demonstrated the steps of insulin action mechanism involved in this modulation. Our studies reveal that pinealectomy causes a condition of obesity-free insulin resistance. The maximum uptake of 2-deoxi-glucose prompted by insulin in isolated adipocytes is diminished, without however changing the insulin capacity to bind to its receptor, and to stimulate the phosphorilation of intracellular substrates represented by pp 185. Conversely, in several insulin-sensitive tissues, our studies detected a decrease in the amount of glucose transporter protein GLUT4, and a decrease in GLUT4 mRNA in only some of these tissues, suggesting a tissue-specific regulation. Additionally, it was demonstrated that the pineal gland regulation influences carbohydrate metabolism through melatonin, by our demonstration that the hormone increased insulin sensitivity of isolated adipocytes, and that melatonin replacement therapy restored the amount of GLUT4 in white adipose tissue. In summary, the studies reported here evidence an important role played by the pineal gland in the modulation of carbohydrate homeostasis. This regulation seems to be melatonin-dependent and can be described, so far, as an increase in tissue sensitivity to insulin, which involves changes in GLUT4 gene expression.

  4. Regulation of the diurnal cycle in activity of serotonin acetyltransferase in the chick pineal gland.

    Science.gov (United States)

    Wainwright, S D; Wainwright, L K

    1978-07-01

    When chick pineal glands were explanted into organ culture at midlight phase of a diurnal cycle of illumination and incubated in the dark, they developed marked increases in serotonin acetyltransferase (acetyl coA:arylamine N-acetyltransferase; EC 2.3.1.5) activity. Either this increase in activity was inhibited or its onset was retarded in glands incubated under constant illumination. Supplements of theophylline, isobutylmethylxanthine, quinidine, and compound Ro 20-1724 (4-(3-butoxyl-4-methoxybenzyl)-2-imidazolidinone) elicited very marked increases in serotonin acetyltransferase activity in glands cultured in the dark. Levels of activity attained after 6 h in culture approached or exceeded the maximum levels attained at middark phase of the diurnal cycle in vivo. Effects of theophylline and compound Ro 20-1724 were additive. Supplements of dibutryl cAMP had little or no effect upon levels of serotonin acetyltransferase activity when tested alone or in combination with theophylline but further enhanced the increase in the level of enzyme activity elicited by Ro 20-1724. Adenosine and cAMP had little or no effect upon levels of serotonin acetyltransferase activity. It is concluded that levels of serotonin acetyltransferase activity in the chick pineal gland are regulated by a repressive, negative-control mechanism, which probably involves a membranous adenosine receptor. PMID:210906

  5. Tumor hypoxia at the micro-regional level: clinical relevance and predictive value of exogenous and endogenous hypoxic cell markers

    International Nuclear Information System (INIS)

    Background and purpose: Tumor oxygenation is recognized as an important determinant of the outcome of radiotherapy and possibly also of other treatment modalities in a number of tumor types and in particular in squamous cell carcinomas. The hypoxic status of various solid tumors has been related to a poor prognosis due to tumor progression towards a more malignant phenotype, with increased metastatic potential, and an increased resistance to treatment. It has been demonstrated in head and neck cancer that hypoxic radioresistance can be successfully counteracted by hypoxia modifying approaches. The microregional distribution and the level of tumor hypoxia depend on oxygen consumption and temporal and spatial variations in blood supply. It is unclear if severely hypoxic cells can resume clonogenicity when O2 and nutrients become available again as a result of (treatment related) changes in the tumor microenvironment. Non-terminally differentiated hypoxic cells that are capable of proliferation are important for outcome because of their resistance to radiotherapy and possibly other cytotoxic treatments. Various exogenous and endogenous markers for hypoxia are currently available and can be studied in relation to each other, the tumor architecture and the tumor microenvironment. Use of nitroimidazole markers with immunohistochemical detection allows studying tumor cell hypoxia at the microscopic level. Co-registration with other microenvironmental parameters, such as vascular architecture (vascular density), blood perfusion, tumor cell proliferation and apoptosis, offers the possibility to obtain a comprehensive functional image of tumor patho-physiology and to study the effects of different modalities of cancer treatment. Conclusion: A number of functional microregional parameters have emerged that are good candidates for future use as indicators of tumor aggressiveness and treatment response. The key question is whether these parameters can be used as tools for selection of treatment strategies for individual patients. This requires testing of these markers in prospective randomized clinical trials comparing standard treatment against experimental treatments targeting the relevant microregional constituent

  6. The 5?-untranslated region of the mouse mammary tumor virus mRNA exhibits cap-independent translation initiation

    Science.gov (United States)

    Vallejos, Maricarmen; Ramdohr, Pablo; Valiente-Echeverría, Fernando; Tapia, Karla; Rodriguez, Felipe E.; Lowy, Fernando; Huidobro-Toro, J. Pablo; Dangerfield, John A.; López-Lastra, Marcelo

    2010-01-01

    In this study, we demonstrate the identification of an internal ribosome entry site (IRES) within the 5?-untranslated region (5?-UTR) of the mouse mammary tumor virus (MMTV). The 5?-UTR of the full-length mRNA derived from the infectious, complete MMTV genome was cloned into a dual luciferase reporter construct containing an upstream Renilla luciferase gene (RLuc) and a downstream firefly luciferase gene (FLuc). In rabbit reticulocyte lysate, the MMTV 5?-UTR was capable of driving translation of the second cistron. In vitro translational activity from the MMTV 5?-UTR was resistant to the addition of m7GpppG cap-analog and cleavage of eIF4G by foot-and-mouth disease virus (FMDV) L-protease. IRES activity was also demonstrated in the Xenopus laevis oocyte by micro-injection of capped and polyadenylated bicistronic RNAs harboring the MMTV-5?-UTR. Finally, transfection assays showed that the MMTV-IRES exhibits cell type-dependent translational activity, suggesting a requirement for as yet unidentified cellular factors for its optimal function. PMID:19889724

  7. KDM4A lysine demethylase induces site-specific copy gain and rereplication of regions amplified in tumors.

    Science.gov (United States)

    Black, Joshua C; Manning, Amity L; Van Rechem, Capucine; Kim, Jaegil; Ladd, Brendon; Cho, Juok; Pineda, Cristiana M; Murphy, Nancy; Daniels, Danette L; Montagna, Cristina; Lewis, Peter W; Glass, Kimberly; Allis, C David; Dyson, Nicholas J; Getz, Gad; Whetstine, Johnathan R

    2013-08-01

    Acquired chromosomal instability and copy number alterations are hallmarks of cancer. Enzymes capable of promoting site-specific copy number changes have yet to be identified. Here, we demonstrate that H3K9/36me3 lysine demethylase KDM4A/JMJD2A overexpression leads to localized copy gain of 1q12, 1q21, and Xq13.1 without global chromosome instability. KDM4A-amplified tumors have increased copy gains for these same regions. 1q12h copy gain occurs within a single cell cycle, requires S phase, and is not stable but is regenerated each cell division. Sites with increased copy number are rereplicated and have increased KDM4A, MCM, and DNA polymerase occupancy. Suv39h1/KMT1A or HP1? overexpression suppresses the copy gain, whereas H3K9/K36 methylation interference promotes gain. Our results demonstrate that overexpression of a chromatin modifier results in site-specific copy gains. This begins to establish how copy number changes could originate during tumorigenesis and demonstrates that transient overexpression of specific chromatin modulators could promote these events. PMID:23871696

  8. Clock mRNA expression patterns in the chick pineal gland under experimental jet lag

    Directory of Open Access Journals (Sweden)

    Gergely Bódis

    2010-08-01

    Full Text Available Circadian biological clocks help organisms to anticipate changes in the environment occuring on a regular 24-hour rhythmic basis. If the daily pattern of environmental exposure such as light/dark periodicity becomes unusual (e.g. jet lag, it may perturb many physiological processes by resetting the circadian clock. Shift-workers have a higher risk for metabolic syndrome, a condition which developes also in clock -/- mice. To collect data on the transcriptional changes of clock gene under unusual light/dark conditions, we examined the 24h mRNA expression patterns of clock in the chicken pineal model exposed acutely to reversed light/dark conditions. White Leghorn chickens were kept under 14h light/10h dark control environment (lights on at 6:00. In our in vivo experiments, chickens were placed under reversed light/dark conditions (lights on at 20:00, where pineal glands were collected every 4 hours (n=3. We carried out in vitro experiments in our perifusion system: chicken pineal glands were placed in 6 chambers (n=3 glands/chamber, which were then collected every 4 hours beginning at 18:00 next day. For mRNA measurements, we optimized a semiquantitative RT-PCR method. Under control LD conditions, clock expression peaked at 2:00 in vivo and at 22:00 in vitro. Compared to control, under in vivo reversed light/dark conditions, we measured between 22:00 and 6:00 higher mRNA contents in the first cycle, but lower in the second cycle. Under in vitro reversed light/dark conditions, we detected between 10:00 and 14:00 higher mRNA contents if compared to control data. Night-time peaks of clock mRNA amounts in the control group suggest a darkness-related activation of the clock gene. This is supported by our data collected under reversed light/dark conditions: in vivo the nighttime activation is diminished under illumination, and in vitro a daytime activation is seen under darkness. We have found differences in the 24h mRNA patterns between the first and the second reversed cycles in vivo, but also between in vivo and in vitro data. Both suggest that unexpected night-time illumination may rapidly reset the regulation of clock transcription via neurohumoral signals and signalling pathways which may be different from those working under normal, entrained conditions.

  9. Pineal melatonin level disruption in humans due to electromagnetic fields and ICNIRP limits

    International Nuclear Information System (INIS)

    The International Agency for Research on Cancer (IARC) classifies electromagnetic fields (EMFs) as 'possibly carcinogenic' to humans that might transform normal cells into cancer cells. Owing to high utilisation of electricity in day-to-day life, exposure to power-frequency (50 or 60 Hz) EMFs is unavoidable. Melatonin is a natural hormone produced by pineal gland activity in the brain that regulates the body's sleep-wake cycle. How man-made EMFs may influence the pineal gland is still unsolved. The pineal gland is likely to sense EMFs as light but, as a consequence, may decrease the melatonin production. In this study, more than one hundred experimental data of human and animal studies of changes in melatonin levels due to power-frequency electric and magnetic fields exposure were analysed. Then, the results of this study were compared with the International Committee of Non-Ionizing Radiation Protection (ICNIRP) limit and also with the existing experimental results in the literature for the biological effect of magnetic fields, in order to quantify the effects. The results show that this comparison does not seem to be consistent despite the fact that it offers an advantage of drawing attention to the importance of the exposure limits to weak EMFs. In addition to those inconsistent results, the following were also observed from this work: (i) the ICNIRP recommendations are meant for the well-known acute effects, because effects of the exposure duration cannot be considered and (ii) the significance of not replicating the existing experimental studies is another limitation in the power-frequency EMFs. Regardless of these issues, the above observation agrees with our earlier study in which it was confirmed that it is not a reliable method to characterise biological effects by observing only the ratio of AC magnetic field strength to frequency. This is because exposure duration does not include the ICNIRP limit. Furthermore, the results show the significance of disruption of melatonin due to exposure to weak EMFs, which may possibly lead to long-term health effects in humans. (author)

  10. Pineal melatonin level disruption in humans due to electromagnetic fields and ICNIRP limits.

    Science.gov (United States)

    Halgamuge, Malka N

    2013-05-01

    The International Agency for Research on Cancer (IARC) classifies electromagnetic fields (EMFs) as 'possibly carcinogenic' to humans that might transform normal cells into cancer cells. Owing to high utilisation of electricity in day-to-day life, exposure to power-frequency (50 or 60 Hz) EMFs is unavoidable. Melatonin is a natural hormone produced by pineal gland activity in the brain that regulates the body's sleep-wake cycle. How man-made EMFs may influence the pineal gland is still unsolved. The pineal gland is likely to sense EMFs as light but, as a consequence, may decrease the melatonin production. In this study, more than one hundred experimental data of human and animal studies of changes in melatonin levels due to power-frequency electric and magnetic fields exposure were analysed. Then, the results of this study were compared with the International Committee of Non-Ionizing Radiation Protection (ICNIRP) limit and also with the existing experimental results in the literature for the biological effect of magnetic fields, in order to quantify the effects. The results show that this comparison does not seem to be consistent despite the fact that it offers an advantage of drawing attention to the importance of the exposure limits to weak EMFs. In addition to those inconsistent results, the following were also observedfrom this work: (i) the ICNIRP recommendations are meant for the well-known acute effects, because effects of the exposure duration cannot be considered and (ii) the significance of not replicating the existing experimental studies is another limitation in the power-frequency EMFs. Regardless of these issues, the above observation agrees with our earlier study in which it was confirmed that it is not a reliable method to characterise biological effects by observing only the ratio of AC magnetic field strength to frequency. This is because exposure duration does not include the ICNIRP limit. Furthermore, the results show the significance of disruption of melatonin due to exposure to weak EMFs, which may possibly lead to long-term health effects in humans. PMID:23051584

  11. Peripheral epithelial odontogenic tumor

    International Nuclear Information System (INIS)

    A new case of peripheral epithelial odontogenic tumor (Pindborg tumor) is reported. It is localized in the superior right gingival region, a less frequent site, and has the histopathological features previously reported. Immunochemical studies were performed, revealing a differential positive stain to cytokeratins in tumor cells deeply seated in the tumor mass, probably related to tumoral cell heterogeneity.Interestingly, in this particular case S-100 protein positive reactivity was also detected in arborescent cells intermingled with tumoral cells, resembling Langerhans cells. Even though referred in the literature in central Pindborg tumors, no references were found about their presence in peripheral tumors, like the one that is presented here

  12. Genetic analysis of tumorigenesis: a conserved region in the human and Chinese hamster genomes contains genetically identified tumor-suppressor genes

    International Nuclear Information System (INIS)

    Regional chromosome homologies were found in a comparison of human 11p with Chinese hamster 3p. By use of probes that recognize six genes of human 11p (INS, CAT, HBBC, CALC, PTH, and HRAS), the corresponding genes were localized by in situ hybridization on Chinese hamster chromosome 3. INS and CAT were located close to the centromere on 3p, whereas HBBC, CALC, and PTH were at 3q3-4 and HRAS at 3q4. Extensive prior data from chromosome studies of tumorigenic and tumor-derived Chinese hamster cells have suggested the presence of a tumor-suppressor gene on 3p. Two tumor-suppressor genes have been described on human 11p, one linked to CAT and one to INS. The present study raises the possibility that the Chinese hamster suppressor may be closely linked to INS or CAT

  13. Clinical usefulness of color Doppler imaging in the management of the neck region vessels in patients with intraocular tumors - preliminary report

    International Nuclear Information System (INIS)

    The purpose of the study was to assess the clinical usefulness of color Doppler ultrasonography (CDU) examinations of the neck vessels in patients with intraocular tumors as well as to establish whether the changes in these vessels had an influence on further ophthalmologic procedures. Clinical ophthalmological examinations such as visual acuity, anterior segment and ocular fundus, as well as color Doppler ultrasonography of the bulbar and neck region vessels were performed on 38 patients, aged 44-70 years with eyeball tumors. Localization, size, vascularization of the intrabulbar tumors and big vessels of the neck region were analyzed. In 28 patients, choroidal melanoma was identified, and the vascularity of tumor mass was monitored in 10 patients after brachytherapy. Compression or infiltration of jugular veins or carotid artery were not observed. Severe internal carotid artery stenosis due to arteriosclerosis was detected in 5 patients, but no one was suggested to be operated on first in Vascular Surgery Department. Color Doppler ultrasonography should be the first choice technique in the neck vessels and intrabulbar tumors imaging. Visualization of the mass lesions vascularity and the evaluation of amplitude of blood flow velocity allows to monitor the effectiveness of their therapy. It was found that this technique is useful in deciding upon the method of treatment in patients should be the first choice technique in the neck vessels and intrabulbar tumors imaging. Visualization of the mass lesions vascularity and the evaluation of amplitude of blood flow velocity allows to monitor the effectiveness of their therapy. It was found that this technique is useful in deciding upon the method of treatment in patients with coexisting arteriosclerosis. (author)

  14. General Information about Extragonadal Germ Cell Tumors

    Science.gov (United States)

    ... the pineal gland in the brain, in the mediastinum (area between the lungs ), or in the retroperitoneum ( ... includes the pineal gland in the brain, the mediastinum (area between the lungs), and retroperitoneum (the back ...

  15. Treatment Option Overview (Extragonadal Germ Cell Tumors)

    Science.gov (United States)

    ... the pineal gland in the brain, in the mediastinum (area between the lungs ), or in the retroperitoneum ( ... includes the pineal gland in the brain, the mediastinum (area between the lungs), and retroperitoneum (the back ...

  16. Concurrence of Malignant Peripheral Nerve Sheath Tumor at the Site of Complex Regional Pain Syndrome Type 1 - A Case Report -

    OpenAIRE

    Jeong, Yeong Ho; Choi, Eun Joo; Nahm, Francis Sahngun

    2013-01-01

    Malignant peripheral nerve sheath tumors (MPNSTs) are very rare sarcomas derived from various cells in the peripheral nerve sheath. Malignant peripheral nerve sheath tumors have a known association with neurofibromatosis type 1. Diagnosis of MPNSTs is difficult in patients with chronic pain, when MPNST occurs at an overlapping area of chronic pain. Therefore, the diagnosis can be missed unless clinicians pay attention to the possibility of this disease. Here in, we report a case of concurrent...

  17. Influence of the pineal gland on the physiology, morphometry and morphology of pancreatic islets in rats A influência da glândula pineal na fisiologia, morfometria e morfologia das ilhotas pancreáticas em ratos

    OpenAIRE

    L. M. B. de LIMA; L. C. dos REIS; M. A. de LIMA

    2001-01-01

    To investigate the influence of the pineal gland through melatonin secretion on the physiological and morphological parameters of pancreatic islets, we studied the plasma biochemistry and morphological and morphometric characteristics of the endocrine pancreas of male Wistar rats. The animals were distributed into five groups of ten rats each: NC - normal control group; NS - sham-operated group; Px (25) - pinealectomised group, studied 15-25 days after surgery; Px (70) - pinealectomised group...

  18. Fluorine-18-labeled boronophenylalanine positron emission tomography for oral cancers: Qualitative and quantitative analyses of malignant tumors and normal structures in oral and maxillofacial regions

    OpenAIRE

    ARIYOSHI, YASUNORI; Shimahara, Masashi; KIMURA, YOSHIHIRO; Ito, Yuichi; SHIMAHARA, TAKESHI; MIYATAKE, SHIN-ICHI; Kawabata, Shinji

    2011-01-01

    The present study aimed to demonstrate the features of fluorine-18-labeled boronophenylalanine positron emission tomography (18F-BPA-PET) to reveal oral cancer, as well as normal structures in the oral and maxillofacial regions. We analyzed 18F-BPA-PET findings from 8 patients with histologically confirmed recurrent and/or advanced oral cancer scheduled for boron neutron capture therapy. The capacity of 18F-BPA-PET to delineate tumor and normal structures was assessed qualitatively and quanti...

  19. ESR1 gene promoter region methylation in free circulating DNA and its correlation with estrogen receptor protein expression in tumor tissue in breast cancer patients

    International Nuclear Information System (INIS)

    Tumor expression of estrogen receptor (ER) is an important marker of prognosis, and is predictive of response to endocrine therapy in breast cancer. Several studies have observed that epigenetic events, such methylation of cytosines and deacetylation of histones, are involved in the complex mechanisms that regulate promoter transcription. However, the exact interplay of these factors in transcription activity is not well understood. In this study, we explored the relationship between ER expression status in tumor tissue samples and the methylation of the 5? CpG promoter region of the estrogen receptor gene (ESR1) isolated from free circulating DNA (fcDNA) in plasma samples from breast cancer patients. Patients (n = 110) with non-metastatic breast cancer had analyses performed of ER expression (luminal phenotype in tumor tissue, by immunohistochemistry method), and the ESR1-DNA methylation status (fcDNA in plasma, by quantitative methylation specific PCR technique). Our results showed a significant association between presence of methylated ESR1 in patients with breast cancer and ER negative status in the tumor tissue (p = 0.0179). There was a trend towards a higher probability of ESR1-methylation in those phenotypes with poor prognosis i.e. 80% of triple negative patients, 60% of HER2 patients, compared to 28% and 5.9% of patients with better prognosis such as luminal A and luminal B, respectively. Silencing, by methylation, of the promoter region of the ESR1 affects the expression of the estrogen receptor protein in tumors of breast cancer patients; high methylation of ESR1-DNA is associated with estrogen receptor negative status which, in turn, may be implicated in the patient’s resistance to hormonal treatment in breast cancer. As such, epigenetic markers in plasma may be of interest as new targets for anticancer therapy, especially with respect to endocrine treatment

  20. Embryonic development of the bovine pineal gland (Bos taurus) during prenatal life (30 to 135 days of gestation)

    OpenAIRE

    Regodón, S.; Roncero, V.

    2005-01-01

    The ontogenesis of the pineal gland of 30 bovine embryos (Bos taurus) has been analysed from 30 until 135 days of gestation by means of optical microscopy and immunohistochemical techniques. For this study, the specimens were grouped into three stages in accordance with the most relevant histological characteristics: Stage 1 (30 to 64 days of prenatal development); Stage 2 (70 to 90 days) and Stage 3 (106 to 135 days). In the cow, it is from 30 days of gestatio...

  1. Circadian rhythm in the pineal organ of the yellow-bellied toad, Bombina variegata (L.), under laboratory conditions.

    Science.gov (United States)

    Sura, P

    1992-01-01

    A circadian morphological rhythm of the pineal organ, as judged by changes in the nuclear volume of the photoreceptor cells, was found in sexually mature male Yellow-bellied toads (Bombina variegata) maintained continuously at 26 degrees C and on a 17L/7D illumination cycle. The greatest nuclear volume occurred at the photophase (16.00 h), and the lowest at the end of the scotophase (4.00 h). PMID:1306508

  2. In the Heat of the Night: Thermo-TRPV Channels in the Salmonid Pineal Photoreceptors and Modulation of Melatonin Secretion.

    Science.gov (United States)

    Nisembaum, Laura Gabriela; Besseau, Laurence; Paulin, Charles-Hubert; Charpantier, Alice; Martin, Patrick; Magnanou, Elodie; Fuentès, Michael; Delgado, Maria-Jesus; Falcón, Jack

    2015-12-01

    Photoperiod plays an essential role in the synchronization of metabolism, physiology, and behavior to the cyclic variations of the environment. In vertebrates, information is relayed by the pineal cells and translated into the nocturnal production of melatonin. The duration of this signal corresponds to the duration of the night. In fish, the pinealocytes are true photoreceptors in which the amplitude of the nocturnal surge is modulated by temperature in a species-dependent manner. Thus, the daily and annual variations in the amplitude and duration of the nocturnal melatonin signal provide information on daily and calendar time. Both light and temperature act on the activity of the penultimate enzyme in the melatonin biosynthesis pathway, the arylalkylamine N-acetyltransferase (serotonin ? N-acetylserotonin). Although the mechanisms of the light/dark regulation of melatonin secretion are quite well understood, those of temperature remain unelucidated. More generally, the mechanisms of thermoreception are unknown in ectotherms. Here we provide the first evidence that two thermotransient receptor potential (TRP) channels, TRPV1 and TRPV4, are expressed in the pineal photoreceptor cells of a teleost fish, in which they modulate melatonin secretion in vitro. The effects are temperature dependent, at least for TRPV1. Our data support the idea that the pineal of fish is involved in thermoregulation and that the pineal photoreceptors are also thermoreceptors. In other nervous and nonnervous tissues, TRPV1 and TRPV4 display a ubiquitous but quantitatively variable distribution. These results are a fundamental step in the elucidation of the mechanisms of temperature transduction in fish. PMID:26389691

  3. Accurate flow cytometric gating of the large lymphocyte region is a powerful screening method for detecting hairy cell leukemia presenting with a low tumor burden.

    Science.gov (United States)

    Yasuda, Hajime; Tsutsui, Miyuki; Tanaka, Masaru; Araki, Marito; Morishita, Soji; Sasaki, Makoto; Ohsaka, Akimichi; Komatsu, Norio

    2015-01-01

    Hairy cell leukemia typically presents with pancytopenia and often mimics aplastic anemia. Making an accurate diagnosis is crucial, as treatment with the purine analogues cladribine and pentostatin brings about durable complete remission in the majority of patients. Surface kappa and lambda flow cytometric analyses of peripheral blood or bone marrow are a powerful screening tool, although routine gating of the entire lymphocyte region may fail to show light chain restriction due to a low tumor burden. We herein demonstrate that accurate subgating of the large lymphocyte region is essential and recommend the application of this method in all cases of pancytopenia of unknown etiology. PMID:25986272

  4. SU-D-18A-01: Tumor Motion Tracking with a Regional Deformable Registration Model for Four Dimensional Radiation Treatment of Lung Cancer

    International Nuclear Information System (INIS)

    Purpose: To develop a tumor motion model from four-dimensional computed tomography (4DCT) of thoracic patients and demonstrate its impact on 4D radiation therapy simulation. Methods: A regional deformable image registration algorithm was introduced to extract tumor motion out of patient's breathing cycle. The gross target volume (GTV) was manually delineated on a selected phase of 4DCT and a subregion with 10mm margin supplemented to the GTV was created on the Eclipse treatment planning system (Varian Medical Systems, Palo Alto, CA). Together with 4DCT the structures were exported into an inhouse research platform. A free form B-Spline deformable registration was carried out to map the subregion to other respiratory phases. The displacement vector fields were employed to propagate GTV contours with which the center of mass (CoM) of the GTV was computed for each breathing phase of 4DCT. The resultant GTV motion and its volumetric shape are utilized to facilitate 4D treatment planning. Five lung cancer patients undergoing stereotactic body radiation therapy were enrolled and their 4DCT sets were included in the study. Results: Application of the algorithm to five thoracic patients indicates that clinically satisfactory outcomes were achievable with a spatial accuracy better than 2mm for GTV contour propagation between adjacent phases, and 3mm between opposite phases. The GTV CoM was found to be in the range of 2.0mm through 2.5cm, depending upon the tumor location. Compared to the traditional whole image based registration, the computation of the regional model was found to be an order of magnitude more efficient. Conclusion: A regional deformable registration model was implemented to extract tumor motion. It will have widespread application in 4D radiation treatment planning in the future to maximally utilize the available spatial-tempo information

  5. Development of a Center for Personalized Cancer Care at a Regional Cancer Center: Feasibility Trial of an Institutional Tumor Sequencing Advisory Board.

    Science.gov (United States)

    Lane, Brian R; Bissonnette, Jeffrey; Waldherr, Tracy; Ritz-Holland, Deborah; Chesla, Dave; Cottingham, Sandra L; Alberta, Sheryl; Liu, Cong; Thompson, Amanda B; Graveel, Carrie; MacKeigan, Jeffrey P; Noyes, Sabrina L; Smith, Judy; Lakhani, Nehal; Steensma, Matthew R

    2015-11-01

    Next-generation sequencing (NGS) capabilities can affect therapeutic decisions in patients with complex, advanced, or refractory cancer. We report the feasibility of a tumor sequencing advisory board at a regional cancer center. Specimens were analyzed for approximately 2800 mutations in 50 genes. Outcomes of interest included tumor sequencing advisory board function and processes, timely discussion of results, and proportion of reports having potentially actionable mutations. NGS results were successfully generated for 15 patients, with median time from tissue processing to reporting of 11.6 days (range, 5 to 21 days), and presented at a biweekly multidisciplinary tumor sequencing advisory board. Attendance averaged 19 participants (range, 12 to 24) at 20 days after patient enrollment (range, 10 to 30 days). Twenty-seven (range, 1 to 4 per patient) potentially actionable mutations were detected in 11 of 15 patients: TP53 (n = 6), KRAS (n = 4), MET (n = 3), APC (n = 3), CDKN2A (n = 2), PTEN (n = 2), PIK3CA, FLT3, NRAS, VHL, BRAF, SMAD4, and ATM. The Hotspot Panel is now offered as a clinically available test at our institution. NGS results can be obtained by in-house high-throughput sequencing and reviewed in a multidisciplinary tumor sequencing advisory board in a clinically relevant manner. The essential components of a center for personalized cancer care can support clinical decisions outside the university. PMID:26331835

  6. An agent-based model identifies MRI regions of probable tumor invasion in a patient with glioblastoma

    Energy Technology Data Exchange (ETDEWEB)

    Chen, L Leon; Deisboeck, Thomas S [Complex Biosystems Modeling Laboratory, Harvard-MIT (HST) Athinoula A Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA (United States); Ulmer, Stephan [Institute of Neuroradiology, University Hospital of Schleswig-Holstein, Schittenhelmstrasse 10, Kiel (Germany)], E-mail: DEISBOEC@helix.mgh.harvard.edu

    2010-01-21

    We present an application of a previously developed agent-based glioma model (Chen et al 2009 Biosystems 95 234-42) for predicting spatio-temporal tumor progression using a patient-specific MRI lattice derived from apparent diffusion coefficient (ADC) data. Agents representing collections of migrating glioma cells are initialized based upon voxels at the outer border of the tumor identified on T1-weighted (Gd+) MRI at an initial time point. These simulated migratory cells exhibit a specific biologically inspired spatial search paradigm, representing a weighting of the differential contribution from haptotactic permission and biomechanical resistance on the migration decision process. ADC data from 9 months after the initial tumor resection were used to select the best search paradigm for the simulation, which was initiated using data from 6 months after the initial operation. Using this search paradigm, 100 simulations were performed to derive a probabilistic map of tumor invasion locations. The simulation was able to successfully predict a recurrence in the dorsal/posterior aspect long before it was depicted on T1-weighted MRI, 18 months after the initial operation.

  7. Toward the gene(s) for Wiedemann-Beckwith syndrome and associated tumors in two different regions of 11p15

    Energy Technology Data Exchange (ETDEWEB)

    Henry, J.; Chehenase, V.; Boulevin, C. [INSERM, Paris (France)] [and others

    1994-09-01

    Wiedemann-Beckwith syndrome (WBS) is a malformation syndrome associated with predisposition to different types of tumors (WT, ADCC). Cytogenetic and familial studies mapped the WBS locus to 11p15.5. Genomic imprinting has been implicated in the expression of the syndrome. Using 11p15 specific markers we have determined the parental origin of both chromosomes 11 in sporadic WBS cases. Probands in 5 out of 26 informative families (25%) displayed uniparental disomy (UPD) corresponding to a paternal isodisomy for region 11p15.5. Mosaic phenotypes reflect the timing of their origin and the fate of cells involved as well as the cell-specific pattern of imprinting. Somatic mosaicism for UPD may thus explain the incomplete forms of WBS, the association of hemihypertrophy in sporadic WBS and even some cases of isolated hemihypertrophy. Moreover, the risk (60%) of developing a tumor seems higher for patients with paternal 11p UPD than for WBS patients in general (7.5%). Two different genomic libraries specific for region 11p15.5 were constructed and screened to isolate and characterize the gene(s) responsible for WBS and/or tumor progression. The characterization and and the localization of these cDNAs are in progress. 5 CA repeats genetically mapped in 11p15 were used to isolate YACs (CEPH). These CA repeats are now physically mapped using a panel of hybrids specific for the 11p15 region, and the contigs of YACs mapping in the regions of interest will be used to isolate coding sequences.

  8. Evaluación del olfato en pacientes con patología tumoral en la región selar, intervenidos mediante abordaje endoscópico transesfenoidal transnasal / Assessment of smell in patients with tumor pathology in the sellar region, operated by transnasal transsphenoidal endoscopic approach

    Scientific Electronic Library Online (English)

    Nadia Karin, Vega A; Katherine, Walker J; J. Paul, Boettiger B.

    2013-08-01

    Full Text Available Introducción: Para acceder a la región selar, podemos utilizar las técnicas transcraneal, transeptal, o transnasal endoscópica, pudiendo provocar diferentes grados de hiposmia. Se ha descrito menor morbilidad al utilizar la técnica endoscópica, pero faltan estudios dirigidos a los resultados olfator [...] ios. Objetivo: Determinar la presencia de deterioro olfatorio en los pacientes sometidos a un abordaje transnasal endoscópico. Material y método: Se reclutaron 12 pacientes con tumores en la región selar durante 8 meses. Se les realizó un test de olfato preoperatorio, fueron intervenidos mediante abordaje transnasal endoscópico y controlados al mes posoperatorio. Resultados: Se logró seguimiento a 10 pacientes. Seis (60%) presentaron un test de olfato preoperatorio normal. Al mes posoperatorio, se constató mejoría olfatoria en 1 (10%) paciente, 8 (80%) se mantuvieron en la misma categoría y 1 (10%) presentó deterioro olfatorio. En suma, 9 de 10 pacientes (90%) mantienen o mejoran su olfato al mes posoperatorio. Conclusión: Nuestros resultados sugieren que el abordaje transnasal endoscópico utilizado en este estudio no produce deterioro olfatorio. Dado que además es una técnica de abordaje efectiva y relativamente segura, consideramos que constituye una alternativa factible para utilizar en pacientes con patología tumoral en la región selar. Abstract in english Introduction: To access the sellar region we can use the transcranial, transeptal, or transnasal endoscopic approaches, which may cause different degrees of hyposmia. It has described less morbidity to use the endocopic technique, however, there are few studies directed at olfactory outcomes. Aim: T [...] o determine the presence of olfactory impairment secondary to endoscopic transnasal approach. Material and method: 12 patients with tumors in the sellar region were enrolled during 8 months. They were underwent a smell test preoperatively, operated by endoscopic transnasal approach, and controlled with postoperative retesting, after one month. Results: Follow-up was achieved to 10 patients. 6 (60%) presented a normal preoperative smell test. Within one postoperative month, olfactory improvement was found in 1 (10%) patient, 8 (80%) remained in the same category and 1 (10%) had olfactory impairment. In all, 9 out of 10 patients (90%) maintain or improve their sense of smell after surgery. Conclusions: Our results suggest that the transnasal endoscopic approach used in this study, doesn't produce olfactory impairment. Given that is also an effective and relatively safe approach, we believe that is a feasible alternative for use in patients with tumor pathology in the sellar region.

  9. Case report of a metachronous multiple tumor: Mantle cell lymphoma in the orbital region associated with epithelial malignancies at other sites

    Directory of Open Access Journals (Sweden)

    Juliana S. F. Medrado

    2014-01-01

    Full Text Available Here we report the case of a 73-year-old man who was diagnosed with metachronous, multiple primary tumors with non-Hodgkin B-cell mantle cell lymphoma involving the orbit on the basis of biopsy and immunohistochemistry in 2012. The patient had been diagnosed with non-Hodgkin small cell lymphoma and basal cell skin carcinoma in 2010 and intestinal adenocarcinoma with metastasis to the regional lymph nodes in 2011, thus representing a typical case of metachronous, multiple primary tumors. Mantle cell lymphoma is a rare disease and its prognosis is quite poor, particularly when it is associated with other metachronous malignancies. Therefore, physicians should consider mantle cell lymphoma as a differential diagnosis for neoplasms of the orbit.

  10. RECOGNITION OF N-ACETYLGLUCOSAMINE (GLyNAc) AND POLY-N-ACETYLLACTOSAMINE RESIDUES IN VESSELS OF THE RAT PINEAL GLAND / RECONOCIMIENTO DE RESIDUOS DE N-ACETILGLUCOSAMINA (GLyNAc) Y POLI-N-ACETILLACTOSAMINA EN VASOS DE LA GLÁNDULA PINEAL DE RATAS

    Scientific Electronic Library Online (English)

    Mildred, Ferreira-Medeiros; Elenice, Correa-Gillieron.

    2004-12-01

    Full Text Available Las lectinas son proteínas que contienen áreas singulares para el reconocimiento de secuencias de azúcares en los glicoconjugados. La lecitina del tomate Lycopersicon esculentum (LEL) es capaz de reconocer específicamente los residuos de N-acetil-glucosamina (Gly-Nac) y poli-N-acetil-lactosamina. Ut [...] ilizamos la técnica histoquímica para LEL conjugada a la biotina con el propósito de investigar en la glándula pineal de ratones adultos y durante el desarrollo, las estructuras morfológicas capaces de unirse a esta lecitina. Nuestros resultados experimentales mostraron un material de coloración por la LEL, solamente en la superficie de las células endoteliales de todos los vasos sanguíneos y en todas las regiones de la glándula. La excepción ocurrió en los ratones con un día pos-natal (PN1), donde solamente los vasos de la región más periférica de la glándula presentaban coloración marrón amarillenta por la LEL, pero ninguno presentaba esta coloración en la región más central de la glándula. La reacción apareció especialmente en el espacio interno de las pseudo-rosetas, demostrando así que este espacio está, seguramente, representado por un vaso Abstract in english Lectins are proteins with binding sites that recognize a specific sequence of sugar moieties in complex glycoconjugates. In the present study the tomato lectin ­ Lycopersicon esculentum (LEL) (a selective microglial and endothelial marker) has been reported to recognize specific residues of N-acetyl [...] glucosamine (GlyNAc) and poly-N-acetyllactosamine. In the pineal gland the biotinylated LEL was used to investigate the appearance of these sugar residues in the structures of the rats during their development and adult life. Our results showed that the binding of LEL occurred exclusively in the material adherents on surface of the endothelia of the vessels in the peripheral and central regions of the gland. An exception can be cited to rats in first postnatal day where the vessels in the central region did not display the LEL-reaction. In all animals studied and, from 3- postnatal day onwards the LEL-reactions could be observed within the central space of pseudo-rosettes also characterizing this space as a vessel

  11. RECOGNITION OF N-ACETYLGLUCOSAMINE (GLyNAc AND POLY-N-ACETYLLACTOSAMINE RESIDUES IN VESSELS OF THE RAT PINEAL GLAND RECONOCIMIENTO DE RESIDUOS DE N-ACETILGLUCOSAMINA (GLyNAc Y POLI-N-ACETILLACTOSAMINA EN VASOS DE LA GLÁNDULA PINEAL DE RATAS

    Directory of Open Access Journals (Sweden)

    Mildred Ferreira-Medeiros

    2004-12-01

    Full Text Available Lectins are proteins with binding sites that recognize a specific sequence of sugar moieties in complex glycoconjugates. In the present study the tomato lectin ­ Lycopersicon esculentum (LEL (a selective microglial and endothelial marker has been reported to recognize specific residues of N-acetylglucosamine (GlyNAc and poly-N-acetyllactosamine. In the pineal gland the biotinylated LEL was used to investigate the appearance of these sugar residues in the structures of the rats during their development and adult life. Our results showed that the binding of LEL occurred exclusively in the material adherents on surface of the endothelia of the vessels in the peripheral and central regions of the gland. An exception can be cited to rats in first postnatal day where the vessels in the central region did not display the LEL-reaction. In all animals studied and, from 3- postnatal day onwards the LEL-reactions could be observed within the central space of pseudo-rosettes also characterizing this space as a vesselLas lectinas son proteínas que contienen áreas singulares para el reconocimiento de secuencias de azúcares en los glicoconjugados. La lecitina del tomate Lycopersicon esculentum (LEL es capaz de reconocer específicamente los residuos de N-acetil-glucosamina (Gly-Nac y poli-N-acetil-lactosamina. Utilizamos la técnica histoquímica para LEL conjugada a la biotina con el propósito de investigar en la glándula pineal de ratones adultos y durante el desarrollo, las estructuras morfológicas capaces de unirse a esta lecitina. Nuestros resultados experimentales mostraron un material de coloración por la LEL, solamente en la superficie de las células endoteliales de todos los vasos sanguíneos y en todas las regiones de la glándula. La excepción ocurrió en los ratones con un día pos-natal (PN1, donde solamente los vasos de la región más periférica de la glándula presentaban coloración marrón amarillenta por la LEL, pero ninguno presentaba esta coloración en la región más central de la glándula. La reacción apareció especialmente en el espacio interno de las pseudo-rosetas, demostrando así que este espacio está, seguramente, representado por un vaso

  12. CSF generation by pineal gland results in a robust melatonin circadian rhythm in the third ventricle as an unique light/dark signal.

    Science.gov (United States)

    Tan, Dun-Xian; Manchester, Lucien C; Reiter, Russel J

    2016-01-01

    Pineal gland is an important organ for the regulation of the bio-clock in all vertebrate species. Its major secretory product is melatonin which is considered as the chemical expression of darkness due to its circadian peak exclusively at night. Pineal melatonin can be either released into the blood stream or directly enter into the CSF of the third ventricle via the pineal recess. We have hypothesized that rather than the peripheral circulatory melatonin circadian rhythm serving as the light/dark signal, it is the melatonin rhythm in CSF of the third ventricle that serves this purpose. This is due to the fact that melatonin circadian rhythm in the CSF is more robust in terms of its extremely high concentration and its precise on/off peaks. Thus, extrapineal-generated melatonin or diet-derived melatonin which enters blood would not interfere with the bio-clock function of vertebrates. In addition, based on the relationship of the pineal gland to the CSF and the vascular structure of this gland, we also hypothesize that pineal gland is an essential player for CSF production. We feel it participates in both the formation and reabsorption of CSF. The mechanisms associated with these processes are reviewed and discussed in this brief review. PMID:26804589

  13. Radiation therapy for intracranial germ cell tumors. Predictive value of tumor response as evaluated by computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Ogawa, Kazuhiko; Toita, Takafumi; Kakinohana, Yasumasa; Yamaguchi, Keiichiro; Miyagi, Koichi; Kinjo, Toshihiko; Yamashiro, Katsumi; Sawada, Satoshi [Ryukyu Univ., Nishihara, Okinawa (Japan). School of Medicine

    1997-07-01

    This retrospective study analyzed the outcome in patients with intracranial germ-cell tumors to determine whether tumor response during radiation therapy can predict achievement of primary local with radiation therapy alone. Between 1983 and 1993, 22 patients with untreated primary intracranial germ cell tumors received a total whole brain radiation dose of between 18 Gy and 45 Gy (mean 31.3 Gy) with or without a localized field of 10 to 36.4 Gy (mean, 22.4 Gy), or local irradiation only (1 patient). In 10 patients with pineal tumor only, who were treated first with radiation therapy, tumor response to radiation therapy was evaluated using computed tomography (CT) (at baseline, and approximately 20 Gy and 50 Gy). Areas of calcification in the tumor were subtracted from total tumor volume. Follow-up time ranged from 2 to 12 years. Five-year actuarial survival rates for patients with germinoma were 71%, 100% for patients with a teratoma component, and 100% for patients without histologic verification. Patients with germinomas or tumors suspected of being germinomas who were given more than 50 Gy had no local relapse. There was no correlation between primary local control by radiation therapy alone and initial tumor volume. The rate of tumor volume response to irradiation assessed by CT was significantly different in those patients who relapsed compared to those who did not relapse. Tumor response during radiation therapy using CT was considered to be predictive of primary local control with radiation therapy alone. (author)

  14. Magnetic resonance-guided regional gene delivery strategy using a tumor stroma-permeable nanocarrier for pancreatic cancer

    Directory of Open Access Journals (Sweden)

    Wang Q

    2015-07-01

    Full Text Available Qingbing Wang,1,2 Jianfeng Li,3 Sai An,3 Yi Chen,1 Chen Jiang,3 Xiaolin Wang1,2 1Department of Interventional Radiology, Zhongshan Hospital, Fudan University, 2Shanghai Institute of Medical Imaging, 3Key Laboratory of Smart Drug Delivery, Ministry of Education, Department of Pharmaceutics, School of Pharmacy, Fudan University, Shanghai, People’s Republic of China Background: Gene therapy is a very promising technology for treatment of pancreatic ductal adenocarcinoma (PDAC. However, its application has been limited by the abundant stromal response in the tumor microenvironment. The aim of this study was to prepare a dendrimer-based gene-free loading vector with high permeability in the tumor stroma and explore an imaging-guided local gene delivery strategy for PDAC to promote the efficiency of targeted gene delivery.Methods: The experimental protocol was approved by the animal ethics committee of Zhongshan Hospital, Fudan University. Third-generation dendrigraft poly-L-lysines was selected as the nanocarrier scaffold, which was modified by cell-penetrating peptides and gadolinium (Gd chelates. DNA plasmids were loaded with these nanocarriers via electrostatic interaction. The cellular uptake and loaded gene expression were examined in MIA PaCa-2 cell lines in vitro. Permeability of the nanoparticles in the tumor stroma and transfected gene distribution in vivo were studied using a magnetic resonance imaging-guided delivery strategy in an orthotopic nude mouse model of PDAC.Results: The nanocarriers were synthesized with a dendrigraft poly-L-lysine to polyethylene glycol to DTPA ratio of 1:3.4:8.3 and a mean diameter of 110.9±7.7 nm. The luciferases were strictly expressed in the tumor, and the luminescence intensity in mice treated by Gd-DPT/plasmid luciferase (1.04×104±9.75×102 p/s/cm2/sr was significantly (P<0.05 higher than in those treated with Gd-DTPA (9.56×102±6.15×10 p/s/cm2/sr and Gd-DP (5.75×103± 7.45×102 p/s/cm2/sr. Permeability of the nanoparticles modified by cell-penetrating peptides was superior to that of the unmodified counterpart, demonstrating the improved capability of nanoparticles for diffusion in tumor stroma on magnetic resonance imaging.Conclusion: This study demonstrated that an image-guided gene delivery system with a stroma-permeable gene vector could be a potential clinically translatable gene therapy strategy for PDAC. Keywords: molecular imaging, magnetic resonance imaging, interventional, pancreatic cancer, genetic therapy, cell-penetrating peptides

  15. Constitutive activity of the tumor necrosis factor promoter is canceled by the 3' untranslated region in nonmacrophage cell lines; a trans-dominant factor overcomes this suppressive effect.

    OpenAIRE

    Kruys, V; Kemmer, K; Shakhov, A.; Jongeneel, V; Beutler, B.

    1992-01-01

    The role of the mouse tumor necrosis factor (TNF) promoter, 5' untranslated region (UTR), and 3' UTR in TNF gene expression has been examined in three nonmacrophage cell lines (HeLa, NIH 3T3, and L-929). The TNF promoter is not macrophage-specific. On the contrary, it constitutively drives reporter gene expression in all three cell lines. Not only the full-length promoter but also truncated versions of the promoter, lacking NF-kappa B binding motifs, are active in each type of cell. The TNF 3...

  16. Tumor Lymphangiogenesis

    Science.gov (United States)

    Dadras, Soheil S.; Paul, Thomas; Bertoncini, Jennifer; Brown, Lawrence F.; Muzikansky, Alona; Jackson, David G.; Ellwanger, Ulf; Garbe, Claus; Mihm, Martin C.; Detmar, Michael

    2003-01-01

    Malignant melanomas of the skin are distinguished by their propensity for early metastatic spread via lymphatic vessels to regional lymph nodes, and lymph node metastasis is a major determinant for the staging and clinical management of melanoma. However, the importance of tumor-induced lymphangiogenesis for lymphatic melanoma spread has remained unclear. We investigated whether tumor lymphangiogenesis occurs in human malignant melanomas of the skin and whether the extent of tumor lymphangiogenesis may be related to the risk for lymph node metastasis and to patient survival, using double immunostains for the novel lymphatic endothelial marker LYVE-1 and for the panvascular marker CD31. Tumor samples were obtained from clinically and histologically closely matched cases of primary melanomas with early lymph node metastasis (n = 18) and from nonmetastatic melanomas (n = 19). Hot spots of proliferating intratumoral and peritumoral lymphatic vessels were detected in a large number of melanomas. The incidence of intratumoral lymphatics was significantly higher in metastatic melanomas and correlated with poor disease-free survival. Metastatic melanomas had significantly more and larger tumor-associated lymphatic vessels, and a relative lymphatic vessel area of >1.5% was significantly associated with poor disease-free and overall survival. In contrast, no differences in the density of tumor-associated blood vessels were found. Vascular endothelial growth factor and vascular endothelial growth factor-C expression was equally detected in a minority of cases in both groups. Our results reveal tumor lymphangiogenesis as a novel prognostic indicator for the risk of lymph node metastasis in cutaneous melanoma. PMID:12759251

  17. Characterization of the relations between morphology and physiological status of the pineal gland in connection with the somatic development level in turkeys reared in Romania

    Directory of Open Access Journals (Sweden)

    R. Laz?r

    2015-06-01

    Full Text Available This research started from the premises of the existence of some possible relationships between indole and pineal peptide hormones and the somatic development, with participation of hypothalamic-pituitary complex. Experimental factors, which were the subject of the present paper, influenced the dynamics of corporal mass and fodder consumption, leading to the occurrence of some important structural modifications at the level of pineal gland. The exposure of the individuals to continuous light (photic pinealectomy produces increases in corporal mass, showing the involvement of the pineal gland in neuro-endocrine-metabolic reactions, which contributes to the maintenance of homeostatic balance, including somatic ones. Biological material was represented by a number of 50 individuals belonging to B.U.T. Big 6 hybrid, reared on soil, on a permanent litter, which could assure the expanding of knowledge area regarding the relation between rearing technology, modulation of some microclimate parameters and growing performances. Were also realised cytometric and hystometric muscular determinations.

  18. In silico genome wide mining of conserved and novel miRNAs in the brain and pineal gland of Danio rerio using small RNA sequencing data.

    Science.gov (United States)

    Agarwal, Suyash; Nagpure, Naresh Sahebrao; Srivastava, Prachi; Kushwaha, Basdeo; Kumar, Ravindra; Pandey, Manmohan; Srivastava, Shreya

    2016-03-01

    MicroRNAs (miRNAs) are small, non-coding RNA molecules that bind to the mRNA of the target genes and regulate the expression of the gene at the post-transcriptional level. Zebrafish is an economically important freshwater fish species globally considered as a good predictive model for studying human diseases and development. The present study focused on uncovering known as well as novel miRNAs, target prediction of the novel miRNAs and the differential expression of the known miRNA using the small RNA sequencing data of the brain and pineal gland (dark and light treatments) obtained from NCBI SRA. A total of 165, 151 and 145 known zebrafish miRNAs were found in the brain, pineal gland (dark treatment) and pineal gland (light treatment), respectively. Chromosomes 4 and 5 of zebrafish reference assembly GRCz10 were found to contain maximum number of miR genes. The miR-181a and miR-182 were found to be highly expressed in terms of number of reads in the brain and pineal gland, respectively. Other ncRNAs, such as tRNA, rRNA and snoRNA, were curated against Rfam. Using GRCz10 as reference, the subsequent bioinformatic analyses identified 25, 19 and 9 novel miRNAs from the brain, pineal gland (dark treatment) and pineal gland (light treatment), respectively. Targets of the novel miRNAs were identified, based on sequence complementarity between miRNAs and mRNA, by searching for antisense hits in the 3'-UTR of reference RNA sequences of the zebrafish. The discovery of novel miRNAs and their targets in the zebrafish genome can be a valuable scientific resource for further functional studies not only in zebrafish but also in other economically important fishes. PMID:26981358

  19. Steroid Hormones and Antihormones can Reverse the Castration Induced Stimulation of the Pineal and Adrenal Karyomorphology and Cell Proliferation in Mice (Mus musculus

    Directory of Open Access Journals (Sweden)

    S. Chakraborty

    2011-01-01

    Full Text Available In the present investigation, influence of castration and castrated animals supplemented with steroid hormones and antihormones on pineal-adrenal karyomorphology and dynamics were studied in post pubertal male mice. A group of thirty five mice were orchidectomized and (N = 7 sham operated, were kept in laboratory condition for 30 days. Such castrated were separately supplemented with estradiol at a dose of 5 g, testosterone at a dose of 100 g and antihormones, tamoxifen at a dose of 500 g and flutamide at 2 g daily (all at doses per 100 g.b.w. for ten consecutive days following thirty days of post castration. Present data reveal that both pineal and adrenal gland nuclear size and cell proliferation were significantly increased in thirty days post orchidectomized mice compared to control animals. The values are control pinealocyte nuclear diameter (dim: 4.750.06; castrated pinealocyte nuclear diameter (m: 5.340.04 (p<0.001. Control pineal M% 1.250.07; castrated pineal M% 2.020.11 (p<0.001. In control adrenal, representative of zones was Z. fasciculata nuclear diameter (m (5.110.04; castrated Z. fasciculata nuclear diameter (m 5.410.03 (p<0.001. Control adrenal M% (1.030.06 castrated adrenal M% (1.630.09 p<0.001. It was further observed that such pineal and adrenal stimulation in orchidectomized mice were significantly decreased when orchidectomized mice were administered with steroid hormones (estradiol and testosterone and antihormones (tamoxifen and flutamide compared to orchidectomized mice. Our study indicates that there exists a mutual stimulatory relationship between pineal and adrenal under conditions of steroid deprivation. However, exogenous administration of steroid hormones and antihormones to those castrated mice caused inhibition of these two peripheral endocrine glands.

  20. Quantitative Determination of Irinotecan and the Metabolite SN-38 by Nanoflow Liquid Chromatography-Tandem Mass Spectrometry in Different Regions of Multicellular Tumor Spheroids

    Science.gov (United States)

    Liu, Xin; Hummon, Amanda B.

    2015-04-01

    A new and simple method was developed to evaluate the distribution of therapeutics in three-dimensional multicellular tumor spheroids (MCTS) by combining serial trypsinization and nanoflow liquid chromatography-tandem mass spectrometry (nLC-MS/MS). This methodology was validated with quantitative measurements of irinotecan and its bioactive metabolite, SN-38, in distinct spatial regions of HCT 116 MCTS. Irinotecan showed a time-dependent permeability into MCTS with most of the drug accumulating in the core after 24 h of treatment. The amount of SN-38 detected was 30 times lower than that of the parent drug, and was more abundant in the outer rim and intermediate regions of MCTS where proliferating cells were present. This method can be used to investigate novel and established drugs. It enables investigation of drug penetration properties and identification of metabolites with spatial specificity in MCTS. The new approach has great value in facilitating the drug evaluation process.

  1. A recurrent human papillomavirus integration site at chromosome region 12q14-q15 in SW756 and SK-v cell lines derived from genital tumors

    International Nuclear Information System (INIS)

    The SW756 cell line, derived from an invasive cancer of the uterine cervix, harbours integrated human papillomavirus (HPV) 18 DNA sequences which have been located in chromosome band 12q13. By in situ hybridization experiments with tritiated and digoxigenin-labelled HPV18 probes on R-banded chromosomes, we now localize the integrated viral sequences in 12q14-q15. Interestingly, we have previously localized integrated HPV16 sequences in the same chromosomal region in SK-v cells, derived from a pre-invasive vulvar neoplasia. The chromosomal region 12q14-q15 could thus correspond to a preferential site for the integration of HPV DNA in genital tumors. (authors). 29 refs., 2 figs

  2. Metallothionein 2A core promoter region genetic polymorphism and its impact on the risk, tumor behavior, and recurrences of sinonasal inverted papilloma (Schneiderian papilloma).

    Science.gov (United States)

    Starska, Katarzyna; Bry?, Magdalena; Forma, Ewa; Olszewski, Jurek; Pietkiewicz, Piotr; Lewy-Trenda, Iwona; Stasikowska-Kanicka, Olga; Danilewicz, Marian; Krze?lak, Anna

    2015-11-01

    Inverted papillomas are a unique group of locally aggressive benign epithelial neoplasms in the nasal cavity and paranasal sinuses arising from the Schneiderian mucosa. Metallothioneins are sulfhydryl-rich heavy metal-binding proteins required for metal toxicity protection and regulation of biological mechanisms including proliferation and invasion. The goal of this study was to identify three SNPs at loci -5 A/G (rs28366003) and -209 A/G (rs1610216) in the core promoter region and at locus +838 C/G (rs10636) in 3'UTR region of the MT2A gene with IP risk and with tumor invasiveness according to Krouse staging. Genotyping was performed using the PCR restriction fragment length polymorphism technique in 130 genetically unrelated IP individuals, and 418 randomly selected healthy volunteers. The presence of the rs28366003 SNP was significantly related to the risk of IP within the present population-based case-control study. Compared to homozygous common allele carriers, heterozygosity and homozygosity for the G variant had a significantly increased risk of IP (adjusted odds ratio [OR]?=?7.71, 95 % confidence interval [CI]: 4.01-14.91, p dominant?tumor growth (OR?=?4.58; 95 % CI, 1.70-12.11; p?=?0.0008), bone destruction (OR?=?4.13; 95 % CI, 1.50-11.60; p?=?0.003), and higher incidence of tumor recurrences (OR?=?5.11; 95 % CI, 1.68-15.20; p?=?0.001). The findings suggest that MT2A gene variation rs28366003 may be implicated in the etiology of sinonasal inverted papilloma in a Polish population. PMID:26036762

  3. [A mixed germ cell tumor that underwent dramatic size changes].

    Science.gov (United States)

    Kuwayama, Kazuyuki; Takai, Hiroki; Nishiyama, Akira; Hirai, Satoshi; Yokosuka, Kimihiko; Toi, Hiroyuki; Hirano, Kazuhiro; Matsubara, Shunji; Uno, Masaaki; Nishimura, Hirotake

    2014-09-01

    This report describes a mixed germ cell tumor that underwent dramatic size changes. A 12-year-old boy presented to our hospital with a headache that had persisted for two months. Initial magnetic resonance imaging (MRI) revealed a pineal tumor and hydrocephalus. The patient required external ventricular drainage and underwent two endoscopic biopsies. His evaluation involved a total of nine computed tomography (CT) scans prior to the second biopsy;the tumor size had decreased before the second endoscopic biopsy. The tumor consisted of both a germinoma and a teratoma component. The patient was treated with three courses of carboplatin-etoposide (CBDCA-VP) chemotherapy and whole-ventricle radiotherapy (32.1 Gy). However, during the adjuvant therapy, the tumor size increased, necessitating total tumor resection. We speculate that the tumor's initial size reduction was caused by leakage of the cyst component and exposure to the brain CT irradiation. The tumor's subsequent increase in size was due to the recollection of the cystic components and intracranial growing teratoma syndrome (iGTS). Therefore, frequent brain CTs and angiography should be avoided before definitive pathological diagnosis is achieved. Further, the tumor size should be considered, with surgical resection being performed at the optimal time. PMID:25179200

  4. Gamma knife treatment of pediatric brain tumors

    International Nuclear Information System (INIS)

    Gamma knife radiosurgery was performed on 386 patients with intracranial lesions at Komaki City Hospital from May 1991 through December 1992. Forty three of the patients were under 15 years of age. Twenty six patients had arteriovenous malformations and 17 had brain tumors: 9 gliomas and 8 non-gliomatous tumors. The gliomas included 3 ependymomas, 2 benign astrocytomas, one ganglioglioma, one oligodendroglioma; one medulloblastoma and one glioblastoma multiforme. The non-gliomatous tumors included 3 pineal tumors, 2 craniopharyngiomas, 2 acoustic neurinomas, and one C-P angle epidermoid tumor. The male/female ratio was 12:5 and the mean diameter of the tumors was 19.3 mm. They were treated with a mean maximum dose of 32.5 Gy and a marginal dose of 17.1 Gy with a mean isocenter number of 4.9. The early results of single session treatment with Gamma knife of pediatric brain tumors were evaluated by repeated MRIs and changes of neurological signs during a mean follow-up period of 6.4 months. It was found that 5 of the 17 responded to treatment (29.5%), with partical response (PR) in 2 with craniopharyngioma and one with ganglioglioma. Central necrosis (CN) was present with optic glioma and one with neurinoma. In three patients (17.6%) the treatment was not effective. One with medulloblastoma and one with glioblastoma died at 4 and 6 months and the one with ependymoma was reoperated on after 3 months because of progression of the tumor (PG). The other nine patients (52.9%) were unchanged (NC). We must follow more patients to determine the effectiveness of gamma radiosurgery on these tumors. (author)

  5. Bone tumor

    Science.gov (United States)

    Tumor - bone; Bone cancer; Primary bone tumor; Secondary bone tumor ... The cause of bone tumors is unknown. They often occur in areas of the bone that grow rapidly. Possible causes include: Genetic defects passed down ...

  6. The glycomic profile of invasive ductal carcinoma of the breast is altered in patients with hypoxic regions: implications for tumor behavior.

    Science.gov (United States)

    Rêgo, Moacyr Jesus Barreto de Melo; da Silva Filho, Antônio Felix; Cordeiro, Marina Ferraz; Santos, Petra Barros; Beltrão, Eduardo Isidoro Carneiro

    2014-01-01

    Hypoxic areas in solid tumors are often associated with poor prognosis and resistance to chemotherapy. The aim of the study was to analyze the expression of galectin-1 (Gal-1), galectin-3 (Gal-3), sialic acid and b1-6 branched glycan structures in hypoxic environment of invasive ductal carcinoma (IDC) of the breast. We performed lectin histochemistry with phytohemag glutinin-L (L-PHA) and Sambucus nigra lectin (SNA); and immunohistochemistry for Gal-1, Gal-3, carbonic anhydrase IX, hypoxia-inducible factor, estrogen receptor (ER), progesterone receptor and human epidermal growth factor receptor type-2 for 86 IDC samples. Patients with markers positive for hypoxia were mostly ER-negative (p = 0.003) and presented with more nodal invasion than the non-hypoxic group (p = 0.0439). Concerning the glycobiological aspects, the hypoxic group expressed more of Gal-3 (p = 0.0021) and SNA ligands (p = 0.0498), however, there was no association between lectin- and galectin-staining and clinical and histopathological data. Our results suggest a change in the glycomic profile of patients within hypoxic regions of IDC. However, further studies are needed to evaluate the role of lectin- and galectin-ligands in tumor's hypoxic environment, as well as their potential to be used as therapeutic targets. PMID:25007177

  7. A Comparison between ROI Extract and FCM Algorithms in Segmentation of Tumor Region from MR Brain Images

    Directory of Open Access Journals (Sweden)

    A.Almusthaliba

    2014-04-01

    Full Text Available Segmentation of brain images based on Magnetic Resonance (MR is used to segment and analyse the slices of brain to indicate the presence of tumour. Region of interest (ROI extract is used to select the exact spot in an image where the tumour is present. Primary area of interest (tumour region is chosen by the algorithm. The chosen region is completely extracted out from the input image.Fuzzy c-means algorithm is a soft clustering method in which the data elements (pixel values are divided and clustered into two or more clusters. FCM is carried out by clustering the similar pixel values into one cluster and dissimilar pixel values into another cluster. A comparison is carried out between these two algorithms with the help of parameters such as Mean Square Error (MSE, Peak Signal to Noise Ratio (PSNR, segmentation accuracy, Jaccard index, computational time and memory requirement for processing the algorithm. The efficiency of either algorithm is proved using the comparison parameters

  8. Some properties of acetyl-CoA:arylamine N-acetyltransferase (EC 2.3.1.5) from rat pineal gland

    International Nuclear Information System (INIS)

    N-acetylation of serotonin to N-acetylserotonin in the pineal gland is catalysed by acetyl-CoA:arylamine N-acetyltransferase (SNAT). The present investigation was an attempt to design an assay technique which would permit sensitive evaluation of SNAT in order to evaluate some kinetic properties of the enzyme

  9. Identification of the promoter region required for human adiponectin gene transcription: Association with CCAAT/enhancer binding protein-? and tumor necrosis factor-?

    International Nuclear Information System (INIS)

    Adiponectin, an adipose tissue-specific plasma protein, is involved in insulin sensitizing and has anti-atherosclerotic properties. Plasma levels of adiponectin are decreased in obese individuals and patients with type 2 diabetes with insulin resistance. Tumor necrosis factor-? (TNF-?) decreases the expression of adiponectin in adipocytes. The aims of the present study were: (1) to identify the promoter region responsible for basal transcription of the human adiponectin gene, and (2) to investigate the mechanism by which adiponectin was regulated by TNF-?. The human adiponectin promoter (2.1 kb) was isolated and used for luciferase reporter analysis by transient transfection into 3T3-L1 adipocytes. Deletion analysis demonstrated that the promoter region from -676 to +41 was sufficient for basal transcriptional activity. Mutation analysis of putative response elements for sterol regulatory element binding protein (SREBP) (-431 to -423) and CCAAT/enhancer binding protein (C/EBP) (-230 to -224) showed that both elements were required for basal promoter activity. Adiponectin transcription was increased 3-fold in cells that over-expressed constitutively active C/EBP-?. Electrophoretic mobility shift assay, using nuclear extract from 3T3-L1 cells and the -258 to -199 region as a probe, demonstrated specific DNA-protein binding, which was abolished by TNF-? treatment. The present data indicate that the putative response elements for SREBP and C/EBP are required for human adiponectin promoter activity, and that suppression by TNF-? may, at least in part, be associated with inactivation of C/EBP-?

  10. Frecuencia de Virus Papiloma Humano en Tumores no Ginecológicos de la Región de la Araucanía, Chile / Human Papilloma Virus Frequency in non-Gynecological Tumors in the Araucanía Region, Chile

    Scientific Electronic Library Online (English)

    René, Hoffstetter; Alejandra, Andana; Pablo, Guzmán; Carmen G, Ili; Javier, Retamal; Bárbara, Mora; Juan C, Roa; Raúl, Sánchez.

    2014-12-01

    Full Text Available El Virus Papiloma Humano (HPV por sus siglas en inglés) es una de las infecciones de transmisión sexual más frecuentes del mundo y se encuentra presente en la mayoría de los cánceres de cuello uterino. Se ha descrito su presencia en otros tipos de cáncer no ginecológicos como lo son esófago y prósta [...] ta. Sin embargo, las frecuencias de HPV descritas hasta el momento para estos tipos de cáncer son muy variables, y no hay artículos donde se muestren la presencia de HPV en estas neoplasias en Chile. El objetivo de este estudio fue determinar la frecuencia de HPV en muestras de biopsias de tumores no ginecológicos y tejido inflamatorio de pacientes de la región de La Araucanía. Se extrajo DNA desde un total de 47 biopsias de pacientes con esofagitis, 25 con carcinoma escamoso esofágico, 20 con hiperplasia nodular de la próstata y 39 con adenocarcinoma prostático. Estas fueron analizadas por PCR de la región L1 del virus y posterior genotipificación por reverse line blot. Se detectó HPV en el 53,2% de las muestras de esofagitis, 48% en muestras de carcinoma escamoso esofágico, 15% en hiperplasia nodular de la próstata y un 15,4% en los casos de adenocarcinoma prostático. Siendo los más frecuentes los genotipos de HPV 16 y 18, ya sea en infecciones simples o junto con otros genotipos, en lesiones preneoplásicas y neoplásicas de los tejidos estudiados. Existe una alta frecuencia de infección por HPV en biopsias de esofagitis y tejido inflamatorio esofágico de pacientes de la región de la Araucanía. En los casos de adenocarcinoma prostático e hiperplasia nodular de la próstata se observa una baja frecuencia de HPV. Abstract in english Human Papilloma Virus (HPV) is the most common sexually transmitted disease in the world and it is present in practically all cervical cancers. Its presence was described in other types of non-gynecologic cancer such as esophageal and prostate. However, HPV frequency described for these cancers is h [...] ighly variable, and there are no articles describing the presence of HPV in these tumors in Chile. To determine HPV frequency in samples from biopsies of non-gynecological tumors and inflammatory tissue from patients in the Araucanía region, DNA was extracted from a total of 47 biopsies from patients with esophagitis, 25 with esophageal squamous cell carcinoma, 20 with prostate nodular hyperplasia and 39 with prostate adenocarcinoma. These were analyzed by PCR of HPV L1 region and subsequent genotyping by reverse line blot. HPV was detected in 53.2% of esophagitis samples, 48% in esophageal squamous cell carcinoma, 15% in prostatitis and 15.4% in cases of prostatic adenocarcinoma. The most frequent HPV genotypes were 16 and 18, either single or in combination with other genotype infections, in inflammatory tissue and neoplastic lesions. In patients of the Araucanía region, there is a high rate of HPV infection in biopsies obtained in esophagitis and esophageal inflammatory tissue. In cases of prostatic adenocarcinoma and prostate nodular hyperplasia a low rate of HPV was observed.

  11. Tumor diagnosis, grading, and staging

    International Nuclear Information System (INIS)

    Optimal use of radiation therapy for the treatment of animal tumors necessitates accurate clinical evaluation, diagnostic imaging, and pathology. This requires a coordinated effort between the clinical and radiation oncologist, radiologist, and pathologist. The histological appearance of the tumor, tumor grade, and tumor stage are important diagnostic criteria that need to be established. Diagnostic imaging, including radiographic, computerized tomographic, magnetic resonance imaging, and ultrasound studies are helpful in establishing an accurate tumor location and diagnosis. Biopsy and histological examination of tumor tissue are necessary for final diagnosis of tumor type. Determination of tumor type is critical because different tumor types vary in regard to radiosensitivity, local behavior, and propensity for regional and systemic metastasis. The histological grade of many tumors is an important indicator of the potential for local invasion or systemic metastases, and may influence treatment response. Tumor staging as determined by clinical evaluation, imaging studies, and histological evaluation is necessary to establish the extent of the tumor, both locally, regionally, and systemically. The clinical oncologist should have an understanding of the procedures involved in tumor diagnosis, tumor grading, and tumor staging. This provides a better understanding of the neoplastic condition and recognition of the limitations of diagnostic procedures. Tumor type, grade, and stage all impact radiation treatment planning and the need for adjuvant regional or systemic therapy

  12. Developmental and diurnal dynamics of Pax4 expression in the mammalian pineal gland: nocturnal down-regulation is mediated by adrenergic-cyclic adenosine 3',5'-monophosphate signaling

    DEFF Research Database (Denmark)

    Rath, Martin F; Bailey, Michael J; Kim, Jong-So; Ho, Anthony K; Gaildrat, Pascaline; Coon, Steven L; Møller, Morten; Klein, David C

    2009-01-01

    Pax4 is a homeobox gene that is known to be involved in embryonic development of the endocrine pancreas. In this tissue, Pax4 counters the effects of the related protein, Pax6. Pax6 is essential for development of the pineal gland. In this study we report that Pax4 is strongly expressed in the pineal gland and retina of the rat. Pineal Pax4 transcripts are low in the fetus and increase postnatally; Pax6 exhibits an inverse pattern of expression, being more strongly expressed in the fetus. In the...

  13. Studies of cell kinetics in vital and necrotic tumor regions: Measurement of loss rate using 125iododeoxyuridine

    International Nuclear Information System (INIS)

    The method of determining cell losses in situ from the decrease in radioactivity after a single i.p. injection of the thymidine-analogue, 125iododeoxyuridine was tested for its applicability in different development stages of the solid mammary adenocarcinoma EO 771 on male C57 N1/6J mice. Invasive studies on activity distributions in vital and necrotic tumour regions were carried out after injection of Light Green SF. The following results were obtained: 1) External measurement of activity loss register the removal of labelled cells and decay products rather than cell death. The total activity of the tumour at any time following injection corresponds to the sum of radioactivity in the proliferating, non-growing and necrotic compartments. 2) In solid tumours, there are regions with differing transport capacity. 3) The method using 125J-UdR does not allow determination of loss rates as a function of a given volume but rather yields an averaged value. 4) Activity losses of vital tumour cells largely correspond to the cell loss. (orig./MG)

  14. Tumor neuroectodérmico pigmentado infantil: Reporte de un caso / Neuroectodermal tumor pigmented children: A case report

    Scientific Electronic Library Online (English)

    A.J., Díaz Caballero; O., Cantillo Pallares; A., Herrera Herrera.

    2011-08-01

    Full Text Available El tumor neuroectodérmico pigmentado es un tumor benigno de crecimiento rápido e intensamente pigmentado del maxilar inferior (y en ocasiones de otros sitios), que consiste en una masa infiltrativa de células dispuestas según un patrón alveolar. Aparece casi exclusivamente en lactantes. Se presenta [...] como una tumoración protuberante en un maxilar o la mandíbula principalmente en tejidos blandos; encontrándose excepcionalmente en el tracto intestinal, pelvis, retroperitoneo y riñón. Clínicamente se manifiesta como una tumoración localizada, con presencia o no de zonas pigmentadas. Estas neoplasias son raras y afectan mayormente niños, que por lo general son menores de un año y que pueden ser congénitos. Su localización en cerca de un 70% es la mandíbula; facio-cervical, en 90%, también se reportaron en localizaciones como: fontanela anterior, hueso temporal y duramadre, epidídimo, huesos largos, mediastino. Éstos son considerados como formas periféricas, ya que existen formas centrales que pueden afectar cerebro, cerebelo, glándula pineal. La clínica de estos casos puede simular a muchas otras patologías, dificultando su diagnostico ya que es una masa que protruye y deforma que rara vez ulcera. Las radiografías muestran una masa radiolúcida con capacidad de destrucción focal y desplazamiento de los dientes, por lo que se puede confundir con un ameloblastoma es por esto que es necesario un manejo adecuado con los exámenes histológicos necesarios como se hizo en el presente caso. Abstract in english The Pigmented neuroectodermal tumor is a benign tumor of intensely pigmented and rapid growth of the lower jaw (and in occasions of other sites [places]), that consists of a mass of infiltrative cells arranged according to an alveolar boss. It (he, she) appears almost exclusively in nursing. He (she [...] ) appears as a protruding tumor in the jaw Maxillary one or principally in the soft (smooth) fabrics; being exceptionally in the intestinal tract, pelvis, retroperitoneum and kidney. Clinical, it (he, she) demonstrates located as a tumor or not with presence of pigmented areas. These tumors are rare and mostly affect children, who are generally under one year and can be congenital. Its location in about 70 percent is the mandible, facio-cervical in 90 percent have also been reported in locations such as anterior fontanel, temporal bone and dura, epididymis, long bones, mediastinum. These are regarded as peripherally, as there are ways that can affect Central Brain, cerebellum, pineal gland. The clinic in these cases may mimic other pathologies, easily diagnosed as a protruding mass that deforms and rarely ulcerates. Radiographs showed a radiolucent mass capable of focal destruction and displacement of teeth, it can be confused with an ameloblastoma that is why it is necessary to an adequate histological examinations were made as necessary in this case.

  15. The effect of treatment with melatonin upon the ultrastructure of the mouse pineal gland: a quantitative study Efeito do tratamento com melatonina sobre a ultra-estrutura da glândula pineal do camundongo: estudo quantitativo

    Directory of Open Access Journals (Sweden)

    G. M. REDINS

    2001-11-01

    Full Text Available In order to evaluate melatonin implication in the regulating of its own secretory process by pinealocytes, we used morphometric techniques for transmission electron microscopy. In mice treated with 100 mg of melatonin (N-acetyl-5-methoxy-tryptamine by daily subcutaneous injection, we observed a decrease in number and volumetric density of lysosomes. Our results showed that melatonin influences the secretory activity of pinealocytes and participates in a complex secretory regulating mechanism.A fim de avaliar a implicação da melatonina no controle de sua própria secreção pelos pinealócitos, utilizamos técnicas morfométricas aplicadas à microscopia eletrônica de transmissão. Em camundongos tratados com doses subcutâneas diárias de 100 mg de melatonina (5-metoxi-N-acetil-triptamina observamos uma diminuição do número e da densidade volumétrica dos lisosomos nos pinealócitos. Esses resultados mostram que a melatonina atua sobre a própria glândula pineal, participando de um complexo mecanismo regulador da secreção nos pinealócitos.

  16. The effect of treatment with melatonin upon the ultrastructure of the mouse pineal gland: a quantitative study / Efeito do tratamento com melatonina sobre a ultra-estrutura da glândula pineal do camundongo: estudo quantitativo

    Scientific Electronic Library Online (English)

    G. M., REDINS; C. A., REDINS; J. C., NOVAES.

    2001-11-01

    Full Text Available A fim de avaliar a implicação da melatonina no controle de sua própria secreção pelos pinealócitos, utilizamos técnicas morfométricas aplicadas à microscopia eletrônica de transmissão. Em camundongos tratados com doses subcutâneas diárias de 100 mg de melatonina (5-metoxi-N-acetil-triptamina) observ [...] amos uma diminuição do número e da densidade volumétrica dos lisosomos nos pinealócitos. Esses resultados mostram que a melatonina atua sobre a própria glândula pineal, participando de um complexo mecanismo regulador da secreção nos pinealócitos. Abstract in english In order to evaluate melatonin implication in the regulating of its own secretory process by pinealocytes, we used morphometric techniques for transmission electron microscopy. In mice treated with 100 mg of melatonin (N-acetyl-5-methoxy-tryptamine) by daily subcutaneous injection, we observed a dec [...] rease in number and volumetric density of lysosomes. Our results showed that melatonin influences the secretory activity of pinealocytes and participates in a complex secretory regulating mechanism.

  17. Dentinogenic ghost cell tumor

    Directory of Open Access Journals (Sweden)

    Singhaniya Shikha

    2009-01-01

    Full Text Available Dentinogenic ghost cell tumor (DGCT is a rare tumorous form of calcifying odontogenic cyst and only a small number of cases have been described. It is a locally invasive neoplasm that is characterized by ameloblastoma-like epithelial islands, ghost cells and dentinoid. The present report describes a case of a 21-year-old male with a tumor in the posterior region of the mandible, showing features of DGCT.

  18. Evaluation of reserved hepatic function in patients with hepatobiliary tumor by 99mTc-GSA. Effect of hyperbilirubinemia and usefulness of regional reserved hepatic functional imaging

    International Nuclear Information System (INIS)

    The evaluation of the reserved hepatic function was performed by 99mTc-galactosyl serum albumin (99mTc-GSA) in 70 patients with hepatobiliary tumor. The dynamic study was performed to evaluate global reserved hepatic function following the intravenous bolus injection of 99mTc-GSA, and the hepatic single photon emission computed tomography (SPECT) was obtained to assess the regional reserved hepatic function. The functional hepatic index (LHL15) was derived from liver time-activity data, and it was compared with serum total-bilirubin level, serum albumin level and plasma disappearance rate of indocyanine green (ICG15). In the patients with hepatocellular carcinoma, LHL15 value agreed well with ICG15 value, serum total-bilirubin level, and serum albumin level. Moderate or severe hepatic dysfunction was observed at 65.4% of these patients. In the patients with cholangiocellular carcinoma, a discrepancy of LHL15 value and ICG15 value was observed. Increment of the ICG15 value was correlated with that of the serum total-bilirubin level, whereas the correlation was not observed between the LHL15 value and the serum total-bilirubin level. These results indicate that 99mTc-GSA scintigraphy can evaluate the reserved hepatic function without the embellishment of jaundice. This method is useful for assessing the global and regional reserved hepatic function. (author)

  19. The effect of radioactive radiation of the neurotransmitter levels in the hypothalamus, pituitary and pineal glands of sheeps

    International Nuclear Information System (INIS)

    The effect of the exposure of the whole body to continuous radiation was studied of catecholamines (epinephrine and unepinephrine) in the hypothalamus, pineal and pituitary glands of ewes during the anestric period with synchronized oestrus. The radiation was provided at the rate 0.020 Gy per hour. Catecholamines were separated from the tissue supernatants by the absorption chromatographic method and the catecholamine contents in the eluates were determined spectrofluorometrically. Protracted exposure to gamma radiation and hormone stimulation with SG reduces the concentration of unepinephrine (P<0.001) in the whole hypothalamus of the sheep. A statistically significant decrease (P<0.001) was recorded in the medial and caudal hypothalamus of ewes. If is assumed that the decrease in catecholamine concentration after irradiation (2.4 Gy) is associated with the destroyed metabolism of catecholamines in nervous tissue and activity its degradation enzyme monoaminooxidase. (authors)

  20. Wilms Tumor

    Science.gov (United States)

    Wilms tumor is a rare type of kidney cancer. It causes a tumor on one or both kidneys. It usually affects ... are at risk should be screened for Wilms tumor every three months until they turn eight. Symptoms ...

  1. Thin-section multiplanar reformats from multidetector-row CT data: Utility for assessment of regional tumor extent in non-small cell lung cancer

    International Nuclear Information System (INIS)

    Purpose: To determine the clinical utility of thin-section multiplanar reformats (MPRs) from multidetector-row CT (MDCT) data sets for assessing the extent of regional tumors in non-small cell lung cancer (NSCLC) patients. Materials and methods: Sixty consecutive NSCLC patients, who were considered candidates for surgical treatment, underwent contrast-enhanced MDCT examinations, surgical resection and pathological examinations. All MDCT examinations were performed with a 4-detector row computed tomography (CT). From each raw CT data set, 5 mm section thickness CT images (routine CT), 1.25 mm section thickness CT images (thin-section CT) and 1.25 mm section thickness sagittal (thin-section sagittal MPR) and coronal images (thin-section coronal MPR) were reconstructed. A 4-point visual score was used to assess mediastinal, interlobar and chest wall invasions on each image set. For assessment of utility in routine clinical practice, mean reading times for each image set were compared by means of Fisher's protected least significant difference (PLSD) test. A receiver operator characteristic (ROC) analysis was performed to determine the diagnostic capability of each of the image data sets. Finally, sensitivity, specificity and accuracy of the reconstructed images were compared by McNemar test. Results: Mean reading times for thin-section sagittal and coronal MPRs were significantly shorter than those for routine CT and thin-section CT (p < 0.05). Areas under the curve (Azs) showing interlobar invasion on thin-section sagittal and coronal MPRs were significantly larger than that on routine CT (p = 0.03), and the Az on thin-section sagittal MPR was also significantly larger than that on routine CT (p = 0.02). Accuracy of chest wall invasion by thin-section sagittal MPR was significantly higher than that by routine CT (p = 0.04). Conclusion: Thin-section multiplanar reformats from multidetector-row CT data sets are useful for assessing the extent of regional tumors in non-small cell lung cancer patients

  2. Functional rearrangement of the primary and secondary motor cortex in patients with primary tumors of the central nervous system located in the region of the central sulcus depending on the histopathological type and the size of tumor: Examination by means of functional magnetic resonance imaging

    International Nuclear Information System (INIS)

    The aim of this study was to analyze the reorganization of the centers of the motor cortex in patients with primary neuroepithelial tumors of the central nervous system (CNS) located in the region of the central sulcus in relation to the histopathological type and the size of tumor, as determined by means of functional magnetic resonance imaging (fMRI). The fMRI was performed prior to the surgical treatment of patients with tumors located in the region of the central sulcus (WHO stage I and II, n=15; WHO stage III and IV, n=25). The analysis included a record of the activity in the areas of the primary motor cortex (M1) and the secondary motor cortex: the premotor cortex (PMA) and the accessory motor area (SMA). The results were correlated with the histopathological type of the tumor and its size expressed in cm3. The frequency of activation of the motor center was higher in the group of patients who had less aggressive tumors, such as low-grade glioma (LGG), as well as in tumors of lower volume, and this was true both for the hemisphere where the tumor was located and in the contralateral one. Mean values of t-statistics of activation intensity, mean numbers of activated clusters, and their ranges were lower in all analyzed motor areas of LGG tumors. The values of t-statistics and activation areas were higher in the case of small tumors located in ipsilateral centers, and in large tumors located in contralateral centers, aside from the SMA area where the values of t-statistics were equal for both groups. The contralateral SMA area was characterized by the highest stability of all examined centers of secondary motor cortex. No significant association (p>0.05) was observed between the absolute value of the mean registered activity (t-statistics) and the size of examined areas (number of clusters) when the groups were stratified with regards to the analyzed parameters. The presence of a neoplastic lesion, its histopathological type and finally its size modulate the functional reorganization of the motor centers as suggested by the differences in the frequency of the neural center activation in the analyzed groups. Processes of functional rearrangement are more pronounced and more precisely defined in patients with less aggressive and/or smaller tumors. The contralateral accessory area is the most frequently activated center in all analyzed groups irrespective of the grade and size of the tumor

  3. H3K9/36me3 Demethylase KDM4A Promotes Site-Specific Copy Gain and Re-replication of Regions Amplified in Tumors

    Science.gov (United States)

    Black, Joshua C.; Manning, Amity; Van Rechem, Capucine; Kim, Jaegil; Ladd, Brendon; Cho, Juok; Pineda, Cristiana M.; Murphy, Nancy; Daniels, Danette L.; Montagna, Cristina; Lewis, Peter W.; Glass, Kimberly; Allis, C. David; Dyson, Nicholas J.; Getz, Gad; Whetstine, Johnathan R.

    2013-01-01

    SUMMARY Acquired chromosomal instability and copy number alterations are hallmarks of cancer. Enzymes capable of promoting site-specific copy number changes have yet to be identified. Here, we demonstrate that H3K9/36me3 lysine demethylase KDM4A/JMJD2A overexpression leads to localized copy gain of 1q12, 1q21, and Xq13.1 without global chromosome instability. KDM4A amplified tumors have increased copy gains for these same regions. 1q12h copy gain occurs within a single cell cycle, requires S phase and is not stable but regenerated each cell division. Sites with increased copy number are re-replicated and have increased KDM4A, MCM and DNA polymerase occupancy. Suv39h1/KMT1A or HP1? overexpression suppresses the copy gain, while H3K9/K36 methylation interference promotes gain. Our results demonstrate that overexpression of a chromatin modifier results in site-specific copy gains. This begins to establish how copy number changes could originate during tumorigenesis and demonstrates that transient overexpression of specific chromatin modulators could promote these events. PMID:23871696

  4. Loss of chromosome 1p/19q in oligodendroglial tumors: refinement of chromosomal critical regions and evaluation of internexin immunostaining as a surrogate marker.

    LENUS (Irish Health Repository)

    Buckley, Patrick G

    2011-03-01

    Loss of chromosome 1p\\/19q in oligodendrogliomas represents a powerful predictor of good prognosis. Expression of internexin (INA), a neuronal specific intermediate filament protein, has recently been proposed as a surrogate marker for 1p\\/19q deletion based on the high degree of correlation between both parameters in oligodendrogliomas. The aim of this study was to assess further the diagnostic utility of INA expression in a set of genetically well-characterized oligodendrogliomas. On the basis of a conservative approach for copy number determination, using both comparative genomic hybridization and fluorescent in situ hybridization, INA expression as a surrogate marker for 1p\\/19q loss had both reduced specificity (80%) and sensitivity (79%) compared with respective values of 86% and 96% reported in the previous report. The histologic interpretation and diagnostic value of INA expression in oligodendrogliomas should therefore be assessed with greater caution when compared with 1p\\/19q DNA copy number analysis. In addition, DNA copy number aberrations of chromosomes 10, 16, and 17 were detected exclusively in 1p\\/19q codeleted samples, suggesting that other regions of the genome may contribute to the 1p\\/19q-deleted tumor phenotype inthese samples.

  5. A Modified Method to Segment Sharp and Unsharp Edged Brain Tumors in 2 D MRI Using Automatic Seeded Region Growing Method

    OpenAIRE

    Mukesh Kumar,; Kamal Mehta

    2011-01-01

    Segmentation of Brain tumor accurately is a challenging task in MRI. The MRI image is an image that produces a high contrast images indicating regular and irregular tissues that help to distinguish the overlapping in margin of each limb. But when the edges of tumor is not sharped then the segmentation results are not accurate i.e. segmentation may be over or under. This may be happened due to initial stage of the tumors [5]. So , in this paper a modified method of tumor line detection and seg...

  6. Improved prognosis of intracranial non-germinoma germ cell tumors with multimodality therapy.

    Science.gov (United States)

    Robertson, P L; DaRosso, R C; Allen, J C

    1997-03-01

    The 5 year survival for patients with malignant intracranial non-germinoma germ cell tumors (NGGCT) which include endodermal sinus tumors, embryonal carcinomas, choriocarcinomas and immature teratomas is less than 25% following a small resection and radiotherapy. In an effort to improve the survival of these patients, an approach using an attempt at radical resection where feasible followed by multi-modality 'sandwich' therapy (chemotherapy-radiation-chemotherapy) was used to treat 18 newly diagnosed patients between 1986 and 1994 in a multi-institution study. Fourteen patients had histologically proven NGGCT and four were presumed NGGCT because of markedly elevated concentrations of serum and/or CSF alpha fetoprotoin (AFP) and/or beta human chorionic gonadatrophin (b-HCG). The primary tumor was confined to the pineal region in 12 patients, the suprasellar region in five, and a cerebral hemisphere in one. None of the patients had central nervous system metastases at diagnosis by MRI imaging of the spine and CSF cytology. Radical surgical resection was performed initially in 11 patients (gross total -6, subtotal -5): four had a biopsy and three had no surgery. All patients then received 3 or 4 cycles of neoadjuvant chemotherapy with cisplatin (100 mg/m2/cycle) and VP-16 (500 mg/m2/cycle). Of the 12 patients with evaluable disease there were 9 responses to the neoadjuvant chemotherapy (5 CR, 4 PR); 2 patients had stable disease and I progressed during chemotherapy. Six patients with no evaluable disease after a gross total resection had a continuous complete response. Seventeen patients received radiation therapy (involved field -11, involved field + craniospinal -4, involved field + whole brain -2). Twelve patients received 4 cycles post-radiation chemotherapy with vinblastine (6.5 mg/m2/cycle). bleomycin (15 U/m2/cycle), VP-16 (300 mg/m2/cycle, carboplatin (450 mg/m2/cycle). A total of four patients have died (3-progressive/recurrent disease, 1-metabolic). Four year actuarial event-free and total survival rates are 67% and 74%. This multi-modality adjuvant therapy approach appears to dramatically improve the outcome of malignant intracranial NGGCT. PMID:9049865

  7. Radiometric assay for phenylethanolamine N-methyltransferase and catechol O-methyltransferase in a single tissue sample: application to rat hypothalamic nuclei, pineal gland, and heart

    International Nuclear Information System (INIS)

    A simple and highly sensitive method for simultaneous assay of phenylethanolamine N-methyltransferase (PNMT) and catechol O-methyltransferase (COMT) is described. These enzymes are determined in a single tissue homogenate using S-[methyl-3H] adenosyl-L-methionine as methyl donor and sequentially incubating with the substrates phenylethanolamine and epinephrine. The radioactive products of the enzymatic reactions, N-methylphenylethanolamine and metanephrine, are extracted and then separated by thin-layer chromatography. The identity of the reaction products has been established chromatographically and the conditions for both enzymatic reactions in the assay procedure have been defined. Measurement of PNMT activity in the rat pineal gland or in minute fragments of other tissues (e.g., brain nuclei) has not been possible using previously described methods. Activities of PNMT and COMT in the rat pineal gland, various hypothalamic nuclei, and the auricular and ventricular myocardia are herein reported

  8. Pink spot, white spot: the pineal skylight of the leatherback turtle (Dermochelys coriacea Vandelli 1761) skull and its possible role in the phenology of feeding migrations

    Science.gov (United States)

    Davenport, John; Jones, T. Todd; Work, Thierry M.; Balazs, George H.

    2014-01-01

    Leatherback turtles, Dermochelys coriacea, which have an irregular pink area on the crown of the head known as the pineal or ‘pink spot’, forage upon jellyfish in cool temperate waters along the western and eastern margins of the North Atlantic during the summer. Our study showed that the skeletal structures underlying the pink spot in juvenile and adult turtles are compatible with the idea of a pineal dosimeter function that would support recognition of environmental light stimuli. We interrogated an extensive turtle sightings database to elucidate the phenology of leatherback foraging during summer months around Great Britain and Ireland and compared the sightings with historical data for sea surface temperatures and day lengths to assess whether sea surface temperature or light periodicity/levels were likely abiotic triggers prompting foraging turtles to turn south and leave their feeding grounds at the end of the summer. We found that sea temperature was too variable and slow changing in the study area to be useful as a trigger and suggest that shortening of day lengths as the late summer equilux is approached provides a credible phenological cue, acting via the pineal, for leatherbacks to leave their foraging areas whether they are feeding close to Nova Scotia or Great Britain and Ireland.

  9. Immune-Pineal Axis: Nuclear Factor ?B (NF-kB Mediates the Shift in the Melatonin Source from Pinealocytes to Immune Competent Cells

    Directory of Open Access Journals (Sweden)

    Regina P. Markus

    2013-05-01

    Full Text Available Pineal gland melatonin is the darkness hormone, while extra-pineal melatonin produced by the gonads, gut, retina, and immune competent cells acts as a paracrine or autocrine mediator. The well-known immunomodulatory effect of melatonin is observed either as an endocrine, a paracrine or an autocrine response. In mammals, nuclear translocation of nuclear factor ?-light-chain-enhancer of activated B cells (NF-?B blocks noradrenaline-induced melatonin synthesis in pinealocytes, which induces melatonin synthesis in macrophages. In addition, melatonin reduces NF-?B activation in pinealocytes and immune competent cells. Therefore, pathogen- or danger-associated molecular patterns transiently switch the synthesis of melatonin from pinealocytes to immune competent cells, and as the response progresses melatonin inhibition of NF-?B activity leads these cells to a more quiescent state. The opposite effect of NF-?B in pinealocytes and immune competent cells is due to different NF-?B dimers recruited in each phase of the defense response. This coordinated shift of the source of melatonin driven by NF-?B is called the immune-pineal axis. Finally, we discuss how this concept might be relevant to a better understanding of pathological conditions with impaired melatonin rhythms and hope it opens new horizons for the research of side effects of melatonin-based therapies.

  10. Effects of Melatonin on Morphological and Functional Parameters of the Pineal Gland and Organs of Immune System in Rats During Natural Light Cycle and Constant Illumination.

    Science.gov (United States)

    Litvinenko, G I; Shurlygina, A V; Gritsyk, O B; Mel'nikova, E V; Tenditnik, M V; Avrorov, P A; Trufakin, V A

    2015-10-01

    We studied the response of the pineal gland and organs of the immune system to melatonin treatment in Wistar rats kept under conditions of abnormal illumination regimen. The animals were kept under natural light regimen or continuous illumination for 14 days and then received daily injections of melatonin (once a day in the evening) for 7 days. Administration of melatonin to rats kept at natural light cycle was followed by a decrease in percent ratio of CD4(+)8(+) splenocytes and CD4(-)8(+) thymocytes. In 24-h light with the following melatonin injections were accompanied by an increase in percent rate and absolute amount of CD4(+)8(+) cells in the spleen, and a decrease in percent rate of CD11b/c and CD4(-)8(+) splenocytes. In the thymus amount of CD4(-)8(+) cells increased, and absolute number of CD4(+)25(+) cells reduced. Melatonin significantly decreased lipofuscin concentration in the pineal gland during continuous light. Direction and intensity of effects of melatonin on parameters of cell immunity and state of the pineal gland were different under normal and continuous light conditions. It should be taken into account during using of this hormone for correction of immune and endocrine impairments developing during change in light/dark rhythm. PMID:26515173

  11. Noninvasive imaging of the functional effects of anti-VEGF therapy on tumor cell extravasation and regional blood volume in an experimental brain metastasis model.

    Science.gov (United States)

    JuanYin, Juan; Tracy, Kirsten; Zhang, Luhua; Munasinghe, Jeeva; Shapiro, Erik; Koretsky, Alan; Kelly, Kathleen

    2009-01-01

    Brain metastasis has become an increasing cause of morbidity and mortality in cancer patients as the treatment of systemic disease has improved. Brain metastases frequently are highly vascularized, a process driven primarily by VEGF. VEGF mediates numerous changes within the vasculature including endothelial cell retraction and increased permeability, vasodilation, and new vessel formation. Here we describe a xenograft brain metastasis model that mimics the critical steps of metastasis including tumor cell dissemination and vascular adhesion, tumor growth and tumor associated angiogenesis. Magnetic resonance (MR) imaging was used to evaluate two aspects of the functional response of brain metastasis to the anti-VEGF receptor therapeutic, AZD2171 (Cediranib, RECENTIN). MR tracking of individual cells demonstrated that cediranib did not impede tumor cell extravasation into the brain parenchyma despite evidence that anti-VEGF treatment decreases the permeability of the blood brain barrier. In a second assay, blood volume imaging using ultrasmall superparamagnetic iron oxide revealed that treatment of well-developed brain metastasis with cediranib for 7 days led to a heterogeneous response with respect to individual tumors. Overall, there was a significant average decrease in the tumor vascular bed volume. The majority of large tumors demonstrated substantially reduced central blood volumes relative to normal brain while retaining a rim of elevated blood volume at the tumor brain interface. Small tumors or occasional large tumors displayed a static response. Models and assays such as those described here will be important for designing mechanism-based approaches to the use of anti-angiogenesis therapies for the treatment of brain metastasis. PMID:19277878

  12. Tumor vaccines

    International Nuclear Information System (INIS)

    Tumor vaccines have several potential advantages over standard anticancer regiments. They represent highly specific anticancer therapy. Inducing tumor-specific memory T-lymphocytes, they have potential for long-lived antitumor effects. However, clinical trials, in which cancer patients were vaccinated with tumor vaccines, have been so far mainly disappointing. There are many reasons for the inefficiency of tumor vaccines. Most cancer antigens are normal self-molecules to which immune tolerance exists. That is why the population of tumor-specific lymphocytes is represented by a small number of low-affinity T-lymphocytes that induce weak antitumor immune response. Simultaneously, tumors evolve many mechanisms to actively evade immune system, what makes them poorly immunogenic or even tolerogenic. Novel immunotherapeutic strategies are directed toward breaking immune tolerance to tumor antigens, enhancing immunogenicity of tumor vaccines and overcoming mechanisms of tumor escape. There are several approaches, unfortunately, all of them still far away from an ideal tumor vaccine that would reject a tumor. Difficulties in the activation of antitumor immune response by tumor vaccines have led to the development of alternative immunotherapeutic strategies that directly focus on effector mechanisms of immune system (adoptive tumor- specific T-lymphocyte transfer and tumor specific monoclonal antibodies). (author)

  13. Effectiveness of four different clinical fMRI paradigms for preoperative regional determination of language lateralization in patients with brain tumors

    Energy Technology Data Exchange (ETDEWEB)

    Zaca, Domenico; Deib, Gerard; Pillai, Jay J. [Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Baltimore, MD (United States); Nickerson, Joshua P. [University of Vermont School of Medicine/Fletcher Allen Healthcare, Department of Radiology, Burlington, VT (United States)

    2012-09-15

    Blood oxygen level-dependent functional magnetic resonance imaging (fMRI) has demonstrated its capability to provide comparable results to gold standard intracarotid sodium amobarbital (Wada) testing for preoperative determination of language hemispheric dominance. However, thus far, no consensus has been established regarding which fMRI paradigms are the most effective for the determination of hemispheric language lateralization in specific categories of patients and specific regions of interest (ROIs). Forty-one brain tumor patients who performed four different language tasks - rhyming (R), silent word generation (SWG) sentence completion, and sentence listening comprehension (LC) - for presurgical language mapping by fMRI were included in this study. A statistical threshold-independent lateralization index (LI) was calculated and compared among the paradigms in four different ROIs for language activation: functional Broca's (BA) and Wernicke's areas (WA) as well as larger anatomically defined expressive (EA) and receptive (RA) areas. The two expressive paradigms evaluated in this study are very good lateralizing tasks in expressive language areas; specifically, a significantly higher mean LI value was noted for SWG (0.36 {+-} 0.25) compared to LC (0.16 {+-} 0.24, p = 0.009) and for R (0.40 {+-} 0.22) compared to LC (0.16 {+-} 0.24, p = 0.001) in BA. SWG LI (0.28 {+-} 0.19) was higher than LC LI (0.12 {+-} 0.16, p = 0.01) also in EA. No significant differences in LI were found among these paradigms in WA or RA. SWG and R are sufficient for the determination of lateralization in expressive language areas, whereas new semantic or receptive paradigms need to be designed for an improved assessment of lateralization in receptive language areas. (orig.)

  14. Quantitative polymerase chain reaction analysis with allele-specific oligonucleotide primers for individual IgH VDJ regions to evaluate tumor burden in myeloma patients.

    Science.gov (United States)

    Sata, Hiroshi; Shibayama, Hirohiko; Maeda, Ikuhiro; Habuchi, Yoko; Nakatani, Eiji; Fukushima, Kentaro; Fujita, Jiro; Ezoe, Sachiko; Tadokoro, Seiji; Maeda, Tetsuo; Mizuki, Masao; Kosugi, Satoru; Nakagawa, Masashi; Ueda, Shuji; Iida, Masato; Tokumine, Yukihiro; Azenishi, Yasuhiko; Mitsui, Hideki; Oritani, Kenji; Kanakura, Yuzuru

    2015-05-01

    Quantitative polymerase chain reaction (PCR) with patient-specific, allele-specific oligonucleotide (ASO) primers for individual immunoglobulin H VDJ region (ASO-PCR) amplification was performed using several sources of clinical material, including mRNA from peripheral blood cells (PBMNCs), whole bone marrow cells (BMMNCs), and the CD20+ CD38- B-cell population in bone marrow, as well as cell-free DNA from the sera of patients with multiple myeloma (MM). We designed the ASO primers and produced sufficient PCR fragments to evaluate tumor burden in 20 of 30 bone marrow samples at diagnosis. Polymerase chain reaction amplification efficiency depended on primer sequences because the production of ASO-PCR fragments did not correlate with serum M-protein levels. However, the ASO-PCR levels in BMMNCs showed statistically significant correlations with those in PBMNCs and CD20+ CD38- B-cells. The good association between the BMMNC and PBMNC data indicated that PBMNCs could be a suitable source for monitoring minimal residual disease (MRD). In the case of cell-free DNA, ASO-PCR levels showed a unique pattern and remained high even after treatment. Because the sequence information for each ASO-PCR product was identical to the original, the cell-free DNA might also be useful for evaluating MRD. Moreover, the ASO-PCR products were clearly detected in 17 of 22 mRNA samples from CD20+ CD38- populations, suggesting that MM clones might exist in relatively earlier stages of B cells than in plasma cells. Thus, ASO-PCR analysis using various clinical materials is useful for detecting MRD in MM patients as well as for clarifying MM pathogenesis. PMID:25591497

  15. Effectiveness of four different clinical fMRI paradigms for preoperative regional determination of language lateralization in patients with brain tumors

    International Nuclear Information System (INIS)

    Blood oxygen level-dependent functional magnetic resonance imaging (fMRI) has demonstrated its capability to provide comparable results to gold standard intracarotid sodium amobarbital (Wada) testing for preoperative determination of language hemispheric dominance. However, thus far, no consensus has been established regarding which fMRI paradigms are the most effective for the determination of hemispheric language lateralization in specific categories of patients and specific regions of interest (ROIs). Forty-one brain tumor patients who performed four different language tasks - rhyming (R), silent word generation (SWG) sentence completion, and sentence listening comprehension (LC) - for presurgical language mapping by fMRI were included in this study. A statistical threshold-independent lateralization index (LI) was calculated and compared among the paradigms in four different ROIs for language activation: functional Broca's (BA) and Wernicke's areas (WA) as well as larger anatomically defined expressive (EA) and receptive (RA) areas. The two expressive paradigms evaluated in this study are very good lateralizing tasks in expressive language areas; specifically, a significantly higher mean LI value was noted for SWG (0.36 ± 0.25) compared to LC (0.16 ± 0.24, p = 0.009) and for R (0.40 ± 0.22) compared to LC (0.16 ± 0.24, p = 0.001) in BA. SWG LI (0.28 ± 0.19) was higher than LC LI (0.12 ± 0.16, p = 0.01) also in EA. No significant differences in LI were found among these paradigms in WA or RA. SWG and R are sufficient for the determination of lateralization in expressive language areas, whereas new semantic or receptive paradigms need to be designed for an improved assessment of lateralization in receptive language areas. (orig.)

  16. Magnetic Resonance Imaging-Based Target Volume Delineation in Radiation Therapy Treatment Planning for Brain Tumors Using Localized Region-Based Active Contour

    International Nuclear Information System (INIS)

    Purpose: To evaluate the clinical application of a robust semiautomatic image segmentation method to determine the brain target volumes in radiation therapy treatment planning. Methods and Materials: A local robust region-based algorithm was used on MRI brain images to study the clinical target volume (CTV) of several patients. First, 3 oncologists delineated CTVs of 10 patients manually, and the process time for each patient was calculated. The averages of the oncologists’ contours were evaluated and considered as reference contours. Then, to determine the CTV through the semiautomatic method, a fourth oncologist who was blind to all manual contours selected 4-8 points around the edema and defined the initial contour. The time to obtain the final contour was calculated again for each patient. Manual and semiautomatic segmentation were compared using 3 different metric criteria: Dice coefficient, Hausdorff distance, and mean absolute distance. A comparison also was performed between volumes obtained from semiautomatic and manual methods. Results: Manual delineation processing time of tumors for each patient was dependent on its size and complexity and had a mean (±SD) of 12.33 ± 2.47 minutes, whereas it was 3.254 ± 1.7507 minutes for the semiautomatic method. Means of Dice coefficient, Hausdorff distance, and mean absolute distance between manual contours were 0.84 ± 0.02, 2.05 ± 0.66 cm, and 0.78 ± 0.15 cm, and they were 0.82 ± 0.03, 1.91 ± 0.65 cm, and 0.7 ± 0.22 cm between manual and semiautomatic contours, respectively. Moreover, the mean volume ratio (=semiautomatic/manual) calculated for all samples was 0.87. Conclusions: Given the deformability of this method, the results showed reasonable accuracy and similarity to the results of manual contouring by the oncologists. This study shows that the localized region-based algorithms can have great ability in determining the CTV and can be appropriate alternatives for manual approaches in brain cancer

  17. Evidence That MR Diffusion Tensor Imaging (Tractography) Predicts the Natural History of Regional Progression in Patients Irradiated Conformally for Primary Brain Tumors

    International Nuclear Information System (INIS)

    Purpose: Stereotactic radiotherapy (SRT) is fast becoming the method of choice for treatment of nonsuperficial brain lesions. SRT treatment plans of malignant brain tumors typically incorporate a 20-mm isotropic margin to account for microscopic tumor spread; however, distant or progressive tumors occur outside this margin. Our hypothesis is that paths of elevated water diffusion may provide a preferred route for transport or migration of cancer cells. If our hypothesis is correct, then future SRT treatment volumes could be modified to provide elongated treatment margins along the paths of elevated water diffusion, thereby creating a biologically better treatment plan that may reduce the incidence of progression. Methods and Materials: Magnetic resonance diffusion tensor imaging (DTI) datasets were acquired on patient subjects before the appearance of >5 mm diameter progressive lesions or secondary tumors. DTI was performed using an echo-planar imaging sequence on a 1.5T clinical General Electric scanner with voxel dimensions of 0.98 x 0.98 x 6 mm. After SRT, patients were given repeated magnetic resonance imaging follow-ups at regular intervals to identify early tumor progression. When progressive disease was detected, DTIstudio and FMRIB Software Library software was used to compute paths of preferred water diffusion through the primary tumor site and the site of progression. Results: Our preliminary results on 14 patient datasets suggest a strong relationship between routes of elevated water diffusion from the primary tumor and the location of tumor progression. Conclusions: Further investigation is therefore warranted. Future work will employ more sophisticated fiber analysis in a prospective study

  18. Vaginal tumors

    Science.gov (United States)

    Vaginal cancer; Cancer - vagina; Tumor - vaginal ... Most cancerous vaginal tumors occur when another cancer, such as cervical or endometrial cancer , spreads. This is called secondary vaginal cancer. Primary vaginal ...

  19. Carcinoid Tumors

    Science.gov (United States)

    Carcinoid tumors are rare, slow-growing cancers. They usually start in the lining of the digestive tract or in ... carcinoids is about 60. In later stages the tumors sometimes produce hormones that can cause carcinoid syndrome. ...

  20. Urogenital tumors

    Energy Technology Data Exchange (ETDEWEB)

    Weller, R.E.

    1994-03-01

    An overview is provided for veterinary care of urogenital tumors in companion animals, especially the dog. Neoplasms discussed include tumors of the kidney, urinary bladder, prostate, testis, ovary, vagina, vulva and the canine transmissible venereal tumor. Topics addressed include description, diagnosis and treatment.

  1. Spinal tumors

    International Nuclear Information System (INIS)

    Spinal tumors are uncommon lesions but may cause significant morbidity in terms of limb dysfunction. In establishing the differential diagnosis for a spinal lesion, location is the most important feature, but the clinical presentation and the patient's age and gender are also important. Magnetic resonance (MR) imaging plays a central role in the imaging of spinal tumors, easily allowing tumors to be classified as extradural, intradural-extramedullary or intramedullary, which is very useful in tumor characterization. In the evaluation of lesions of the osseous spine both computed tomography (CT) and MR are important. We describe the most common spinal tumors in detail. In general, extradural lesions are the most common with metastasis being the most frequent. Intradural tumors are rare, and the majority is extramedullary, with meningiomas and nerve sheath tumors being the most frequent. Intramedullary tumors are uncommon spinal tumors. Astrocytomas and ependymomas comprise the majority of the intramedullary tumors. The most important tumors are documented with appropriate high quality CT or MR images and the characteristics of these tumors are also summarized in a comprehensive table. Finally we illustrate the use of the new World Health Organization (WHO) classification of neoplasms affecting the central nervous system

  2. Brain Tumors

    Science.gov (United States)

    A brain tumor is a growth of abnormal cells in the tissues of the brain. Brain tumors can be benign, with no cancer cells, ... cancer cells that grow quickly. Some are primary brain tumors, which start in the brain. Others are ...

  3. Diurnal Profiles of Melatonin Synthesis-Related Indoles, Catecholamines and Their Metabolites in the Duck Pineal Organ

    Directory of Open Access Journals (Sweden)

    Bogdan Lewczuk

    2014-07-01

    Full Text Available This study characterizes the diurnal profiles of ten melatonin synthesis-related indoles, the quantitative relations between these compounds, and daily variations in the contents of catecholamines and their metabolites in the domestic duck pineal organ. Fourteen-week-old birds, which were reared under a 12L:12D cycle, were killed at two-hour intervals. The indole contents were measured using HPLC with fluorescence detection, whereas the levels of catecholamines and their metabolites were measured using HPLC with electrochemical detection. All indole contents, except for tryptophan, showed significant diurnal variations. The 5-hydroxytryptophan level was approximately two-fold higher during the scotophase than during the photophase. The serotonin content increased during the first half of the photophase, remained elevated for approximately 10 h and then rapidly decreased in the middle of the scotophase. N-acetylserotonin showed the most prominent changes, with a more than 15-fold increase at night. The melatonin cycle demonstrated only an approximately 5-fold difference between the peak and nadir. The 5-methoxytryptamine content was markedly elevated during the scotophase. The 5-hydroxyindole acetic acid, 5-hydroxytryptophol, 5-methoxyindole acetic acid and 5-methoxytryptophol profiles were analogous to the serotonin rhythm. The norepinephrine and dopamine contents showed no significant changes. The DOPA, DOPAC and homovanillic acid levels were higher during the scotophase than during the photophase. Vanillylmandelic acid showed the opposite rhythm, with an elevated level during the daytime.

  4. Demonstration of an orexinergic central innervation of the pineal gland of the pig

    DEFF Research Database (Denmark)

    Fabris, Chiara; Cozzi, Bruno; Hay-Schmidt, Anders; Naver, Bjarke; Møller, Morten

    2004-01-01

    paraventricular nucleus, the orexinergic neurons extended all the way to the lateral hypothalamic area. Immunoreactive nerve fibers, often endowed with large varicosities, were found throughout the hypothalamus and the epithalamus. Some periventricular immunoreactive nerve fibers entered the epithalamic region...

  5. Tumor immunology

    International Nuclear Information System (INIS)

    Tumor immunology, the use of immunological techniques for tumor diagnosis and approaches to immunotherapy of cancer are topics covered in this multi-author volume. Part A, 'Tumor Immunology', deals with present views on tumor-associated antigens, the initiation of immune reactions of tumor cells, effector cell killing, tumor cells and suppression of antitumor immunity, and one chapter dealing with the application of mathematical models in tumor immunology. Part B, 'Tumor Diagnosis and Imaging', concerns the use of markers to locate the tumor in vivo, for the histological diagnosis, and for the monitoring of tumor growth. In Part C, 'Immunotherapy', various experimental approaches to immunotherapy are described, such as the use of monoclonal antibodies to target drugs, the use of interleukin-2 and the use of drugs inhibiting suppression. In the final section, the evaluation, a pathologist and a clinician evaluate the possibilities and limitations of tumor immunology and the extent to which it is useful for diagnosis and therapy. refs.; figs.; tabs

  6. Carcinoid Tumors

    International Nuclear Information System (INIS)

    Carcinoid tumors belong among the most common occurred tumors of neuroendocrine tumors (NET). Incidence of these tumors has increased in recent years. In light of their hormonal activity carcinoid tumors form very various and heterogeneous group. Neuroendocrine entero chromaffin cells (EC cells) are their base, which occurred dispersionly in different anatomic body parts, primary in guts and main bronchus sub mucous. For the most part it deals about growing tumors with relatively indolent course. Carcinoid tumors are used to be diagnosed late, in many cases as already disseminated disease. Carcinoid tumors can proceed inaparently for longer. They can manifest by carcinoid syndrome (in the case of endocrine functional tumors). Clinical manifestations are dependent on type of hormonal active substance spectrum, serotonin and its metabolite especially. Prognosis and treatment of carcinoid tumors are dependent on many factors, including size, localization, age and histologic characteristic. Surgical treatment is still one of the curative therapy. Somatostatin analogues have unique place in biological therapy. Advances in research, concerning target therapy, bring new knowledge of options to regulate tumor growth. In the future they are a promise of possible therapy individualization. (author)

  7. The mouse small eye mutant, Del(2)Sey3H, which deletes the putative tumor suppressor region of the radiation-induced acute myeloid leukemia is susceptible to radiation

    Energy Technology Data Exchange (ETDEWEB)

    Nitta, Yumiko [Hiroshima Univ., Research Institute for Radiation Biology and Medicine, Hiroshima (Japan); Yoshida, Kazuko [National Institute for Radiological Sciences, Chiba (Japan); Tanaka, Kimio [Institute for Environmental Sciences, Rokkasho, Aomori (Japan); Peters, Jo; Cattanach, Bruce M. [Medical Research Council, Mammalian Genetics Unit, Harwell, Didcot (United Kingdom)

    2003-07-01

    Radiation-induced murine acute myeloid leukemia (AML) is characterized by the chromosome 2 deletions. Standing on the hypothesis that an AML suppressor gene would locate on the chromosome 2, a deletion-wide screen was performed on radiation-induced AMLs by the fluorescence in situ hybridization (FISH) method. The hemizugous deletion of the D2Mit15, a marker DNA at the 49.0cM region from the centromere, associated with the AMLs in 97 out of the 105 cases (92.4%). As the deletion region was close to the region of human WAGR syndrome (MIM194072), the mouse small eye mutants could be the animal model for radiation-induced AMLs. The mutant, Del(2)Sey3H (Sey3H) was found to delete around the 49.0cM region by the allelic loss mapping. The Sey3H showed high susceptibility to radiation to develop tumors including the myeloid leukemia with shorter latency. These finding support the existence of a putative tumor suppressor gene responsible for the radiation-leukemogenesis near the D2Mit15 region. (author)

  8. The mouse small eye mutant, Del(2)Sey3H, which deletes the putative tumor suppressor region of the radiation-induced acute myeloid leukemia is susceptible to radiation

    International Nuclear Information System (INIS)

    Radiation-induced murine acute myeloid leukemia (AML) is characterized by the chromosome 2 deletions. Standing on the hypothesis that an AML suppressor gene would locate on the chromosome 2, a deletion-wide screen was performed on radiation-induced AMLs by the fluorescence in situ hybridization (FISH) method. The hemizugous deletion of the D2Mit15, a marker DNA at the 49.0cM region from the centromere, associated with the AMLs in 97 out of the 105 cases (92.4%). As the deletion region was close to the region of human WAGR syndrome (MIM194072), the mouse small eye mutants could be the animal model for radiation-induced AMLs. The mutant, Del(2)Sey3H (Sey3H) was found to delete around the 49.0cM region by the allelic loss mapping. The Sey3H showed high susceptibility to radiation to develop tumors including the myeloid leukemia with shorter latency. These finding support the existence of a putative tumor suppressor gene responsible for the radiation-leukemogenesis near the D2Mit15 region. (author)

  9. Brown tumor involving the sellar-parasellar region mimicking pituitary adenoma as the tip of the iceberg of generalized primary hyperparathyroidism

    Directory of Open Access Journals (Sweden)

    Joanna Malicka

    2012-02-01

    Full Text Available The authors present a case study of a 40-year-old man with advanced, previously undiagnosed primary hyperparathyroidism (PHPT, which first manifestation directing to correct diagnosis was sellar-parasellar brown tumor. Further studies disclosed PHPT. The patient presented many of the classic signs of the disease, including renal stones, duodenal ulcer, muscle weakness and bone pains, but suspicion of PHPT was made on the base of a postoperative histological examination of the sellar- parasellar tumor. Laboratory investigations showed hypercalcaemia, hypophosphataemia, elevated levels of parathyroid hormone and alkaline phosphatase. A skeletal survey showed generalized decreased density of bones and multiple brown tumors. The problems of diagnosis and localization of parathyroid glands have been discussed. The literature has been reviewed and the importance of early diagnosis and treatment has been stressed.

  10. Incidence of intracranial germ cell tumors by race in the United States, 1992–2010

    Science.gov (United States)

    Poynter, Jenny N.; Fonstad, Rachel; Tolar, Jakub; Spector, Logan G.; Ross, Julie A.

    2014-01-01

    Little is known about the etiology of intracranial germ cell tumors (iGCTs), although international incidence data suggest that the highest incidence rates occur in Asian countries. In this analysis, we used 1992–2010 data from the National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) Program to determine whether rates of iGCT were also high in Asian/Pacific Islanders living in the United States. Frequencies, incidence rates and survival rates were evaluated for the entire cohort and for demographic subgroups based on sex, age category (0–9 and 10–29 years), race (white, black, and Asian/Pacific Islander), and tumor location (pineal gland vs. other) as sample size permitted. Analyses were conducted using SEER*Stat 8.1.2. We observed a significantly higher incidence rate of iGCT in Asian/Pacific Islanders compared with whites (RR = 2.05, 95 % CI 1.57–2.64, RR = 3.04, 95 % CI 1.75–5.12 for males and females, respectively) in the 10–29 year age group. This difference was observed for tumors located both in the pineal gland and for tumors in other locations. Five-year relative survival differed by demographic and tumor characteristics, although these differences were not observed in comparisons limited to cases treated with radiation. Increased incidence rates of iGCT in individuals of Asian descent in the SEER registry are in agreement with data from the International Agency for Research on Cancer, where Japan and Singapore were among the countries with highest incidence. The increased incidence in individuals of Asian ancestry in the United States suggests that underlying genetic susceptibility may play a role in the etiology of iGCT. PMID:25086758

  11. Incidence of intracranial germ cell tumors by race in the United States, 1992-2010.

    Science.gov (United States)

    Poynter, Jenny N; Fonstad, Rachel; Tolar, Jakub; Spector, Logan G; Ross, Julie A

    2014-11-01

    Little is known about the etiology of intracranial germ cell tumors (iGCTs), although international incidence data suggest that the highest incidence rates occur in Asian countries. In this analysis, we used 1992-2010 data from the National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) Program to determine whether rates of iGCT were also high in Asian/Pacific Islanders living in the United States. Frequencies, incidence rates and survival rates were evaluated for the entire cohort and for demographic subgroups based on sex, age category (0-9 and 10-29 years), race (white, black, and Asian/Pacific Islander), and tumor location (pineal gland vs. other) as sample size permitted. Analyses were conducted using SEER*Stat 8.1.2. We observed a significantly higher incidence rate of iGCT in Asian/Pacific Islanders compared with whites (RR = 2.05, 95 % CI 1.57-2.64, RR = 3.04, 95 % CI 1.75-5.12 for males and females, respectively) in the 10-29 year age group. This difference was observed for tumors located both in the pineal gland and for tumors in other locations. Five-year relative survival differed by demographic and tumor characteristics, although these differences were not observed in comparisons limited to cases treated with radiation. Increased incidence rates of iGCT in individuals of Asian descent in the SEER registry are in agreement with data from the International Agency for Research on Cancer, where Japan and Singapore were among the countries with highest incidence. The increased incidence in individuals of Asian ancestry in the United States suggests that underlying genetic susceptibility may play a role in the etiology of iGCT. PMID:25086758

  12. Cluster analysis of DCE-MRI data identifies regional tracer-kinetic changes after tumor treatment with high intensity focused ultrasound.

    Science.gov (United States)

    Jacobs, Igor; Hectors, Stefanie J C G; Schabel, Matthias C; Grüll, Holger; Strijkers, Gustav J; Nicolay, Klaas

    2015-11-01

    Evaluation of high intensity focused ultrasound (HIFU) treatment with MRI is generally based on assessment of the non-perfused volume from contrast-enhanced T1 -weighted images. However, the vascular status of tissue surrounding the non-perfused volume has not been extensively investigated with MRI. In this study, cluster analysis of the transfer constant K(trans) and extravascular extracellular volume fraction ve , derived from dynamic contrast-enhanced MRI (DCE-MRI) data, was performed in tumor tissue surrounding the non-perfused volume to identify tumor subregions with distinct contrast agent uptake kinetics. DCE-MRI was performed in CT26.WT colon carcinoma-bearing BALB/c mice before (n = 12), directly after (n = 12) and 3 days after (n = 6) partial tumor treatment with HIFU. In addition, a non-treated control group (n = 6) was included. The non-perfused volume was identified based on the level of contrast enhancement. Quantitative comparison between non-perfused tumor fractions and non-viable tumor fractions derived from NADH-diaphorase histology showed a stronger agreement between these fractions 3 days after treatment (R(2) to line of identity = 0.91) compared with directly after treatment (R(2) = 0.74). Next, k-means clustering with four clusters was applied to K(trans) and ve parameter values of all significantly enhanced pixels. The fraction of pixels within two clusters, characterized by a low K(trans) and either a low or high ve , significantly increased after HIFU. Changes in composition of these clusters were considered to be HIFU induced. Qualitative H&E histology showed that HIFU-induced alterations in these clusters may be associated with hemorrhage and structural tissue disruption. Combined microvasculature and hypoxia staining suggested that these tissue changes may affect blood vessel functionality and thereby tumor oxygenation. In conclusion, it was demonstrated that, in addition to assessment of the non-perfused tumor volume, the presented methodology gives further insight into HIFU-induced effects on tumor vascular status. This method may aid in assessment of the consequences of vascular alterations for the fate of the tissue. Copyright © 2015 John Wiley & Sons, Ltd. PMID:26390040

  13. Influence of the pineal gland on the physiology, morphometry and morphology of pancreatic islets in rats A influência da glândula pineal na fisiologia, morfometria e morfologia das ilhotas pancreáticas em ratos

    Directory of Open Access Journals (Sweden)

    L. M. B. de LIMA

    2001-05-01

    Full Text Available To investigate the influence of the pineal gland through melatonin secretion on the physiological and morphological parameters of pancreatic islets, we studied the plasma biochemistry and morphological and morphometric characteristics of the endocrine pancreas of male Wistar rats. The animals were distributed into five groups of ten rats each: NC - normal control group; NS - sham-operated group; Px (25 - pinealectomised group, studied 15-25 days after surgery; Px (70 - pinealectomised group, studied 60-70 days after surgery; ALX - alloxan monohydrate-treated group. Data are analyzed statistically by ANOVA and by the Kruskal-Wallis test. Although there was no significant difference in plasma glucose or insulin levels between the Px (25, Px (70 and NC groups, Px (25 animals showed a tendency to increased glucose and reduced insulin levels. The ALX group showed a clear elevation of plasma glucose and a reduction of plasma insulin compared to the other groups. Morphometric analysis showed a larger pancreatic islet area and a lower pancreatic islet density in the pancreas of Px (70 animals and an increase in degenerative pathological processes in the pancreatic islets of the Px (25 and ALX groups. The present results suggest that melatonin, in addition to acting on tissue sensitivity to insulin (as reported in other studies, affects the secretory action of beta cells, as demonstrated by the morphological and morphometric changes observed in pinealectomised animals.Com o objetivo de verificar a influência da glândula pineal, por meio da secreção de melatonina (MLT sobre a morfologia, morfometria e fisiologia das ilhotas de Langerhans (IP, especialmente sobre a secreção e ação da insulina, foram avaliados o metabolismo, a bioquímica plasmática, a morfologia e a morfometria de segmentos de pâncreas de 50 ratos Wistar. Os animais foram distribuídos em cinco grupos de dez animais cada, sendo dois grupos controles: N (controle normal; CF (submetidos à cirurgia fictícia e três grupos experimentais: P1 (pinealectomizados e avaliados entre 15 e 25 dias pós-cirurgia; P2 (pinealectomizados e avaliados entre 60 e 70 dias pós-cirurgia e Alx (tratados com Aloxana. Os resultados obtidos dos grupos experimentais foram analisados estatisticamente por ANOVA e teste de Kruskal-Wallis e comparados com os obtidos do grupo N. Embora não houvesse diferença significativa nos níveis plasmáticos de glicose ou insulina entre os grupos P1, P2 e N, os animais do grupo P1 mostraram tendência de aumento da glicose e níveis reduzidos de insulina. O grupo Alx mostrou elevação da glicemia e redução da insulinemia em relação aos demais grupos. A análise morfométrica revelou maior área e menor densidade das IP nos segmentos dos pâncreas do grupo P2. Em relação à análise morfológica, observou-se maior intensidade dos processos patológicos degenerativos nas IP dos grupos P1 e Alx. Estes resultados indicam que a MLT, além de exercer ação na sensibilidade periférica à insulina, parece ainda ter algum efeito na atividade secretora das células beta das IP, tendo em vista as alterações morfológicas e morfométricas observadas nos animais pinealectomizados.

  14. Influence of the pineal gland on the physiology, morphometry and morphology of pancreatic islets in rats / A influência da glândula pineal na fisiologia, morfometria e morfologia das ilhotas pancreáticas em ratos

    Scientific Electronic Library Online (English)

    L. M. B. de, LIMA; L. C. dos, REIS; M. A. de, LIMA.

    2001-05-01

    Full Text Available Com o objetivo de verificar a influência da glândula pineal, por meio da secreção de melatonina (MLT) sobre a morfologia, morfometria e fisiologia das ilhotas de Langerhans (IP), especialmente sobre a secreção e ação da insulina, foram avaliados o metabolismo, a bioquímica plasmática, a morfologia e [...] a morfometria de segmentos de pâncreas de 50 ratos Wistar. Os animais foram distribuídos em cinco grupos de dez animais cada, sendo dois grupos controles: N (controle normal); CF (submetidos à cirurgia fictícia) e três grupos experimentais: P1 (pinealectomizados e avaliados entre 15 e 25 dias pós-cirurgia); P2 (pinealectomizados e avaliados entre 60 e 70 dias pós-cirurgia) e Alx (tratados com Aloxana). Os resultados obtidos dos grupos experimentais foram analisados estatisticamente por ANOVA e teste de Kruskal-Wallis e comparados com os obtidos do grupo N. Embora não houvesse diferença significativa nos níveis plasmáticos de glicose ou insulina entre os grupos P1, P2 e N, os animais do grupo P1 mostraram tendência de aumento da glicose e níveis reduzidos de insulina. O grupo Alx mostrou elevação da glicemia e redução da insulinemia em relação aos demais grupos. A análise morfométrica revelou maior área e menor densidade das IP nos segmentos dos pâncreas do grupo P2. Em relação à análise morfológica, observou-se maior intensidade dos processos patológicos degenerativos nas IP dos grupos P1 e Alx. Estes resultados indicam que a MLT, além de exercer ação na sensibilidade periférica à insulina, parece ainda ter algum efeito na atividade secretora das células beta das IP, tendo em vista as alterações morfológicas e morfométricas observadas nos animais pinealectomizados. Abstract in english To investigate the influence of the pineal gland through melatonin secretion on the physiological and morphological parameters of pancreatic islets, we studied the plasma biochemistry and morphological and morphometric characteristics of the endocrine pancreas of male Wistar rats. The animals were d [...] istributed into five groups of ten rats each: NC - normal control group; NS - sham-operated group; Px (25) - pinealectomised group, studied 15-25 days after surgery; Px (70) - pinealectomised group, studied 60-70 days after surgery; ALX - alloxan monohydrate-treated group. Data are analyzed statistically by ANOVA and by the Kruskal-Wallis test. Although there was no significant difference in plasma glucose or insulin levels between the Px (25), Px (70) and NC groups, Px (25) animals showed a tendency to increased glucose and reduced insulin levels. The ALX group showed a clear elevation of plasma glucose and a reduction of plasma insulin compared to the other groups. Morphometric analysis showed a larger pancreatic islet area and a lower pancreatic islet density in the pancreas of Px (70) animals and an increase in degenerative pathological processes in the pancreatic islets of the Px (25) and ALX groups. The present results suggest that melatonin, in addition to acting on tissue sensitivity to insulin (as reported in other studies), affects the secretory action of beta cells, as demonstrated by the morphological and morphometric changes observed in pinealectomised animals.

  15. Early-life sleep deprivation persistently depresses melatonin production and bio-energetics of the pineal gland: potential implications for the development of metabolic deficiency.

    Science.gov (United States)

    Chen, Li-You; Tiong, Cheng; Tsai, Chung-Hung; Liao, Wen-Chieh; Yang, Shun-Fa; Youn, Su-Chung; Mai, Fu-Der; Chang, Hung-Ming

    2015-03-01

    Early-life sleep deprivation (ESD) is a serious condition with severe metabolic sequelae. The pineal hormone melatonin plays an important role in homeostatic regulation of metabolic function. Considering norepinephrine-mediated Ca(2+) influx and subsequent protein kinase A (PKA) activation is responsible for downstream cAMP-response element-binding protein (CREB) phosphorylation and melatonin biosynthesis, the present study determined whether Ca(2+) expression, together with the molecular machinery participated in melatonin production would significantly alter after ESD. Weaning rats subjected to chronic ESD and maintained naturally (light:dark cycle = 12:12) to adulthood were processed for time-of-flight secondary ion mass spectrometry, immunoblotting, immunohistochemistry together with spectrometric assay to detect the Ca(2+) signaling, adrenoreceptors, PKA, phosphorylated CREB (pCREB) as well as the serum level of melatonin, respectively. Pineal bio-energetics and metabolic function were determined by measuring the cytochrome oxidase activity and serum level of glucose, triglyceride, insulin, high- and low-density lipoproteins, respectively. Results indicated that in normal rats, strong Ca(2+) signaling along with intense adrenoreceptors, PKA, and pCREB activities were all detected in pinealocytes. Enhanced Ca(2+) imaging and signaling pathway corresponded well with intact bio-energetics, normal melatonin production and metabolic activity. However, following ESD, not only Ca(2+) but also pineal signaling activities were all significantly decreased. Blood analysis showed reduced melatonin level and impaired metabolic function after ESD. As depressed Ca(2+)-mediated signaling pathway and melatonin biosynthesis are positively correlated with the development of metabolic dysfunction, supplementary use of melatonin in childhood may thus serve as a practical way to prevent or counteract the ESD-induced metabolic deficiency. PMID:24515890

  16. Kidney Tumors

    Science.gov (United States)

    Kidney tumors are rare and generally curable in children. However, there are subsets of patients afflicted with these diseases that do not respond to treatment or eventually relapse. These patients usually have poor clinical outcomes as compared with the majority of children diagnosed with kidney tumors. All patients undergo therapy regimens that can be detrimental later in life. Through genome-wide characterization, TARGET investigators are identifying critical molecular alterations in these tumors, mostly from relapsed patients.

  17. Primary extragonadal germ cell tumor: A case report on prostate seminoma

    Science.gov (United States)

    ZHENG, WEI; WANG, LINA; YANG, DEYONG; FANG, KUN; CHEN, XIAOCHI; WANG, XUEJIAN; LI, XIANCHENG; LI, ZIYAO; SONG, XISHUANG; WANG, JIANBO

    2015-01-01

    Primary extragonadal germ cell tumors are rare, and 60% of such cases are seminomas. While the tumors can occur in the mediastinum, thymus, retroperitoneal organs and pineal gland, seminoma originating in the prostate tissue is extremely rare. The present study reports the case of a 54-year-old male with prostate seminoma. The patient was followed up at the First Affiliated Hospital of Dalian Medical University (Dalian, Liaoning, China) from 2001 onwards. The patient received chemotherapy with cyclophosphamide following total resection of the pelvic organs, pelvic lymph node dissection, continent detenial cecum-ascending colic bladder and orchidectomy. The patient experienced considerable post-operative quality of life for >10 years and the disease did not reappear. The study indicated that extragonadal seminoma is sensitive to chemotherapy, and that radical surgery and post-operative adjuvant chemotherapy with cyclophosphamide is a reasonable and feasible treatment method. PMID:26622843

  18. Brain tumor-targeted drug delivery strategies

    Directory of Open Access Journals (Sweden)

    Xiaoli Wei

    2014-06-01

    Full Text Available Despite the application of aggressive surgery, radiotherapy and chemotherapy in clinics, brain tumors are still a difficult health challenge due to their fast development and poor prognosis. Brain tumor-targeted drug delivery systems, which increase drug accumulation in the tumor region and reduce toxicity in normal brain and peripheral tissue, are a promising new approach to brain tumor treatments. Since brain tumors exhibit many distinctive characteristics relative to tumors growing in peripheral tissues, potential targets based on continuously changing vascular characteristics and the microenvironment can be utilized to facilitate effective brain tumor-targeted drug delivery. In this review, we briefly describe the physiological characteristics of brain tumors, including blood–brain/brain tumor barriers, the tumor microenvironment, and tumor stem cells. We also review targeted delivery strategies and introduce a systematic targeted drug delivery strategy to overcome the challenges.

  19. Evaluation The Result Of Treating 1200 Patients Brain Tumor And Some Intracranial Diseases By Rotating GAMMA Knife (RGK) At The Nuclear Medicine And Oncology Center, Bach Mai Hospital

    International Nuclear Information System (INIS)

    The paper is evaluating results of treating brain tumor and some intracranial diseases by rotating gamma knife (RGK) at The Nuclear Medicine and Oncology Center, Bach Mai Hospital, from July 2007 to August 2010, for 1200 patients treated with RGK. In 1200 patients - average age: 42.6 years old, Male/Female ratio:1/1.08 - pituitary tumors accounted for 19.8%, meningioma 18.3%, arteriovenous malformations (AVM) (16.7%), acoustic neuroma (8.7%), brain metastases (7.5%), craniopharyngeal tumor (5.0%), pineal tumor (3.5%), cavernoma (6%), astrocytoma (5.2%), meduloblastoma (2.9%), ependymoma (2.6%), others (3.8%). Average target volume: minimum 0.6cm3, maximum 27.6cm3, median 6.2 ± 4.6 cm3. Average radiosurgery dose changed depend on nature of the tumor: pituitary tumor (12.4 Gy), meningioma (18.8 Gy), AVM (18 Gy), acoustic neuroma (14.6 Gy), brain metastases (18.2 Gy), craniopharyngeal tumor (12.8 Gy), pineal tumor (16.3 Gy), cavernoma (17.5 Gy), astrocytoma (14.6 Gy), medulloblastoma (16.1 Gy), ependymoma (16.3 Gy), others (15 Gy). Conclusions: Almost case have improved clinical symptoms significantly: 80.2% after 1 month (complete response 20.2%), 100% at 36th month (complete response: 94%). Size of the tumor were reduced remarkably. Treatment were safe, no death or severe complications were observed within and after radiosurgery. (author)

  20. Essential requirement of I-A region-identical host bone marrow or bone marrow-derived cells for tumor neutralization by primed L3T4+ T cells

    International Nuclear Information System (INIS)

    The antitumor activity of Meth A-hyperimmunized BALB/c mouse spleen cells (Meth A-Im-SPL) was assayed by the Winn test in H-2 incompatible bone marrow chimeras in closed colony CD-1 (nu/nu), inbred DDD/1(nu/nu) (H-2s), or inbred BALB/c(nu/nu) (H-2d) mice as recipients. We found that Meth A-Im-SPL suppressed Meth A growth in the chimera nude mice which were reconstituted with bone marrow cells of the H-2d haplotype (i.e., BALB/c, DBA/2 and B10.D2), but not in the chimeras which were reconstituted with bone marrow cells of the H-2a, H-2b, or H-2k haplotype (i.e., B10.A, B10, and B10.BR). These results suggested that H-2 restriction occurred between Meth A-Im-SPL and bone marrow or bone marrow-derived cells in tumor neutralization. Furthermore, Meth A-Im-SPL did not suppress Meth 1 tumors (antigenically distinct from Meth A tumors) in the presence or absence of mitomycin C-treated Meth A in a Winn assay. These results suggested that there is tumor specificity in the effector phase as well as in the induction phase. The phenotype of the effectors in the Meth A-Im-SPL was Thy-1.2+ and L3T4+, because Meth A-Im-SPL lost their antitumor activity with pretreatment with anti-Thy-1.2 monoclonal antibody (mAb) and complement or anti-L3T4 mAb and complement, but not with anti-Lyt-2.2 mAb and complement or complement alone. Positively purified L3T4+ T cells from Meth A-Im-SPL (Meth A-Im-L3T4), obtained by the panning method, suppressed the tumor growth in the chimera nude mice which were reconstituted with bone marrow cells of B10.KEA2 mice (that were I-A region-identical with Meth A-Im-L3T4 cells but not others in H-2) as well as B10.D2 cells (that were fully identical with Meth A-Im-L3T4 cells in H-2). We conclude that Meth A-Im-SPL (L3T4+) neutralized the tumors in collaboration with I-A region-identical host bone marrow or bone marrow-derived cells, and the neutralization was not accompanied by the bystander effect

  1. Morphologic Changes in Rat's Pineal Gland After Eliminating Retinal Photic Stimulation Cambios Morfológicos en la Glándula Pineal de Ratas Luego de la Eliminación de la Estimulación Fótica Retiniana

    Directory of Open Access Journals (Sweden)

    Ignacio Roa Henriquez

    2008-09-01

    Full Text Available Melatonin secretion from mammalian pineal glands is regulated by light stimulation by means of a complex neuroanatomical pathway that includes the retina, hypothalamic suprachiasmatic nucleus, intermediolateral nucleus of the thoracic spinal cord, and finally, the superior cervical ganglia. The purpose of this study was to analyze the changes in the pinealocytes and the blood vessel density of the pineal gland after eliminating photic stimulation in rats. Thirteen adult Sprague-Dawley rats were divided into 2 groups, Group I acted as control, and Group II was subjected to a retinal lesión, by means of alcohol injected bilaterally to both ocular bulbs. After 3 weeks, the glands of both groups were processed with hematoxilin-eosin (HE and observed with an optic microscope. Group II results presented higher valúes in the number of pinealocytes and in the blood vessels observed. The differences with Group I was significant at p La secreción de melatonina por parte de glándula pineal de los mamíferos es regulada por la estimulación luminosa mediante complejas vías neuro anatómicas que incluyen la retina, el núcleo supraquiasmático hipotalámico, el núcleo intermediolateral de la médula torácica y finalmente el ganglio cervical superior. El propósito de este estudio fue analizar los cambios en la densidad de pinealocitos y vasos sanguíneos de la glándula pineal, luego de eliminar la estimulación fótica en ratas. Se utilizaron 13 ratas adultas Sprague Dawley divididas en 2 grupos, Grupo I actuó como control, y el Grupo II fue sometido a una lesión retiniana, por medio de alcoholización bilateral de ambos bulbos oculares. Luego de tres semanas las glándulas de ambos grupos fueron procesadas para hematoxilina-eosina y observadas al microscopio óptico. El grupo II presentó valores mayores en el número de pinealocitos y de vasos sanguíneos observados, las diferencias con el Grupo I fueron significativas con p<0.01. Estos resultados entregan una evidencia indirecta del efecto que la supresión de la estimulación fótica tiene en la glándula pineal en ratas.

  2. ESR1 gene promoter region methylation in free circulating DNA and its correlation with estrogen receptor protein expression in tumor tissue in breast cancer patients

    OpenAIRE

    Martínez-Galán, Joaquina; Torres-Torres, Blanca; Núñez, María Isabel; López-Peñalver, Jesús; Moral Ávila, Rosario del; Ruiz de Almodóvar Rivera, José Mariano; Menjón, Salomón; Concha, Ángel; Chamorro, Clara; Ríos-Arrabal, Sandra; Delgado, Juan Ramón

    2014-01-01

    [Background] Tumor expression of estrogen receptor (ER) is an important marker of prognosis, and is predictive of response to endocrine therapy in breast cancer. Several studies have observed that epigenetic events, such methylation of cytosines and deacetylation of histones, are involved in the complex mechanisms that regulate promoter transcription. However, the exact interplay of these factors in transcription activity is not well understood. In this study, we explored the relationship ...

  3. Two regions of the mouse mammary tumor virus long terminal repeat regulate the activity of its promoter in mammary cell lines.

    OpenAIRE

    Lefebvre, P.; Berard, D S; Cordingley, M G; Hager, G L

    1991-01-01

    In vivo expression of the mouse mammary tumor virus (MMTV) is restricted to a few organs, with the highest rate of transcription found in the mammary gland. Using a series of mammary and nonmammary murine cell lines, we have identified two regulatory elements, located upstream of the hormone responsive element, that specifically regulate the MMTV promoter. The first element displays an enhancerlike activity and is coincident with the binding of a nuclear factor (designated MP4; position -1078...

  4. Wilms' tumor

    International Nuclear Information System (INIS)

    The differential diagnosis of Wilms' tumor includes other malignant lesions of the kidney in children, neuroblastoma, and benign conditions such as hydronephrosis, polycystic disease, and, in left-sided tumors, splenomegaly. Plain films of the abdomen may demonstrate calcification suggestive of neuroblastoma. However, an intravenous pyelogram (IVP) will nearly always differentiate the renal tumor from the other conditions, which either have no intrinsic involvement of the kidney at all or do not show distortion of the collecting systems. Cysts will often appear as radiolucent areas. Ultrasonography may also be helpful because in up to 10% of Wilms' tumor patients the kidney cannot be seen on intravenous pyelogram. In such cases the tumor will appear solid rather than cystic. Calcifications are noted in 60% to 70% of neuroblastomas but in only 15% of Wilms' tumors. The advent of computed tomography has reduced the popularity of invasive studies such as arteriography. Abdominal computed tomography not only delineates the intrarenal tumor but also demonstrates gross extrarenal spread, lymph node involvement, liver metastases, and the status of the opposite kidney. This investigation does not however obviate the need for inspection at laparotomy. Plain chest radiography is also essential because asymptomatic pulmonary metastases are not uncommon. Computed tomography of the chest may reveal some early variety of tumors, 5 of whom developed 8 clipped femoral epiphyses; this was correlated with inclusion of the femoral head and acetabulum in the irradiated volume

  5. Tumoral tracers

    International Nuclear Information System (INIS)

    Direct tumor tracers are subdivided in the following categories:metabolite tracers, antitumoral tracers, radioactive proteins and cations. Use of 67Ga-citrate as a clinically important tumoral tracer is emphasized and gallium-67 whole-body scintigraphy is discussed in detail. (M.A.)

  6. Chemoradiation provides a physiological selective pressure that increases the expansion of aberrant TP53 tumor variants in residual rectal cancerous regions.

    Science.gov (United States)

    Sakai, Kazuko; Kazama, Shinsuke; Nagai, Yuzo; Murono, Koji; Tanaka, Toshiaki; Ishihara, Soichiro; Sunami, Eiji; Tomida, Shuta; Nishio, Kazuto; Watanabe, Toshiaki

    2014-10-30

    Neoadjuvant chemoradiotherapy has been introduced in patients with surgically resected rectal cancer and reduced the local recurrence. Heterogeneity exists in rectal cancer, and we hypothesized that there are subclones resistant to chemoradiotherapy within the cancer mass. We performed DNA-targeted sequencing of pre- and post-treatment tumor tissues obtained from 20 rectal cancer patients who received chemoradiotherapy. The variant frequency of the mutant clones was compared between pre- and post-treatment samples of nine non-responder patients. RNA-targeted sequencing of 57 genes related to sensitivity to chemotherapy and radiotherapy was performed for the paired samples. Immunohistochemical analyses of p53 expression were also performed on the paired samples from the nine non-responder patients. DNA-sequencing detected frequent mutations of suppressor genes including TP53, APC and FBXW7 in the post-treatment samples of the nine non-responders. The frequency of TP53 mutations showed significant increases after chemoradiotherapy. RNA-targeted sequencing of 29 tumor tissues demonstrated that decreased expression of three genes and increased expression of four genes were detected in the post-treatment samples. Significantly increased expression of TP53 was observed in the post-treatment samples. Immunohistochemical staining for p53 revealed that increased p53 intensity scores were observed after chemoradiotherapy. These results suggest that the tumors with TP53 mutations tend to accumulate through chemoradiotherapy. PMID:25275295

  7. The changes of cerebral blood flow and metabolism of normal brain tissue after surgery, radiation, and chemotherapy in brain tumor patients

    International Nuclear Information System (INIS)

    In 9 brain tumor patients treated with radiation, chemotherapy, and/or surgery, changes in cerebral blood flow (CBF) and metabolism of normal brain tissue were determined serially by positron emission tomography (PET). The subjects had glioblastomas (4 patients), and malignant oligodendroglioma, astrocytoma grade II, astrocytoma grade III, pontine glioma and pineal germinoma (each one patient), whose ages ranged from 11 to 62 years. One patient was treated with irradiation alone, one with combined irradiation and chemotherapy, and the other 7 patients with trimodal combined therapy including irradiation, chemotherapy and surgery. The patients received a total dose of 59 to 61 Gy, including 30 or 40 Gy to the whole brain. Chemotherapy consisted of intravenous administration of ACNU and oral administration of FT-207. CBF and cerebral metabolic rate of oxygen (CMRO2) were measured by the 15O-steady state technique. Cerebral metabolic rate of glucose (CMRGlc) was measured by the 18F-labelled 2-fluoro-2-deoxy-D-glucose method. For the quantitative analysis of CBF, CMRO2, and CMRGlc, elliptic regions of interests (ROIs), varying in size from 10 to 30 mm, were used as normal brain tissue. The second PET performed one month after therapy revealed a tendency for the increase of CBF, CMRO2, and CMRGlc in surgical cases. Three months later, CBF, CMRO2, and CMRGlc tended to decrease in most cases, except for two cases showing an increased CMRO2. Regions exposed to higher doses showed a marked decrease for these parameters, suggesting a strong radiation dose-dependency. (N.K.)

  8. Influence of Pathological Nodal Status and Maximal Standardized Uptake Value of the Primary Tumor and Regional Lymph Nodes on Treatment Plans in Patients With Advanced Oral Cavity Squamous Cell Carcinoma

    International Nuclear Information System (INIS)

    Purpose: A better understanding of the prognostic factors in oral cavity squamous cell carcinoma (OSCC) may optimize the therapeutic approach. In this study, we sought to investigate whether the combination of clinical information, pathologic results, and preoperative maximal standardized uptake value (SUVmax) at the primary tumor and regional lymph nodes might improve the prognostic stratification in this patient group. Methods and Materials: A total of 347 consecutive OSCC patients were investigated. All participants underwent fluorodeoxyglucose-positron emission tomography within 2 weeks before surgery and neck dissection. The duration of follow-up was at least 24 months in all surviving patients. The optimal cutoff values for SUVmax at the primary tumor (SUVtumor-max) and regional lymph nodes (SUVnodal-max) were selected according to the 5-year disease-free survival (DFS) rate. Independent prognosticators were identified by Cox regression analysis. Results: In multivariate analysis, a cutoff SUVtumor-max of 8.6, a cutoff SUVnodal-max of 5.7, and the presence of pathologic lymph node metastases were found to be significant prognosticators for the 5-year DFS. A scoring system using these three prognostic factors was formulated to define distinct prognostic groups. The 5-year rates for patients with a score between 0 and 3 were as follows: neck control, 94%, 86%, 77%, 59% (p < 0.0001); distant metastases, 1%, 7%, 22%, 47% (p < 0.0001); disease-specific survival, 93%, 85%, 61%, 36%, respectively (p < 0.0001). Conclusion: Based on the study findings, the combined evaluation of pathologic node status and SUVmax at the primary tumor and regional lymph nodes may improve prognostic stratification in OSCC patients.

  9. Parallel evolution of tumor subclones mimics diversity between tumors

    DEFF Research Database (Denmark)

    Martinez, Pierre; Birkbak, Nicolai Juul; Gerlinger, Marco; McGranahan, Nicholas; Burrell, Rebecca; Rowan, Andrew; Joshi, Tejal; Fisher, Rosalie; Larkin, James; Szallasi, Zoltan Imre; Swanton, Charles

    2013-01-01

    Intratumor heterogeneity (ITH) may foster tumor adaptation and compromise the efficacy of personalized medicines approaches. The scale of heterogeneity within a tumor (intratumor heterogeneity) relative to genetic differences between tumors (intertumor heterogeneity) is unknown. To address this, we...... obtained 48 biopsies from eight stage III and IV clear cell renal cell carcinomas (ccRCC) and used DNA copy-number analyses to compare biopsies from the same tumor with 440 singletumor biopsies from The Cancer Genome Atlas (TCGA). Unsupervised hierarchical clustering of TCGA and multi-region ccRCC samples...

  10. Clinical applications of MR digital subtraction angiography for the evaluation of intracranial vascular and tumorous lesions

    Energy Technology Data Exchange (ETDEWEB)

    Katase, Shichiro; Tsuchiya, Kazuhiro; Hachiya, Junichi [Kyorin Univ., Mitaka, Tokyo (Japan). School of Medicine

    2001-07-01

    MR digital subtraction angiography (MR DSA), which is performed by a rapid two-dimensional T1-weighted sequence in combination with bolus injection of gadolinium-based contrast agent was applied to the evaluation of cerebral arteriovenous malformations (AVMs), brain tumors (intraaxial and extraaxial tumors), and other vascular lesions. This study was performed to evaluate the clinical usefulness of the method in the diagnosis of these lesions. We studied 19 cases of cerebral AVM, 36 cases of intraaxial tumor (metastatic brain tumors in 14, glioblastomas in five, astrocytomas in eight, malignant lymphomas in four, pineal tumors in two, and other tumors, in three), 34 cases of extraaxial tumor (meningiomas in 29, and pituitary adenomas in five), and 10 cases of other vascular lesions (cerebral aneurysms in five, venous thrombosis in two, and other lesion in three). For cerebral AVMs, the feeder, nidus, and drainer were evaluated on a 4 - point grading scale (0=poor, 1=fair, 2=good, 3=excellent), and the results obtained were compared with those of conventional cerebral angiography or MR angiography using the postcontrast three-dimensional time-of-flight method. Brain tumors were classified into six enhancement patterns, and were compared with the findings of conventional cerebral angiography. Other vascular lesions were assessed visually. All cases were evaluated independently by two radiologists, and inter-observer agreement was assessed using the {kappa}-test. In all cerebral AVM cases, the hemodynamics of the feeder, nidus, and drainer could be observed. In all but five brain tumor cases, tumor stain could be confirmed in MR DSA images. The findings of tumor stain corresponded to those of cerebral angiographic images. For other vascular lesions, results of lesion detection and lesion morphology were almost in congruence with other methods. MR DSA provides information on the hemodynamics of vascular and tumorous lesions. When used in conjunction with routine MR imaging, MR DSA is a useful method that provides important diagnostic information with low invasiveness. (author)

  11. Etiology of thyroid tumors

    Energy Technology Data Exchange (ETDEWEB)

    Bellabarba, D. (Sherbrooke Univ., Quebec (Canada))

    1983-12-01

    The etiology of thyroid tumors is a complex subject, complicated by the fact that these tumors are not one entity, but separate neoplasms with different histology, evolution and prognosis. The recognized etiological factors of thyroid cancer include the iodine content of the diet, the inheritance, racial predispositions, the presence of an autoimmune thyroiditis and mostly, the exposure of the thyroid gland to external radiation following radiotherapy. The role played by these factors varies from one type of tumor to another. Thyroid radiation probably represents the most important factor in the development of a papillary carcinoma, with other factors (iodine-rich diet, inheritance, racial predispositions) having a minor role. The follicular carcinoma is more common in regions with low-iodine diet, therefore suggesting that TSH stimulation could be an etiological factor of these tumors. Thyroid radiation may also be carcinogenic for follicular carcinoma although less than for papillary carcinoma. Anaplastic carcinoma appears to originate from a papillary carcinoma already in the thyroid gland. In medullary carcinoma, inheritance plays a major role (autosomal dominant) and lymphomas occur in thyroids already affected by autoimmune thyroiditis. Recent experimental studies have suggested other possible cellular factors as responsible for the development of thyroid tumors. They include an alteration of the responsivity of TSH cellular receptors and the monoclonal mutation of C-cells. These new factors could provide a new insight on the etiology of thyroid tumors.

  12. Tumor de Krukenberg Krunkenberg's tumor

    Directory of Open Access Journals (Sweden)

    Daisy Hernández Durán

    2011-09-01

    Full Text Available El tumor de Krukenberg supone el 30-40 % de los cánceres metastásicos al ovario y el 1-2 % de todos los tumores malignos de ovario. En la actualidad, y pese a que el concepto de tumor de Krukenberg ha sido usado para referirse a todos los tumores metastásicos del ovario, se consideran como tal a los que tienen un origen digestivo. Su pronóstico es malo con raras supervivencias más allá del año. Se presenta un caso de una paciente femenina de 38 años de edad, que ingresa por ascitis moderada, anorexia y pérdida de peso, a la cual se le realizó una laparotomía con el posible diagnóstico de un proceso oncoproliferativo del ovario y el diagnóstico histopatológico arrojó un tumor de Krukenberg.Krukenberg's tumor accounts for 30-40 % of ovarian metastatic cancer and for the 1-2 % of all ovarian malignant tumors. Nowadays and in spite of the fact that the concept of Krukenberg' tumor has been used to refer to all ovarian metastatic tumors those with a digestive origin, its prognosis if bad with only a few survivals beyond one year. This is the case of a female patient aged 38 admitted due to a moderate ascites, anorexia and lose weight undergoes laparotomy with the possible diagnosis of a oncoproliferous ovarian process and the histopathological diagnosis showed a Krukenberg's tumor.

  13. Brain tumor

    International Nuclear Information System (INIS)

    BNCT in the past was not widely accepted because of poor usability of a nuclear reactor as a neutron source. Recently, technical advancements in the accelerator field have made accelerator-based BNCT feasible. Consequently, clinical trials of intractable brain tumors have started using it since 2012. In this review, our clinical results obtained from conventional reactor-based BNCT for treatment of brain tumors are introduced. It is strong hope that accelerator-based BNCT becomes a standard therapy for current intractable brain tumors. (author)

  14. [Cerebral nerves - perineural tumor spread].

    Science.gov (United States)

    Bisdas, S; Mack, M G

    2009-07-01

    Perineural tumor spread in the course of head and neck tumors is a form of metastatic disease in which the tumor disseminates centrifugally or centripetally along the nerve to (non)contiguous regions. Perineural tumor spread is a potentially devastating complication and has a high impact on the therapeutic management and overall prognosis. In a large proportion of patients the disease remains asymptomatic and imaging (especially MRI) plays a crucial role in the detection of lesions. Familiarity with the pertinent anatomy, knowledge of the common spread pathways and an appropriate imaging strategy allow detection of the perineural spread of the disease in the majority of the cases. PMID:19424678

  15. Tumors and tumor-like lesions; Tumoren und tumoraehnliche Erkrankungen

    Energy Technology Data Exchange (ETDEWEB)

    Koesling, S.; Stoevesandt, D. [Klinik fuer Diagnostische Radiologie, Martin-Luther-Univ. Halle-Wittenberg, Halle (Germany); Knipping, S. [Universitaetsklinik und Poliklinik fuer Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie, Martin-Luther-Univ. Halle-Wittenberg, Halle (Germany)

    2007-07-15

    Tumors and tumor-like lesions are rare diseases in the paranasal sinuses. There is a great variety of histological types, but only a small number of morphological patterns on imaging. Histology is an important point in therapeutic planning. In most cases it is obtained by sampling, which is not as difficult in the sinonasal area as in other regions of the body. The main task of imaging is an exact estimation of the extent and spread of a lesion. This article discusses the possibilities and limitations of CT and MRI in the assessment of the dignity and spread of paranasal tumors and tumor-like lesions in consideration of necessary therapeutic information. Additionally, an overview of features on imaging of different paranasal tumors and tumor-like lesions is given. (orig.)

  16. Developmental and diurnal dynamics of Pax4 expression in the mammalian pineal gland: nocturnal down-regulation is mediated by adrenergic-cyclic adenosine 3',5'-monophosphate signaling

    DEFF Research Database (Denmark)

    Rath, Martin F; Bailey, Michael J; Kim, Jong-So; Ho, Anthony K; Gaildrat, Pascaline; Coon, Steven L; Møller, Morten; Klein, David C

    2009-01-01

    Pax4 is a homeobox gene that is known to be involved in embryonic development of the endocrine pancreas. In this tissue, Pax4 counters the effects of the related protein, Pax6. Pax6 is essential for development of the pineal gland. In this study we report that Pax4 is strongly expressed in the pi...

  17. Pituitary Tumors

    Science.gov (United States)

    ... low pituitary hormones include fatigue, dizziness, dry skin, irregular periods in women, and sexual dysfunction in men. ... can cause acromegaly. Prolactin-producing tumors can cause irregular or absent menstrual periods in women. They can ...

  18. Mediastinal tumor

    Science.gov (United States)

    Mediastinal tumors are growths that form in the mediastinum. This is an area in the middle of ... The mediastinum is the part of the chest that lies between the sternum and the spinal column, and between ...

  19. Sinus Tumors

    Science.gov (United States)

    ... of the nose and paranasal sinuses are rare, accounting for fewer than 1% of all tumors. These ... change from before (especially in an elderly patient). Evaluation and diagnosis Evaluation of patients with nasal symptoms ...

  20. Tumor Types

    Science.gov (United States)

    ... After surgery, radiation therapy is used to kill leftover tumor cells and try and prevent recurrence. Chemotherapies, ... brain) or secondary Most common among men and women in their 60s-80s, but incidence is increasing ...

  1. Wilms Tumor

    Science.gov (United States)

    ... destined to form into the kidneys malfunctioning and forming a tumor. Signs and Symptoms Before being diagnosed ... a child is finished with therapy, the care team will provide a schedule of follow-up tests. ...

  2. Pituitary gland tumors; Hypophysentumoren

    Energy Technology Data Exchange (ETDEWEB)

    Jesser, J.; Schlamp, K.; Bendszus, M. [Radiologische Klinik, Universitaetsklinikum Heidelberg, Abteilung fuer Neuroradiologie, Heidelberg (Germany)

    2014-10-15

    This article gives an overview of the most common tumors of the pituitary gland and the differential diagnostics with special emphasis on radiological diagnostic criteria. A selective search of the literature in PubMed was carried out. Pituitary adenomas constitute 10-15 % of all intracranial tumors and are the most common tumors of the sellar region. Tumors smaller than 1 cm in diameter are called microadenomas while those larger than 1 cm in diameter are called macroadenomas. Approximately 65 % of pituitary gland adenomas secrete hormones whereby approximately 50 % secrete prolactin, 10 % secrete growth hormone (somatotropin) and 6 % secrete corticotropin. Other tumors located in the sella turcica can also cause endocrinological symptoms, such as an oversecretion of pituitary hormone or pituitary insufficiency by impinging on the pituitary gland or its stalk. When tumors spread into the space cranial to the sella turcica, they can impinge on the optic chiasm and cause visual disorders. A common differential diagnosis of a sellar tumor is a craniopharyngeoma. In children up to 10 % of all intracranial tumors are craniopharyngeomas. Other differential diagnoses for sellar tumors are metastases, meningiomas, epidermoids and in rare cases astrocytomas, germinomas or Rathke cleft cysts As these tumors are located in an anatomically complex region of the skull base and are often very small, a highly focused imaging protocol is required. The currently favored modality is magnetic resonance imaging (MRI) with the administration of a contrast agent. The sellar region should be mapped in thin slices. In cases of suspected microadenoma the imaging protocol should also contain a sequence with dynamic contrast administration in order to assess the specific enhancement characteristics of the tumor and the pituitary gland. (orig.) [German] Diese Arbeit ist eine Uebersicht ueber die haeufigsten Hypophysentumoren und deren Differenzialdiagnosen mit Augenmerk auf die radiologischen Diagnosekriterien. Selektive Literaturrecherche in PubMed. Hypophysenadenome umfassen 10-15 % aller intrakranieller Tumoren und die haeufigsten Tumoren der Hypophysenregion. Sind sie kleiner als 1 cm im Durchmesser, werden sie als Mikroadenome bezeichnet, bei ueber 1 cm im Durchmesser nennt man sie Makroadenome. Hypophysenadenome sind in der Mehrzahl der Faelle, in etwa 65 %, hormonaktiv. Die meisten, das sind fast 50 % aller Hypophysenadenome, sezernieren Prolaktin, seltener mit 10 % Somatotropin und mit 6 % Kortikotropin. Auch andere Tumoren mit Lage in der Sella turcica koennen durch die Verdraengung des Hypophysengewebes oder des Hypophysenstiels eine endokrinologische Symptomatik bedingen. Dies kann eine hypophysaere Hormonueberproduktion oder eine Hypophyseninsuffizienz sein. Breiten sich Tumoren ueber das sellaere Niveau nach kranial aus, kann es durch den Druck auf das Chiasma opticum zu Sehstoerungen kommen. Eine wichtige Differenzialdiagnose eines sellaeren Tumors ist das Kraniopharyngeom. Bei Kindern macht es bis zu 10 % aller intrakranieller Tumoren aus. Weitere Differenzialdiagnosen fuer sellaere Tumoren sind Metastasen, Meningeome, Epidermoide und seltener Astrozytome, Germinome und Rathke-Taschen-Zysten. Die Lage der Tumoren in einer anatomisch komplexen Region an der Schaedelbasis und die haeufig nur sehr kleinen Tumoren erfordern eine gezielte Bildgebung. Die Methode der Wahl ist die MRT mit Kontrastmittel, welche die Hypophysenregion in feiner Schichtung abdeckt. Bei Verdacht auf ein Mikroadenom sollte auch eine dynamische Kontrastmittelanflutung durchgefuehrt werden, um die tumor- und hypophysenspezifischen Anreicherungseigenschaften beurteilen zu koennen. (orig.)

  3. Retrorectal Tumors

    OpenAIRE

    Neale, Jeffrey A

    2011-01-01

    Tumors that arise in the retrorectal (presacral) space are uncommon lesions that present with nonspecific signs and symptoms, which lead to difficult diagnoses. For complete evaluation of the lesion, cross-sectional imaging is required to determine the extent of resection and the appropriate surgical approach. Surgical removal leads to favorable outcomes for patients with benign purely cystic retrorectal tumors. Preoperative tissue diagnosis with transperineal and transsacral biopsies of soli...

  4. Case report of a metachronous multiple tumor: Mantle cell lymphoma in the orbital region associated with epithelial malignancies at other sites / Tumor múltiplo metacrônico: linfoma do manto na região orbital associado a neoplasias malignas epiteliais em outros sítios - relato de caso

    Scientific Electronic Library Online (English)

    Juliana S. F., Medrado; Mirtha Ramírez, Dittrich; Jacqueline M., Sousa; Luiz F., Teixeira; Paulo Góis, Manso.

    2014-01-01

    Full Text Available Relatamos um caso de linfoma não-Hodgkin de células B subtipo células do manto acometendo região orbital, com o diagnóstico confirmado pela biópsia e testes imuno-histoquímicos em 2012. O paciente apresentava história de linfoma não-Hodgkin de pequenas células em 2010, carcinoma basocelular de pele [...] no mesmo ano e adenocarcinoma intestinal com metástase para linfonodos regionais em 2011; caracterizando um caso de tumor primário múltiplo metacrônico. O linfoma de células do manto é uma doença rara, ainda mais quando associado a outras neoplasias metacrônicas, apresentando prognóstico bastante reservado. Dessa forma, deve estar entre os diagnósticos diferenciais de neoplasias da órbita. Abstract in english Here we report the case of a 73-year-old man who was diagnosed with metachronous, multiple primary tumors with non-Hodgkin B-cell mantle cell lymphoma involving the orbit on the basis of biopsy and immunohistochemistry in 2012. The patient had been diagnosed with non-Hodgkin small cell lymphoma and [...] basal cell skin carcinoma in 2010 and intestinal adenocarcinoma with metastasis to the regional lymph nodes in 2011, thus representing a typical case of metachronous, multiple primary tumors. Mantle cell lymphoma is a rare disease and its prognosis is quite poor, particularly when it is associated with other metachronous malignancies. Therefore, physicians should consider mantle cell lymphoma as a differential diagnosis for neoplasms of the orbit.

  5. Tumor de Krukenberg / Krukenberg Tumor

    Scientific Electronic Library Online (English)

    Tania, Tamayo Lien; Osvaldo, Santana Iglesias; Laura, Fiallo Carvajal.

    2014-03-01

    Full Text Available Introducción: el Krukenberg es un tumor metastático y representa del 1 % al 2 % de los tumores de ovario. El estómago es en el 70 % de los casos la localización primaria más frecuente, seguidos por colon, apéndice y mama. El pronóstico es desfavorable y la evolución es rápida. Objetivo: describir un [...] caso clínico de una paciente con tumor de Krukenberg. Presentación del caso: mujer de 53 años que consulta por sangramiento posmenopáusico a tipo manchas y dolor bajo vientre. Antecedentes personales de carcinoma gástrico, litiasis vesicular, nódulo de mama e hipertensión arterial. Se realizó estudio sonográfico ginecológico con marcadores para tumor de ovario positivos. Marcadores tumorales negativos. Resultados: hallazgo transoperatorio: se observó útero miomatoso y ambos ovarios multiloculados, superficie de revestimiento lisa de contenido mucinoso, con áreas sólidas de coloración heterogénea y consistencia renitente. Se realizó histerectomía con doble anexectomía. Conclusiones: el Krukenberg, tumor metastásico de ovario, es una entidad rara con mal pronóstico luego de su diagnóstico. Aún así la resección de dicha lesión metastásica es la primera recomendación la cual parece mejorar la sobrevida, seguida de terapia sistémica paliativa. Abstract in english Introduction: Krukenberg tumor is metastatic and it accounts for 1% to 2% of ovarian tumors. Stomach is the most common primary location in 70% of cases, followed by colon, appendix, and breast. The prognosis is poor and its evolution is rapid. Objective: to describe a case of a patient with Krukenb [...] erg tumor. Case presentation: a 53 year old woman was consulted due to menopausal bleeding in stains and lower abdomen pain. She had personal history of gastric carcinoma, gallstones, breast nodule and hypertension. Gynecologic sonographic study was performed with positive tumor markers for ovarian cancer and negative tumor markers. Results: intraoperative finding: fibroid uterus and both ovaries were loculate, smooth surface coating of mucinous content with solid areas of color and adverse heterogeneous consistency was observed. Hysterectomy with oophorectomy was performed. Conclusions: Krukenberg, metastatic ovarian tumor is a rare entity with poor prognosis after diagnosis. Still, resection of the metastatic lesion is the first recommendation which appears to improve survival, followed by palliative systemic therapy.

  6. Understanding Brain Tumors

    Science.gov (United States)

    ... to Know About Brain Tumors . What is a Brain Tumor? A brain tumor is an abnormal growth? ... Tumors” from Frankly Speaking Frankly Speaking About Cancer: Brain Tumors Download the full book Questions to ask ...

  7. Intramammarian glomus tumor: Radiologic and pathological findings

    OpenAIRE

    KAMBERO?LU, Elif A?IK; YAVUZ, Huban Sibel ORHUN; KURT, Ayd?n; Gümü?, Mehmet; ?PEK, Ali; SAYIT, Asl? TANRIVERM??; Mustafa KARAO?LANO?LU

    2011-01-01

    We aimed to describe a histopathologically proven intramammarian glomus tumor and presented mammographic and Doppler ultrasound findings. Glomus tumor is a relatively uncommon soft tissue tumor. It can occur at any age and anatomical site with a predilection for the subungual region. Usually there is no diagnostic difficulty for small, painful subungual nodules but it is more difficult in deep locations. The breast is a very uncommon location for a glomus tumor. Ultrasound characteristics of ...

  8. Testicular tumors

    Directory of Open Access Journals (Sweden)

    Giovanni Rosti

    2011-12-01

    Full Text Available Germ cell tumors of the testes represent a unique paradigm of diseases which can be cured even in extremely advanced phase. Unfortunately, this makes them unique among adult solid tumors. Seminoma and non seminoma are relatively rare with approximatively 25,000 patients in Europe per year, but numbers are increasing world wide. Different strategies are needed depending on stage and prognostic scores. Seminoma is extremely sensitive to radiation therapy and chemotherapy, while all germ cell tumors show a very good response to chemotherapy. Clinical stage I seminoma is currently treated with radiation, single course carboplatin or surveillance policy. Clinical stage I non seminoma can also be approached with different strategies such as retroperitoneal lymph node dissection, observation or one-two courses of standard chemotherapy. Stage II seminoma may be treated with either radiation or chemotherapy, while for all advanced stages chemotherapy is mandatory. Since the mid-eighties PEB (Cisplatin, Etoposide and Bleomycin is the regimen of choice and no other schedule has proved superior in terms of efficacy. Surgery on the residual disease is crucial to the whole strategy and should be performed or attempted in all cases. Consequently, the correct treatment strategy for these tumors does not depend only on the ability of a single physician, but on a skilled team specialized in this particular tumor. Second line therapies (VeIP, PEI, TIP can cure 25%–40% of patients, but improved strategies for resistant tumors are desperately needed. High-dose chemotherapy has shown very good results in some studies while being less impressive in others. In any case, it should remain an option for relapsing patients and could be used in some cases of upfront chemotherapy in patients with slow marker decline, but this should only be considered in referring centers.

  9. Desmoid tumor: a radiotherapeutic approach

    International Nuclear Information System (INIS)

    Nine patients with desmoid tumors underwent radiotherapy at the Institute of Oncology in Warsaw. Five patients were reffered for radiotherapy with unresectable tumors, three after subtotal resection and one because of possible microscopic disease. The follow-up time ranged from 4 to 28 years. Local control was obtained in 7/9 patients trated with tumor doses 7100, 6625, 5930, 4620, 3690, 3400 and 3200 rads. One patient was lost to follow-up. One patient with extensive tumor of the anterior abdominal wall relapsed after 2290 rads of tumor dose. Our cases and the review of literature indicated high local control rate following irradiation. Radiotherapy should be attempted in patients with inoperable tumors, following subtotal resection and in patients in which surgical treatment is mutilating and disfiguring. Local control rate following radiotherapy of desmoid tumors is not strictly related to the volume of tumor. The value of postoperative radiotherapy in cases with tumor close to the surgical margins is discussed. An attempt was made to determine the optimum dose of radiotherapy based on our findings and the review of literature. In field recurrences were not found in cases treated with doses greater than 5500 rads with radiotherapy alone and in cases treated postoperatively. 5600 rads in radiotherapy used as only modality of treatment and not more than 5000 rads in postoperative irradiation are suggested. In regions with critical structures (intestine, spinal cord) doses ranging from 4000-4500 rads may offer a good control rate. 19 refs., 3 tabs. (author)

  10. Pineal and Pituitary Glands

    Science.gov (United States)

    ... go to the Nervous System section of the Anatomy & Physiology module on this Web site. « Previous (Cranial Nerves) Next (Abstracting, Coding, & Staging) » Contact Us | Privacy Policy | Accessibility | FOIA | File Formats US Department of Health & Human Services | National Institutes of Health | National Cancer Institute | ...

  11. Adenomatoid odontogenic tumor

    International Nuclear Information System (INIS)

    A 18-year-old man had a painless swelling in the right anterior portion of maxilla for 2 years. On radiographic examination, a radiolucent region that was not associated with an unerupted tooth was seen. Small scattered radiopaque foci were seen in the cystic lumen. At second case, a 16-year-old girl had a painless swelling in the anterior portion of maxilla for 3 years. On radio graphic examination, a radiolucent region that associated with an unerupted tooth was seen. Multiple scattered radiopaque foci were seen in the radiolucent cystic lumen. With the patient under local anesthesia, well encapsulated tumors were enucleated. The diagnosis made in the pathologist's report was Adenomatoid Odontogenic Tumor, benign lesion often having distinct clinical and radiographic features.

  12. Childhood brain tumor epidemiology: a brain tumor epidemiology consortium review.

    Science.gov (United States)

    Johnson, Kimberly J; Cullen, Jennifer; Barnholtz-Sloan, Jill S; Ostrom, Quinn T; Langer, Chelsea E; Turner, Michelle C; McKean-Cowdin, Roberta; Fisher, James L; Lupo, Philip J; Partap, Sonia; Schwartzbaum, Judith A; Scheurer, Michael E

    2014-12-01

    Childhood brain tumors are the most common pediatric solid tumor and include several histologic subtypes. Although progress has been made in improving survival rates for some subtypes, understanding of risk factors for childhood brain tumors remains limited to a few genetic syndromes and ionizing radiation to the head and neck. In this report, we review descriptive and analytical epidemiology childhood brain tumor studies from the past decade and highlight priority areas for future epidemiology investigations and methodological work that is needed to advance our understanding of childhood brain tumor causes. Specifically, we summarize the results of a review of studies published since 2004 that have analyzed incidence and survival in different international regions and that have examined potential genetic, immune system, developmental and birth characteristics, and environmental risk factors. Cancer Epidemiol Biomarkers Prev; 23(12); 2716-36. ©2014 AACR. PMID:25192704

  13. Computed Tomography of the Human Pineal Gland for Study of the Sleep-Wake Rhythm: Reproducibility of a Semi-Quantitative Approach

    Energy Technology Data Exchange (ETDEWEB)

    Schmitz, S.A.; Platzek, I.; Kunz, D.; Mahlberg, R.; Wolf, K.J.; Heidenreich, J.O. [Charite - Universitaetsmedizin Berlin, Campus Benjamin Franklin, Berlin (Germany). Dept. of Radiology and Nuclear Medicine

    2006-10-15

    Purpose: To propose a semi-quantitative computed tomography (CT) protocol for determining uncalcified pineal tissue (UCPT), and to evaluate its reproducibility in modification of studies showing that the degree of calcification is a potential marker of deficient melatonin production and may prove an instability marker of circadian rhythm. Material and Methods: Twenty-two pineal gland autopsy specimens were scanned in a skull phantom with different slice thickness twice and the uncalcified tissue visually assessed using a four-point scale. The maximum gland density was measured and its inverse graded on a non-linear four-point scale. The sum of both scores was multiplied by the gland volume to yield the UCPT. The within-subject variance of UCPT was determined and compared between scans of different slice thickness. Results: The UCPT of the first measurement, in arbitrary units, was 39{+-}52.5 for 1 mm slice thickness, 44{+-}51.1 for 2 mm, 45{+-}34.8 for 4 mm, and 84{+-}58.0 for 8 mm. Significant differences of within-subject variance of UCPT were found between 1 and 4 mm, 1 and 8 mm, and 2 and 8 mm slice thicknesses ( P <0.05). Conclusion: A superior reproducibility of the semi-quantitative CT determination of UCPT was found using 1 and 2 mm slice thicknesses. These data support the use of thin slices of 1 and 2 mm. The benefit in reproducibility from thin slices has to be carefully weighted against their considerably higher radiation exposure.

  14. Plexiform Schwannoma of Lumbar Region

    OpenAIRE

    Parihar, Asmita; Verma, Sarika; Suri, Tarun; Agarwal, Anil; Bansal, Kalpana; Gupta, Ruchika

    2015-01-01

    Plexiform schwannoma is an unusual peripheral nerve sheath tumor. It can mimic plexiform neurofibroma. A five-year-old girl presented with painful swelling in left lumbar region. Radiologic investigations showed a multinodular tumor in the subcutaneous plane of lumbosacral region. A complete excision and histopathologic examination revealed a plexiform tumor composed of hypocellular and hypercellular areas with verocay bodies. The tumor cells showed strong positivity for S-100 protein, render...

  15. Diffusion-weighted MR images and pineoblastoma. Diagnosis and follow-up

    Energy Technology Data Exchange (ETDEWEB)

    Gasparetto, Emerson L.; Cruz Junior, L. Celso Hygino; Doring, Thomas M.; Domingues, Romeu C. [Clinica de Diagnostico por Imagem (CDPI), Rio de Janeiro, RJ (Brazil)]. E-mail: egasparetto@gmail.com; Araujo, Bertha; Dantas, Mario Alberto [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Faculdade de Medicina. Dept. of Radiology; Chimelli, Leila [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Faculdade de Medicina. Dept. of Pathology

    2008-07-01

    Pineoblastomas are uncommon pineal tumors, which demonstrate rapid growing and poor prognosis. We report the case of a 43-year-old man with an enhancing pineal region mass, which showed restriction of the diffusion on diffusion-weighted (DW) MR images. The surgical biopsy defined the diagnosis of pineoblastoma and the therapy was initiated with radiation and chemotherapy. Three months later, the follow-up MR imaging showed areas suggestive of necrosis and the DW images demonstrate no significant areas of restricted diffusion. The differential diagnosis of pineal region masses that could show restriction of diffusion is discussed. (author)

  16. Diffusion-weighted MR images and pineoblastoma. Diagnosis and follow-up

    International Nuclear Information System (INIS)

    Pineoblastomas are uncommon pineal tumors, which demonstrate rapid growing and poor prognosis. We report the case of a 43-year-old man with an enhancing pineal region mass, which showed restriction of the diffusion on diffusion-weighted (DW) MR images. The surgical biopsy defined the diagnosis of pineoblastoma and the therapy was initiated with radiation and chemotherapy. Three months later, the follow-up MR imaging showed areas suggestive of necrosis and the DW images demonstrate no significant areas of restricted diffusion. The differential diagnosis of pineal region masses that could show restriction of diffusion is discussed. (author)

  17. Characterization of genetic rearrangements in esophageal squamous carcinoma cell lines by a combination of M-FISH and array-CGH: further confirmation of some split genomic regions in primary tumors

    International Nuclear Information System (INIS)

    Chromosomal and genomic aberrations are common features of human cancers. However, chromosomal numerical and structural aberrations, breakpoints and disrupted genes have yet to be identified in esophageal squamous cell carcinoma (ESCC). Using multiplex-fluorescence in situ hybridization (M-FISH) and oligo array-based comparative hybridization (array-CGH), we identified aberrations and breakpoints in six ESCC cell lines. Furthermore, we detected recurrent breakpoints in primary tumors by dual-color FISH. M-FISH and array-CGH results revealed complex numerical and structural aberrations. Frequent gains occurred at 3q26.33-qter, 5p14.1-p11, 7pter-p12.3, 8q24.13-q24.21, 9q31.1-qter, 11p13-p11, 11q11-q13.4, 17q23.3-qter, 18pter-p11, 19 and 20q13.32-qter. Losses were frequent at 18q21.1-qter. Breakpoints that clustered within 1 or 2 Mb were identified, including 9p21.3, 11q13.3-q13.4, 15q25.3 and 3q28. By dual-color FISH, we observed that several recurrent breakpoint regions in cell lines were also present in ESCC tumors. In particular, breakpoints clustered at 11q13.3-q13.4 were identified in 43.3% (58/134) of ESCC tumors. Both 11q13.3-q13.4 splitting and amplification were significantly correlated with lymph node metastasis (LNM) (P = 0.004 and 0.022) and advanced stages (P = 0.004 and 0.039). Multivariate logistic regression analysis revealed that only 11q13.3-q13.4 splitting was an independent predictor for LNM (P = 0.026). The combination of M-FISH and array-CGH helps produce more accurate karyotypes. Our data provide significant, detailed information for appropriate uses of these ESCC cell lines for cytogenetic and molecular biological studies. The aberrations and breakpoints detected in both the cell lines and primary tumors will contribute to identify affected genes involved in the development and progression of ESCC

  18. Characterization of genetic rearrangements in esophageal squamous carcinoma cell lines by a combination of M-FISH and array-CGH: further confirmation of some split genomic regions in primary tumors

    Directory of Open Access Journals (Sweden)

    Hao Jia-Jie

    2012-08-01

    Full Text Available Abstract Background Chromosomal and genomic aberrations are common features of human cancers. However, chromosomal numerical and structural aberrations, breakpoints and disrupted genes have yet to be identified in esophageal squamous cell carcinoma (ESCC. Methods Using multiplex-fluorescence in situ hybridization (M-FISH and oligo array-based comparative hybridization (array-CGH, we identified aberrations and breakpoints in six ESCC cell lines. Furthermore, we detected recurrent breakpoints in primary tumors by dual-color FISH. Results M-FISH and array-CGH results revealed complex numerical and structural aberrations. Frequent gains occurred at 3q26.33-qter, 5p14.1-p11, 7pter-p12.3, 8q24.13-q24.21, 9q31.1-qter, 11p13-p11, 11q11-q13.4, 17q23.3-qter, 18pter-p11, 19 and 20q13.32-qter. Losses were frequent at 18q21.1-qter. Breakpoints that clustered within 1 or 2 Mb were identified, including 9p21.3, 11q13.3-q13.4, 15q25.3 and 3q28. By dual-color FISH, we observed that several recurrent breakpoint regions in cell lines were also present in ESCC tumors. In particular, breakpoints clustered at 11q13.3-q13.4 were identified in 43.3% (58/134 of ESCC tumors. Both 11q13.3-q13.4 splitting and amplification were significantly correlated with lymph node metastasis (LNM (P?=?0.004 and 0.022 and advanced stages (P?=?0.004 and 0.039. Multivariate logistic regression analysis revealed that only 11q13.3-q13.4 splitting was an independent predictor for LNM (P?=?0.026. Conclusions The combination of M-FISH and array-CGH helps produce more accurate karyotypes. Our data provide significant, detailed information for appropriate uses of these ESCC cell lines for cytogenetic and molecular biological studies. The aberrations and breakpoints detected in both the cell lines and primary tumors will contribute to identify affected genes involved in the development and progression of ESCC.

  19. Multiplanar computerized tomography in the surgical decisions of the pathology of the sellar region: tumors that can be approached by the trans-septo-sphenoidal via

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, Ricardo Sergio; Pacios, Alfonso R. [Centro Otorrinolaringologico de Tucuman (Argentina)

    1994-12-31

    The computerized tomography using the method of multiplanar reconstruction, enables to define clearly the anatomic elements of the sellar and perisellar regions, as well as the presence of pathology in them. The surgical decision and the selection of the approach to the pathology are determined by three parameters: (a) clinical findings; (b) laboratory findings and (c) the images given by the multiplanar computerized tomography. The extension of the lesion, its relationship with neighbour structures and the degree of destruction of the pituitary fossa will define the surgical tactics and the approach. (author). 28 refs.

  20. 3D/4D architecture of chromosomal break point regions in the cell nucleus following irradiation of normal cells and tumor cells

    International Nuclear Information System (INIS)

    The development of an effective analytical methodology for a correct description of oncogenic chromosomal aberrations is the challenge of medical radiobiology with respect to preventive therapeutic methods. Scope of the project was a better understanding of the behavior of break point regions dependent on the genome loci, the chromatin folding, the involved repair proteins and the beam quality with respect to an improvement and an efficient prognosis of the health consequences following radiation exposure. New microscopic insights in the normal cell nucleus are supposed to allow a better understanding of the spatial interactions on a molecular scale.

  1. Intraosseous calcifying cystic odontogenic tumor

    Directory of Open Access Journals (Sweden)

    Kler Shikha

    2009-01-01

    Full Text Available The calcifying odontogenic cyst was first reported by Gorlin et al . in 1962. It had been classified as a neoplasm related to the odontogenic apparatus because of its histological complexity and morphological diversity until it was renamed as a calcifying cystic odontogenic tumor by the WHO, in 2005. Here we describe a case of mandibular calcifying cystic odontogenic tumor in a 75-year-old male, which was present since five years, with a history of occurrence after the extraction of teeth in the involved region. The lesion was surgically removed and a histopathological examination revealed a cystic tumor with predominance of ghost cells and some amount of dentinoid tissue.

  2. Brain tumors

    International Nuclear Information System (INIS)

    Knowledge of the early symptoms of brain tumors (hemiparesis, headache, seizures of various types, personality changes etc.) can contribute to early recognition. Computer tomography occupies a central position in tumor diagnosis, permitting conclusive statements on further diagnostic measures, treatment to be given and the subsequent course. The disease picture is discussed with reference to 339 cases in 10 years, among them 116 gliomas and paragliomas, 75 brain metastases and 40 meningiomas. Since the life expectancy after the appearance of the first symptoms is some months to many years, the clinical picture is of the utmost importance, not only for neurologists and neurosurgeons but also for the general practitioner, since he takes on the aftercare, which is often not easy. (orig.)

  3. Sellar tumors

    International Nuclear Information System (INIS)

    Because of the complex anatomy, examination of the sella turcica and hypophysis needs a dedicated MR sequence protocol. Not every sellar lesion is a pituitary adenoma. Thus, this review article summarizes the most frequently encountered intra-, supra-, and parasellar tumors and lesions. Differential diagnoses comprise besides adenoma among others craniopharyngioma, meningioma, glioma, germinoma, hamartoma, aneurysm, trigeminal schwannoma, pituitary carcinoma, chordoma, metastasis, infection, and empty sella. Characteristic imaging findings are presented and correlated to micro- and macro-pathology. (orig.)

  4. Orbital tumors

    International Nuclear Information System (INIS)

    Computed tomography (CT) and magnetic resonance imaging are the modalities of choice in the assessment of orbital neoplasms. Careful interpretation of the characteristic radiological features usually leads to the correct diagnosis; however, some of the lesions look very similar and are difficult to differentiate from each other. This contribution provides an overview of tumors of the eye and orbit and their appearance on CT and magnetic resonance imaging. (orig.)

  5. Acoustic tumors

    International Nuclear Information System (INIS)

    Magnetic resonance imaging (MRI) was performed in 21 patients with clinical and histologic diagnoses of acoustic tumor with 0.15 Tesla and 0.5 Tesla whole body image scanner (Hitachi G-10, G-50). Eleven patients were evaluated by MRI before and after an intravenous injection of 0.1 mmol/kg of gadolinium-diethylene triamine pentaacetic acid (Gd-DTPA). Contrast enhancement was seen in all cases. The degree of enhancement was greater with T-1 weighed images such as saturation-recovery (500/20 - 30) and inversion-recovery (2000/500/20) than with T-2 weighed images such as spin-echo (2000/20 - 60) sequences. The differentiation of tumor parenchyma from the cystic portion is easier with Gd-DTPA enhancement. After enhancement there was a reduction of measured T-1 value in all measured cases while no significant change was seen in T-2 value. No short time side effects were encountered and no significant change was seen in blood urea, creatinine, electrolytes, liver function tests, blood coagulation or urinalysis after injection of Gd-DTPA. Although much more work will be required to evaluate this contrast agent, Gd-DTPA is a promising MRI contrast enhancer for the clinical assessment of acoustic tumor. (author)

  6. Salivary gland tumors

    Science.gov (United States)

    Tumor - salivary duct ... at various places in the mouth. Salivary gland tumors are rare, especially in children. Swelling of the ... syndrome The most common type of salivary gland tumor is a slow-growing noncancerous (benign) tumor of ...

  7. Brain Tumor Diagnosis

    Science.gov (United States)

    ... Types of Brain Scans X-rays Laboratory Tests DNA Profiling Biopsy Procedure Malignant and Benign Brain Tumors Tumor ... Types of Brain Scans X-rays Laboratory Tests DNA Profiling Biopsy Procedure Malignant and Benign Brain Tumors Tumor ...

  8. Pediatric brain tumors

    International Nuclear Information System (INIS)

    Among all causes of death in children from solid tumors, pediatric brain tumors are the most common. This article includes an overview of a subset of infratentorial and supratentorial tumors with a focus on tumor imaging features and molecular advances and treatments of these tumors. Key to understanding the imaging features of brain tumors is a firm grasp of other disease processes that can mimic tumor on imaging. We also review imaging features of a common subset of tumor mimics. (orig.)

  9. Pediatric brain tumors

    Energy Technology Data Exchange (ETDEWEB)

    Poussaint, Tina Y. [Department of Radiology, Boston, MA (United States); Panigrahy, Ashok [Children' s Hospital of Pittsburgh of University of Pittsburgh Medical Center, Department of Radiology, Pittsburgh, PA (United States); Huisman, Thierry A.G.M. [Charlotte R. Bloomberg Children' s Center, Johns Hopkins Hospital, Division of Pediatric Radiology and Pediatric Neuroradiology, Baltimore, MD (United States)

    2015-09-15

    Among all causes of death in children from solid tumors, pediatric brain tumors are the most common. This article includes an overview of a subset of infratentorial and supratentorial tumors with a focus on tumor imaging features and molecular advances and treatments of these tumors. Key to understanding the imaging features of brain tumors is a firm grasp of other disease processes that can mimic tumor on imaging. We also review imaging features of a common subset of tumor mimics. (orig.)

  10. An evaluation of 15-year results of postoperative telecobalt irradiation for breast cancer in relation to size, location of the original tumor and histological status of the regional lymphatics

    International Nuclear Information System (INIS)

    From 1958 to 1974, 605 patients with breast cancer were treated by mastectomy alone or in conjunction with postoperative irradiation of the regional lymphatics and the chest wall. Over-all survival rates have been studied in relation to the size and location of the tumor within the breast and the incidence of recurrences in the regional lymphatics and the chest. The results were summarized as follows; 1) The stage distribution (TNM-System, UICC 1972) was 109 patients (18.0%) in stage I, 295 (48.8%) in II, and 201 (33.2%) in III. Twelve patients of stage IV were excluded from this study. 2) Out of 353 patients survived more than 10 years after first treatment, 12 patients (3.4%) were dead of breast cancer. Out of 192 patients survived more than 15 years after first treatment, 1 patient (0.5%) was dead of breast cancer. 3) Relative 10-, and 15-year survival rates were 64.4% (stage I; 80.9%, stage II; 73.2%, stage III; 38.2%), and 59.4% (stage I; 81.4%, stage II; 70.9%, stage III; 29.6%), respectively. 4) The analysis shows the value of postoperative irradiation of occult deposits of disease since the incidence of local recurrences is significantly less in the irradiated group than in the non-irradiated group. (author)

  11. Tumor of orbit / Tumor orbitário

    Scientific Electronic Library Online (English)

    Mirjana A., Janicijevic-Petrovic; Tatjana S., Sarenac-Vulovic; Katarina M., Janicijevic; Dejan D., Vulovic; Dragan I., Vujic.

    2014-01-01

    Full Text Available Os hemangiomas cavernosos são os tumores intraorbitais mais comuns encontrados em adultos de meia-idade. Embora histológico benigno, eles podem invadir a área orbital ou intraorbital ou ainda as estruturas adjacentes (nervo óptico) e ser considerado anatomicamente ou posicional maligno. Apresentamos [...] um relato de caso de hemangioma cavernoso orbital da órbita direita em mulheres jovens após a gravidez, a partir de Topola perto Kragujevac (Central Sérvia), com comprometimento visual e medicado por tratamento cirúrgico endoscópico transnasal. O paciente foi controlado e tratado com terapia, terapia tópica sintomático de lágrimas artificiais e tratamento cirúrgico. Nosso paciente tem acuidade visual ideal do olho direito afetada após o tratamento cirúrgico de tumor orbital. O tratamento cirúrgico do sintomático hemangioma cavernoso orbital é segura e eficaz, de modo que os resultados cosméticos são o parâmetro importante para avaliar o resultado clínico. Abstract in english The cavernous hemangiomas are the most common intra orbital tumors found in adults of the middle age. Although histological benign, they can encroach on intra orbital or the adjacent structures (optic nerve) and be considered anatomically or positional malignant. We present a case report of orbital [...] cavernous hemangioma of right orbit in young women after pregnancy, from Topola near Kragujevac (Central Serbia) with visual compromise and it's by trans-nasal endoscopic surgical management. Our patient was controlled and treated with the symptomatic therapy, topical therapy with artificial tears and surgical treatment. Our patient has optimal visual acuity of affected right eye after surgical treatment of orbital tumor. Surgical treatment of symptomatic orbital cavernous hemangioma is safe and effective, so that the cosmetic results are the important parameter to evaluate the clinical outcome.

  12. CT of Late Complication of Central Nervous System after Radiation Therapy of Brain Tumors

    International Nuclear Information System (INIS)

    The normal intracranial structures are relatively resistant to therapeutic radiation, but may react adversely in a variety of ways and the damage to nerve tissue may be slow in making its appearance and once damage has occurred the patient recovers slowly and incompletely. Therefore, it is important to consider the possibility of either recurrent tumor or late adverse effect in any patient who has had radiotherapy. The determination of morphological/pathological correlation is very important to the therapeutic radiologist who uses CT scans to define a treatment volume, as well as to the clinician who wishes to explain the patient's clinical state in terms of regress, progression, persistence, or recurrence of tumor or radiation-induced edema or necrosis. The authors are obtained as following results; 1. The field size (whole CNS, large, intermediate, small field) was variable according to the location and extension of tumor and histopathologic diagnosis, and the total tumor dose was 4,000 to 6,000 rads except one of recurred case of 9,100 rads. The duration of follow up CT scan was from 3 months to 5 year 10 months. 2. The histopathologic diagnosis of 9 cases were glioblastoma multiforme (3 cases), pineal tumor (3), oligodendroglioma (1), cystic astrocytoma (1), pituitary adenoma (1) and their adverse effects after radiation therapy were brain atrophy (4 cases), radiation necrosis (2), tumor recurrence with or without calcification (2), radiation-induced infarction (1). 3. The recurrent sysptoms after radiation therapy of brain tumor were not always the results of regrowth of neoplasm, but may represent late change of irradiated brain. 4. It must be need that we always consider the accurate treatment planning and proper treatment method to reduce undesirable late adverse effects in treatment of brain tumors

  13. Pyruvate metabolism of brain tumors

    International Nuclear Information System (INIS)

    The glucose metabolism of four patients with brain tumors was examined by means of positronemission computerized tomography (PET) using 11C-Pyruvate. After the intra-venous injection of 11C-Pyruvate, all the patients were found to have a massive accumulation of 11C at the central area of the tumor when compared with the normal state. Since the original observations of Warburg, it had been thought that, in an anaerobic environment, malignant tumor cells produce lactic acid. Under aerobic conditions, the 11C of 11C-Pyruvate may be metabolized to 11CO2, and the transport of 11CO2 from tissue to blood is rapid enough not to be detected in the tissue. However, in tumor cells, the 11C of 11C-Pyruvate cannot be metabolized to 11CO2. Rather, it is converted preferentially to lactic acid. The transport of lactic acid into the blood is relatively slow; consequently, the radioactivity is retained in the tissue for a loger period. In PET, the tumor regions were visualized as positively delineated zones after the injection of 11C-Pyruvate. In fact, the border of a brain tumor is the most important datum for a neurosurgeon. PET using 11C-Pyruvate may thus be a very useful tool for the diagnosis of brain tumors. (author)

  14. Tumor Macroenvironment and Metabolism

    OpenAIRE

    Al-Zhoughbi, Wael; Huang, Jianfeng; Paramasivan, Ganapathy S.; Till, Holger; Pichler, Martin; Guertl-Lackner, Barbara; Hoefler, Gerald

    2014-01-01

    In this review we introduce the concept of the tumor macroenvironment and explore it in the context of metabolism. Tumor cells interact with the tumor microenvironment including immune cells. Blood and lymph vessels are the critical components that deliver nutrients to the tumor and also connect the tumor to the macroenvironment. Several factors are then released from the tumor itself but potentially also from the tumor microenvironment, influencing the metabolism of distant tissues and organ...

  15. Brain tumors

    International Nuclear Information System (INIS)

    The detection of intracranial neoplasms poses a challenge for all diagnostic imaging modalities, including magnetic resonance imaging (MRI). The clinical presentation of patients harboring such neoplasms varies from subtle or nonspecific symptoms, such as headache, nausea, and subjective mental status changes (seen in up to 50% of patients with tumors in the early stages of growth), to more ominous signs, such as seizure onset, focal weakness, loss of verbal fluency, and altered visual or other sensory function. The major advantage of MRI in this context is its unprecedented sensitivity. Clinical experience has documented the unquestionable superiority of MRI over computed tomography (CT) in detecting the tissue changes resulting from intracranial neoplasms when the two techniques are compared. This superiority results not only from optimal anatomic delineation in multiple planes of altered morphology, but especially from the clearly improved capability to detect altered tissue constituents even before any morphologic change is detected

  16. Intraosseous Nerve Sheath Tumors in the Jaws

    OpenAIRE

    Che, Zhongmin; Nam, Woong; Park, Won-Se; Kim, Hyung-Jun; Cha, In-Ho; Kim, Hyun-Sil; Yook, Jong-In; Kim, Jin.; Lee, Sang-Hwy

    2006-01-01

    Although the head and neck region is recognized as the most common location for peripheral nerve sheath tumors, central involvement, particularly in the jaw bones, is quite unusual. Neurofibroma is one of the most common nerve sheath tumors occurring in the soft tissue and generally appears in neurofibromatosis 1 (NF1 or von Recklinghausen's disease). Malignant peripheral nerve sheath tumors (MPNSTs) are uncommon sarcomas that almost always arise in the soft tissue. Here, we report four cases...

  17. Radiation-induced intracerebral cavernous angiomas in children with malignant brain tumors. A report of two cases

    Energy Technology Data Exchange (ETDEWEB)

    Sugiyama, Tatsuya; Matsutani, Masao; Ogura, Hiroaki; Yoshizawa, Hidehiko; Nishikawa, Ryo [Saitama Medical School, Moroyama (Japan)

    2002-06-01

    Cavernous angiomas forming in the brain after radiation therapy for pediatric brain tumors have recently attracted special interest as a late complication of radiation therapy. We report here on two children with malignant brain tumors who developed intracerebral cavernous angiomas 4 to 5 years after radiation therapy. A 14-year-old girl with a primitive neuroectodermal tumor developed a cavernous angioma in the hypothalamus after being irradiated with 55 Gy 4 years ago. The second case, 13-year-old boy with a pineal mixed germ cell tumor showed a cavernous angioma at the thalamus 5 years after receiving radiation therapy with a dose of 60 Gy. Both patients did not show any abnormal symptoms and the cavernous angiomas diagnoses were made with MRI findings. A review of 20 reported cases of radiation-induced cavernous angiomas in the brain revealed some characteristic findings. Eighteen of the 20 cases were children, fourteen cases developed hemorrhage, the radiation dose administered was distributed between 18-60 Gy (median dose of 43.5 Gy), and the median latent period was 7.5 years (range: 2-21 years). As a differential diagnosis for the recurrent tumor is guite difficult in most cases, it is necessary to observe patients who developed angioma-like lesions in the irradiated area carefully. (author)

  18. Etiopatogênese Molecular dos Tumores Corticotróficos Molecular Etiopathogenesis of Corticotrophic Tumors

    Directory of Open Access Journals (Sweden)

    Sonir R. Antonini

    2002-08-01

    Full Text Available Os corticotrofinomas representam aproximadamente 80% dos casos de síndrome de Cushing de origem endógena em adultos. Na última década, foram feitos avanços consideráveis na compreensão do desenvolvimento da hipófise anterior, na patogênese dos tumores hipofisários e nos fatores envolvidos na progressão tumoral. A aplicação do conceito geral de tumorigênese é adequada aos tumores corticotróficos, sendo este um processo que envolve várias etapas, resultantes da interação de eventos iniciadores e subseqüentemente de fatores promotores, sendo portanto multifatorial. De modo geral, oncogenes e genes de supressão tumoral freqüentemente relacionados a outros tipos de tumores não parecem contribuir neste processo, embora alteração na expressão de alguns destes genes, como p53, p16 e PTTG, possa estar relacionada a um comportamento fenotípico mais agressivo. A investigação das vias regulatórias específicas dos corticotrofos, principalmente a estrutura e a expressão dos genes dos receptores do CRH, AVP e GR também não evidenciou a presença de mutações. Entretanto, é possível que alterações em regiões promotoras ou em co-fatores que regulam estes genes possam estar presentes. Estudos futuros sobres os mecanismos de regulação da célula corticotrófica normal e tumoral deverão contribuir na definição de marcadores prognósticos e no desenvolvimento de novas modalidades de tratamento.Corticotropinomas represent approximately 80% of the etiology of Cushing's syndrome in adults. In the past decade remarkable advances in the knowledge of the normal anterior pituitary development, in the pathogenesis of the pituitary tumors, as well as in the factors involved in the tumoral progression have been made. General principles of tumorigenesis are valid in corticotrophic tumors and it is clear that this is a multistep and multifactorial process, resulting from the interaction of initiating and promoting events. Most of the oncogenes and tumor suppressor genes related to other tumor types do not seem to contribute in this process, although abnormal expression of some of these genes, like PTTG, p53 and p16 can be related to a more aggressive phenotypic behavior. Investigation of the corticotrophic-specific regulatory pathways, mainly the structure and expression of the CRH, AVP, and GR receptor genes has also not shown significant abnormalities. However, it is possible that disruption in regulatory regions of these genes or in their transcription factors could be involved. Future studies in the regulatory mechanisms of both normal and tumoral corticotrophic cells could contribute in defining better prognostic markers and eventually in the development of new therapeutic strategie

  19. Etiopatogênese Molecular dos Tumores Corticotróficos / Molecular Etiopathogenesis of Corticotrophic Tumors

    Scientific Electronic Library Online (English)

    Sonir R., Antonini; Margaret de, Castro.

    2002-08-01

    Full Text Available Os corticotrofinomas representam aproximadamente 80% dos casos de síndrome de Cushing de origem endógena em adultos. Na última década, foram feitos avanços consideráveis na compreensão do desenvolvimento da hipófise anterior, na patogênese dos tumores hipofisários e nos fatores envolvidos na progres [...] são tumoral. A aplicação do conceito geral de tumorigênese é adequada aos tumores corticotróficos, sendo este um processo que envolve várias etapas, resultantes da interação de eventos iniciadores e subseqüentemente de fatores promotores, sendo portanto multifatorial. De modo geral, oncogenes e genes de supressão tumoral freqüentemente relacionados a outros tipos de tumores não parecem contribuir neste processo, embora alteração na expressão de alguns destes genes, como p53, p16 e PTTG, possa estar relacionada a um comportamento fenotípico mais agressivo. A investigação das vias regulatórias específicas dos corticotrofos, principalmente a estrutura e a expressão dos genes dos receptores do CRH, AVP e GR também não evidenciou a presença de mutações. Entretanto, é possível que alterações em regiões promotoras ou em co-fatores que regulam estes genes possam estar presentes. Estudos futuros sobres os mecanismos de regulação da célula corticotrófica normal e tumoral deverão contribuir na definição de marcadores prognósticos e no desenvolvimento de novas modalidades de tratamento. Abstract in english Corticotropinomas represent approximately 80% of the etiology of Cushing's syndrome in adults. In the past decade remarkable advances in the knowledge of the normal anterior pituitary development, in the pathogenesis of the pituitary tumors, as well as in the factors involved in the tumoral progress [...] ion have been made. General principles of tumorigenesis are valid in corticotrophic tumors and it is clear that this is a multistep and multifactorial process, resulting from the interaction of initiating and promoting events. Most of the oncogenes and tumor suppressor genes related to other tumor types do not seem to contribute in this process, although abnormal expression of some of these genes, like PTTG, p53 and p16 can be related to a more aggressive phenotypic behavior. Investigation of the corticotrophic-specific regulatory pathways, mainly the structure and expression of the CRH, AVP, and GR receptor genes has also not shown significant abnormalities. However, it is possible that disruption in regulatory regions of these genes or in their transcription factors could be involved. Future studies in the regulatory mechanisms of both normal and tumoral corticotrophic cells could contribute in defining better prognostic markers and eventually in the development of new therapeutic strategie

  20. Malignant triton tumor (MTT) of the neck

    DEFF Research Database (Denmark)

    Sørensen, Kristine Bjørndal; Godballe, Christian; Krogdahl, Annelise

    2006-01-01

    Malignant Triton Tumor (MTT) is a rare, malignant periphere nerve sheath tumor with rhabdomyoblastic differentiation. One third of described MTT's were located at the head and neck region. One third of these are associated with neurofibromatosis type 1. MTT most often appears in the third decade...

  1. INTRACRANIAL GERM CELL TUMORS WITH MTOR MUTATION ARE COMMON IN BASAL GANGLIA

    Science.gov (United States)

    Nishikawa, Ryo; Fukuoka, Kohei; Ichimura, Koichi

    2014-01-01

    BACKGROUND: Intracranial germ cell tumors (iGCTs) are the second most common CNS tumors in patients under 14 years old in Japan. But, their molecular genetic profile is largely unknown. METHODS: We have analyzed a total of 198 germ cell tumors (GCTs) including 133 iGCTs (69 pure germinomas, 56 non-germinomatous GCTs and 8 metastatic tumors) as well as 65 testicular germ cell tumors (tGCTs) (39 seminomas and 26 non-seminoma GCTs) were collected from 13 centers participating in the Intracranial Germ Cell Tumor Consortium in Japan. Somatic mutations in all coding exons were investigated by whole exome sequencing (WES) using SureSelectXT Human All Exon v4 and a GAIIx or HiSeq 2000 system in 41 tumors and the matched normal DNAs. Targeted sequencing with a set of custom made PCR primers was performed using either an IonTorrent PGM or Proton System. The results were integrated with the patients' clinical information that was available for 124 iGCT patients. RESULTS: On average, 15.4 non-synonymous somatic mutations were observed in each tumor, ranging from 1 to 140 by WES in 41 iGCTs. MTOR was the second most frequently mutated in both iGCTs (9 cases, 7%) and tGCTs (6%). Collectively, the genes involved in the PI3K/MTOR pathway (e.g., MTOR, PTEN) were mutated in 13% of all GCTs. Clinical parameters of the 9 iGCTs with MTOR mutation were: median age of onset = 15 years old; 7 males and 2 females; 5 germinomas, 3 teratomas and one yolk sac tumor; 5 basal ganglia tumors, 2 pineal tumors, one neurohypophyseal tumor and a medulla oblongata tumor. Age, sex, histology and clinical behavior are within the scope of iGCT except for extraordinary high frequency of basal ganglia GCTs. CONCLUSIONS: iGCTs with MTOR mutation are frequent in iGCTs in basal ganglia. SECONDARY CATEGORY: Pediatrics.

  2. The use of radionuclides for tumor therapy

    International Nuclear Information System (INIS)

    The successful use of radionuclides for tumor therapy depends to a major extent on the ability to achieve a high concentration of radioactivity in the tumor relative to other radiosensitive organs not involved by tumor, such as bone marrow, intestinal mucosa, liver, and kidneys. Techniques designed to achieve such differential localization of the radionuclides include the use of (1) radiopharmaceuticals that enter specific metabolic pathways unique to certain tumor types; (2) radiolabeled antibodies that attach to tumor-associated antigens present on tumor cell surfaces; (3) heterologous antibodies that attach to tumor-associated antigens present on tumor cell surfaces and which are then identified by radiolabeled antibodies directed against the species in which the original, unlabeled antibody was made; and (4) radiolabeled compounds injected regionally at the tumor site. Although both clinical and experimental evidence on the use of radionuclides for tumor therapy is encouraging in preliminary studies, extensive further research needs to be done in this area to insure the clinical efficacy of radionuclides for tumor therapy. (author)

  3. MRI of the soft tissue tumor

    International Nuclear Information System (INIS)

    Magnetic resonance imaging (MRI) of 41 soft tissue tumors were reviewed to evaluate the characteristics of tumors and surrounding tissue changes in accordance with their pathology and clinical findings. All MRI studies were performed with a 0.15-T system. T1-weighted images were obtained by using spin-echo sequences with a repetition time (TR)=400 msec and echo time (TE)=30 msec. T2-weighted images were obtained with TR=2000 msec and TE=60, 100 msec. In 11 cases, repeated T1-weighted images were obtained following the intravenous injection of Gd-DTPA (contrast media for MRI). Signal intensities of tumors and surrounding muscles and their ratio were calculated. MRI demonstrated the soft tissue tumors regarding the shape, size and relationship between tumor and surrounding muscle and underlying bone. Most of the tumors except for lipoma had low to intermediate intensity on T1-weighted image and high intensity on T2-weighted image. Some specific findings were obtained for lipoma, vascular tumor and benign neurogenic tumor. Lipomas showed high intensity both on T1- and T2-weighted images, and it was diagnostic findings. Arteriovenous malformation showed tubular structures with flow void characteristically. Neurilemmoma and neurofibroma showed central low intensity area on T2-weighted images. Malignant tumors such as liposarcomas and rhabdomyosarcomas had irregular margins and inhomogeneous internal texture. Contrast enhancement was found in hypervascular region in the tumor. MRI was also useful in respect to documentation of tumor itself and extension to surrounding tissue with multiplane. (author)

  4. Tumores funcionales del ovario Functional ovarian tumors

    Directory of Open Access Journals (Sweden)

    Jeddú Cruz Hernández

    2007-12-01

    Full Text Available Se realizó una amplia revisión acerca de los tumores funcionales del ovario, y fueron los tumores estromales y de los cordones sexuales los que presentan con mayor frecuencia esta característica. A su vez, los tumores funcionales del ovario pueden secretar diferentes hormonas, tales como, estrógenos, andrógenos, gonadotropina coriónica y hormonas tiroideas, entre otras, lo cual está en dependencia de la variante histológica de que se trate. Finalmente, se hace referencia a los síndromes paraneoplásicos causados por algunas neoplasias ováricas, de los cuales el más frecuente es la hipercalcemia tumoral.A wide review on the functional ovarian tumors was made. The stromal tumors and those of the sexual cords presented this characteristic more frequently. The functional ovarian tumors may secrete different hormones such as estrogens, androgens, chorionic gonadotropin and thyroid hormones, among others, depending on the histological variant. Finally, reference was made to the paraneoplastic syndromes caused by some ovarian neoplasias, of which tumoral hypercalcemia is the most common.

  5. Calcifying Epithelial Odontogenic Tumor (Pindborg Tumor)

    OpenAIRE

    Angadi, Punnya V; Rekha, K

    2011-01-01

    The calcifying epithelial odontogenic tumor is a benign epithelial tumor with characteristic clinical and histopathologic features. These features are discussed with a typical case presentation along with emphasis on newer variants and management strategies.

  6. Tumors and Pregnancy

    Science.gov (United States)

    Tumors during pregnancy are rare, but they can happen. Tumors can be either benign or malignant. Benign tumors aren't cancer. Malignant ones are. The most common cancers in pregnancy are breast cancer, cervical cancer, lymphoma, and melanoma. ...

  7. Childhood Brain Tumors

    Science.gov (United States)

    Brain tumors are abnormal growths inside the skull. They are among the most common types of childhood ... still be serious. Malignant tumors are cancerous. Childhood brain and spinal cord tumors can cause headaches and ...

  8. Brain and Spinal Tumors

    Science.gov (United States)

    ... Awards Enhancing Diversity Find People About NINDS NINDS Brain and Spinal Tumors Information Page Synonym(s): Spinal Cord ... en Español Additional resources from MedlinePlus What are Brain and Spinal Tumors? Tumors of the brain and ...

  9. 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

  10. Imaging of spinal tumors

    International Nuclear Information System (INIS)

    Spinal tumors are often categorized into extradural, intradural extramedullary, or intramedullary. Although this classification represents somewhat of an overgeneralization as a lesion may reside in two compartments, it still helps to characterize spinal tumors. In the intradural, extramedullary space, primary tumors, such as neurofibroma and meningeoma, are relatively common. Secondary tumors or leptomeningeal enhancement also occur. In the intramedullary space, primary tumors are far more common than secondary tumors or metastases. (orig.)

  11. Radiation-induced nitric oxide mitigates tumor hypoxia and radioresistance in a murine SCCVII tumor model

    Energy Technology Data Exchange (ETDEWEB)

    Nagane, Masaki, E-mail: nagane@vetmed.hokudai.ac.jp [Laboratory of Radiation Biology, Department of Environmental Veterinary Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo (Japan); Yasui, Hironobu, E-mail: yassan@vetmed.hokudai.ac.jp [Laboratory of Radiation Biology, Department of Environmental Veterinary Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo (Japan); Yamamori, Tohru, E-mail: yamamorit@vetmed.hokudai.ac.jp [Laboratory of Radiation Biology, Department of Environmental Veterinary Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo (Japan); Zhao, Songji, E-mail: zsi@med.hokudai.ac.jp [Department of Tracer Kinetics and Bioanalysis, Graduate School of Medicine, Hokkaido University, Sapporo (Japan); Kuge, Yuji, E-mail: kuge@med.hokudai.ac.jp [Central Institute of Isotope Science, Hokkaido University, Sapporo (Japan); Tamaki, Nagara, E-mail: natamaki@med.hokudai.ac.jp [Department of Nuclear Medicine, Graduate School of Medicine, Hokkaido University, Sapporo (Japan); Kameya, Hiromi, E-mail: kameya@affrc.go.jp [Food Safety Division, National Food Research Institute, Tsukuba (Japan); Nakamura, Hideo, E-mail: naka@science-edu.org [Department of Chemistry, Hokkaido University of Education, Hakodate (Japan); Fujii, Hirotada, E-mail: hgfujii@sapmed.ac.jp [Center for Medical Education, Sapporo Medical University, Sapporo (Japan); Inanami, Osamu, E-mail: inanami@vetmed.hokudai.ac.jp [Laboratory of Radiation Biology, Department of Environmental Veterinary Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo (Japan)

    2013-08-02

    Highlights: •IR-induced NO increased tissue perfusion and pO{sub 2}. •IR increased NO production in tumors without changes in the mRNA and protein levels of NOS isoforms. •NOS activity assay showed that IR upregulated eNOS activity in tumors. •IR-induced NO decreased tumor hypoxia and altered tumor radiosensitivity. -- Abstract: Tumor hypoxia, which occurs mainly as a result of inadequate tissue perfusion in solid tumors, is a well-known challenge for successful radiotherapy. Recent evidence suggests that ionizing radiation (IR) upregulates nitric oxide (NO) production and that IR-induced NO has the potential to increase intratumoral circulation. However, the kinetics of NO production and the responsible isoforms for NO synthase in tumors exposed to IR remain unclear. In this study, we aimed to elucidate the mechanism by which IR stimulates NO production in tumors and the effect of IR-induced NO on tumor radiosensitivity. Hoechst33342 perfusion assay and electron spin resonance oxymetry showed that IR increased tissue perfusion and pO{sub 2} in tumor tissue. Immunohistochemical analysis using two different hypoxic probes showed that IR decreased hypoxic regions in tumors; treatment with a nitric oxide synthase (NOS) inhibitor, L-NAME, abrogated the effects of IR. Moreover, IR increased endothelial NOS (eNOS) activity without affecting its mRNA or protein expression levels in SCCVII-transplanted tumors. Tumor growth delay assay showed that L-NAME decreased the anti-tumor effect of fractionated radiation (10 Gy × 2). These results suggested that IR increased eNOS activity and subsequent tissue perfusion in tumors. Increases in intratumoral circulation simultaneously decreased tumor hypoxia. As a result, IR-induced NO increased tumor radiosensitivity. Our study provides a new insight into the NO-dependent mechanism for efficient fractionated radiotherapy.

  12. Radiation-induced nitric oxide mitigates tumor hypoxia and radioresistance in a murine SCCVII tumor model

    International Nuclear Information System (INIS)

    Highlights: •IR-induced NO increased tissue perfusion and pO2. •IR increased NO production in tumors without changes in the mRNA and protein levels of NOS isoforms. •NOS activity assay showed that IR upregulated eNOS activity in tumors. •IR-induced NO decreased tumor hypoxia and altered tumor radiosensitivity. -- Abstract: Tumor hypoxia, which occurs mainly as a result of inadequate tissue perfusion in solid tumors, is a well-known challenge for successful radiotherapy. Recent evidence suggests that ionizing radiation (IR) upregulates nitric oxide (NO) production and that IR-induced NO has the potential to increase intratumoral circulation. However, the kinetics of NO production and the responsible isoforms for NO synthase in tumors exposed to IR remain unclear. In this study, we aimed to elucidate the mechanism by which IR stimulates NO production in tumors and the effect of IR-induced NO on tumor radiosensitivity. Hoechst33342 perfusion assay and electron spin resonance oxymetry showed that IR increased tissue perfusion and pO2 in tumor tissue. Immunohistochemical analysis using two different hypoxic probes showed that IR decreased hypoxic regions in tumors; treatment with a nitric oxide synthase (NOS) inhibitor, L-NAME, abrogated the effects of IR. Moreover, IR increased endothelial NOS (eNOS) activity without affecting its mRNA or protein expression levels in SCCVII-transplanted tumors. Tumor growth delay assay showed that L-NAME decreased the anti-tumor effect of fractionated radiation (10 Gy × 2). These results suggested that IR increased eNOS activity and subsequent tissue perfusion in tumors. Increases in intratumoral circulation simultaneously decreased tumor hypoxia. As a result, IR-induced NO increased tumor radiosensitivity. Our study provides a new insight into the NO-dependent mechanism for efficient fractionated radiotherapy

  13. Tumor heterogeneity, tumor size, and radioresistance

    International Nuclear Information System (INIS)

    Mutant clonogenic cells, resistant to individual chemotherapeutic agents, are known to play a central role in clinical chemotherapy failure. The possibility that mutant cells, resistant to conventionally fractionated megavoltage photon radiotherapy, exist in human tumors is considered. Applying the mutation theory of Luria and Delbruck to describe the appearance of resistant cells, several conclusions follow: (a) the mean number of resistant cells in a tumor will be determined by the tumor size and the mutation rate; (b) a wide variation in radiosensitivity in tumors of the same histology is expected, because of a large variation in the number of resistant cells that they contain; (c) the presence of a resistant clone will not reduce the tumor-control probability until the tumor becomes sufficiently large; (d) initial response will not be a reliable predictor of long-term control; (e) clonogenic assays may not accurately predict treatment outcomes; (f) the mutation rate may be the most accurate predictor of tumor aggressiveness and resistance to various treatment modalities; (g) tumors with a low mutation rate, which may include seminoma, Hodgkin's disease and many pediatric tumors would be curable by either chemotherapy or radiation; (h) pleomorphic tumors with a high mutation rate, which may include glioblastoma multiforme, would be difficult to cure by any means. Clinical and experimental evidence is reviewed for the existence of radioresistant cell lines in human and animal tumors, and further experiments are proposed to test this hypothesis. Treatment strategies for targeting radioresistant clones are discussed

  14. Typical tumors of the petrous bone

    International Nuclear Information System (INIS)

    In the region of the petrous bone, inner acoustic canal and cerebellopontine angle, a variety of different tissues can be found, such as bony, epithelial, neural and vascular structures. Tumorous or tumor-like lesions, vascular or bony malformations or other pathologies can therefore be found in all of these areas. We discuss various frequently occurring tumorous or tumor-like pathologies including congential lesions, such as mucoceles, inflammatory disorders including osteomyelitis, pseudotumors and Wegener's granulomatosis. Benign non-neoplastic lesions, such as cholesteatoma, cholesterol granuloma, epidermoid and benign neoplastic tumors, such as the most commonly found vestibular schwannoma, meningeoma, paraganglioma, vascular pathologies and finally malignant lesions, such as metastasis, chordoma or chondrosarcoma and endolymphatic sac tumor (ELST) are also discussed. The emphasis of this article is on the appearance of these entities in computed tomography (CT) and more so magnetic resonance imaging (MRI), it provides key facts and typical images and discusses possibilities how to distinguish these pathologies. (orig.)

  15. Expression of the Otx2 homeobox gene in the developing mammalian brain: embryonic and adult expression in the pineal gland

    DEFF Research Database (Denmark)

    Rath, Martin F; Muñoz, Estela; Ganguly, Surajit; Morin, Fabrice; Shi, Qiong; Klein, David C; Møller, Morten

    2006-01-01

    Otx2 is a vertebrate homeobox gene, which has been found to be essential for the development of rostral brain regions and appears to play a role in the development of retinal photoreceptor cells and pinealocytes. In this study, the temporal expression pattern of Otx2 was revealed in the rat brain...

  16. Oxygen diffusion and oxygen effect in tumor tissue

    International Nuclear Information System (INIS)

    The diffusion of oxygen in tumor cords of bronchus carcinoma of the lung have been studied with refined computer methods for solving the diffusion equation in axis symmetric tumor structures. In this tumor configuration we may find three different regions consisting of euoxic cells, hypoxic tumor cells and necrotic parts. In the case of oxygen supply from a capillary inside a cylinder of tumor tissue with radius 200 ?m or in a tumor cord of radius 300 ?m with oxygen supply by capillaries outside, we get a relation of well oxygenated cells to hypoxic cells approximately as 1:8 or as 1:1.1 respectively. Of course most of the tumor cords observed in histological slices have smaller diameters, so that an average of approximately 20% hypoxic cells can be assumed. Based on the work of Ardenne, the diffusion of oxygen and glucose in a tumor of type DS-carcinosarcom has been investigated in both intact tumor and tumor treated with ionizing radiation. We can show that a strong reoxygenation effect takes place in that the well supplied regions may increase in some tumor configurations up to a factor of four by volume. The biological consequences of the oxygen pressure determined in tumor cells are discussed in detail. The investigation of oxygen diffusion in the intercapillary tumor region should give a quantitative physical basis for considering the oxygen effect with the aim to explain the advantages of neutron therapy against conventional radiotherapy. (orig./MG)

  17. Spinophilin, a new tumor suppressor at 17q21

    OpenAIRE

    Carnero, Amancio

    2011-01-01

    The scaffold protein spinophilin is a regulatory subunit of phosphatase 1a (PP1a) located at 17q21.33. This region is frequently associated with microsatellite instability and LOH and contains a relatively high density of known tumor suppressor genes (such as BRCA1), putative tumor suppressor genes, and several unidentified candidate tumor suppressor genes located distal to BRCA1.

  18. Preoperative scintigraphic evaluation of the location of juxtaglomerular cell tumor

    International Nuclear Information System (INIS)

    Juxtaglomerular cell tumor is a rare condition which cannot be correctly diagnosed preoperatively. In the only previously reported case in which scintigraphy has been used, this method failed to detect the tumor. We present a case of juxtaglomerular cell tumor in which renal scintigraphy revealed a well-defined cold area in the hilar region of the left kidney. (orig.)

  19. In vivo tumor radiobiology of heavy charged particles

    International Nuclear Information System (INIS)

    The response of tumor cells systems to irradiation with carbon, neon and argon beams at various positions in the plateau and extended-peak regions of the Bragg ionization curve is being evaluated from experiments conducted both in vivo and in vitro. The radiobiological end points being studied include: tumor volume response, cellular survival after tumor irradiation in situ, and cell-kinetic parameters

  20. Pediatric Odontogenic Tumors.

    Science.gov (United States)

    Abrahams, Joshua M; McClure, Shawn A

    2016-02-01

    Pediatric odontogenic tumors are rare, and are often associated with impacted teeth. Although they can develop anywhere in the jaws, odontogenic tumors mainly occur in the posterior mandible. This article discusses the diagnosis and treatment of the most common pediatric odontogenic tumors, such as ameloblastoma, keratocystic odontogenic tumor, odontoma, and cementoblastoma. PMID:26614700

  1. Tumor heterogeneity and circulating tumor cells.

    Science.gov (United States)

    Zhang, Chufeng; Guan, Yan; Sun, Yulan; Ai, Dan; Guo, Qisen

    2016-05-01

    In patients with cancer, individualized treatment strategies are generally guided by an analysis of molecular biomarkers. However, genetic instability allows tumor cells to lose monoclonality and acquire genetic heterogeneity, an important characteristic of tumors, during disease progression. Researchers have found that there is tumor heterogeneity between the primary tumor and metastatic lesions, between different metastatic lesions, and even within a single tumor (either primary or metastatic). Tumor heterogeneity is associated with heterogeneous protein functions, which lowers diagnostic precision and consequently becomes an obstacle to determining the appropriate therapeutic strategies for individual cancer patients. With the development of novel testing technologies, an increasing number of studies have attempted to explore tumor heterogeneity by examining circulating tumor cells (CTCs), with the expectation that CTCs may comprehensively represent the full spectrum of mutations and/or protein expression alterations present in the cancer. In addition, this strategy represents a minimally invasive approach compared to traditional tissue biopsies that can be used to dynamically monitor tumor evolution. The present article reviews the potential efficacy of using CTCs to identify both spatial and temporal tumor heterogeneity. This review also highlights current issues in this field and provides an outlook toward future applications of CTCs. PMID:26902424

  2. Concomitant Glomus Tumor with CRPS in the Hand

    OpenAIRE

    Jeong, Hyeong Jun; Kim, Chan Mi; Yoon, Duck Mi; Yoon, Kyung Bong

    2013-01-01

    Glomus tumors are benign tumors that account for 1% to 5% of all soft tissue tumors of the hand and are characterized by a triad of sensitivity to cold, localized tenderness and severe paroxysmal pain. Paroxysmal pain is a symptom common not only in glomus tumors but also in CRPS, and the hand is one of the commonly affected sites in patients with both glomus tumors and CRPS. Therefore, it is not easy to clinically diagnose glomus tumors superimposed on already affected region of CRPS patient...

  3. Tumor Ablation and Nanotechnology

    OpenAIRE

    Manthe, Rachel L.; Foy, Susan P; Krishnamurthy, Nishanth; Sharma, Blanka; Labhasetwar, Vinod

    2010-01-01

    Next to surgical resection, tumor ablation is a commonly used intervention in the treatment of solid tumors. Tumor ablation methods include thermal therapies, photodynamic therapy, and reactive oxygen species (ROS) producing agents. Thermal therapies induce tumor cell death via thermal energy and include radiofrequency, microwave, high intensity focused ultrasound, and cryoablation. Photodynamic therapy and ROS producing agents cause increased oxidative stress in tumor cells leading to apopto...

  4. Microroentgenography of transplantable tumors

    International Nuclear Information System (INIS)

    Ehrlich ascites tumors were transplanted into the soft tissue of albino mouse hind leg. It was found that vascularization in tumor tissue proceeds in step with relevant morphologic alterations. The formation of three patterns of blood circulation system in tumor is completed within 7 days. Tumor transplantation is followed by pronounced vascular dystonia development and venous plethora. These changes are particularly distinct in lymph nodes in the zone adjacent to tumor

  5. Can tumor uptake Tc-99m MDP

    International Nuclear Information System (INIS)

    Aim: To study a distribution of Tc-99m MDP in mice bearing tumor cell lines. Methods: The uptake of Tc-99m MDP was analyzed in seven human tumor cell lines (SPC-A1 adenocarcinoma of lung cancer, P37 Breast cancer, T24 Bladder cancer, SKOV2 Ovary carcinoma, Hela-229 Cervical carcinoma, Osteosarcoma, A375 Melanoma) and one mouse lung cancer cell line (Lewis). They were transplanted into 13, 4, 5, 5, 4, 5 athymic mice, 6 SCID nude mice and 4 C57 black mice, respectively. Approximately 10(7) cells of each cell line were injected subcutaneously into a right chest of mouse. After 5∼6 weeks, the Tc-99m MDP scintigraphy were determined 5-6 hours after i.v. injection of 74MBq in 0.05ml every mouse. Result: Biodistribution and tumor uptake MDP was different in the various cell types investigated. Region of interests (RIOs) placed on a small part of the tumor and horizontal copied to left chest or spine of mice in Tc-99m MDP imaging and the average count ratio (tumor to background ratio: T/B, tumor to spine ratio: T/NT) in each ROI was calculated. 13 nude mice bearing the adenocarcinoma (SPC-A1) were sacrificed and biodistribution was determined after Tc-99m MDP scintigraphy. Results were expressed as % injected dose/gram (%ID/g), mean±SD. T-ulcer=ulcer of tumor, T-round=surrounding of tumor, T-center=the center of tumor, Thor-sp=thoracic spine, Lum-ver=lumbar vertebra, LN=lymph node. Conclusions: Tumor can uptake Tc-99m MDP including adenocarcinoma. Higher uptake rate in the center tissue of tumor is than other part of tumor. It maybe connected with necrosis or fibrosis of tumor

  6. Advances on the treatment of solid tumor by 131I labeled mouse-human chimeric tumor necrosis therapy monoclonal antibody

    International Nuclear Information System (INIS)

    131I labeled mouse-human chimeric tumor necrosis therapy monoclonal antibody (131I-chTNT) is a kind of new drug targeting at degenerated or necrotic nuclei in the tumor necrosis zone,and may be applicable to the majority of human solid tumors, such as lung cancer, liver cancer,colon carcinoma and glioma, while conventional tumor cell monoclonal antibody can target only tumor cell surface antigen. Enhanced effects can be achieved by 131I-chTNT in combination with other therapies, such as radiotherapy,chemotherapy or radiofrequency ablation, which may increase tumor necrosis region and expose more combinative targets. (authors)

  7. Gastrointestinal Neuroendocrine Tumors: Pancreatic Endocrine Tumors

    OpenAIRE

    Metz, David C.; Jensen, Robert T.

    2008-01-01

    Pancreatic endocrine tumors (PETs) have long fascinated clinicians and investigators despite their relative rarity. Their clinical presentation varies depending upon whether the tumor is functional or not and also according to the specific hormonal syndrome produced. Tumors may be sporadic or inherited but little is known about their molecular pathology, especially the sporadic forms. Chromogranin A appears to be the most useful serum marker for diagnosis, staging and monitoring. Initially, t...

  8. Radiological evaluation of spinal intramedullary tumors with exophytic growth

    International Nuclear Information System (INIS)

    Intramedullary tumors are conventionally regarded as fusiform enlargement of the spinal cord shadow on myelography and computed tomography myelography. With exophytic growth, however, these tumors resemble intradural extramedullary tumors, since a cap defect of the metrizamide column and a shift of the spinal cord are seen on contrast studies. Seventeen cases of intramedullary tumors were evaluated, six of which involved exophytic tumor growth documented radiologically and at surgery. These tumors were predominantly located from the lower cervical to the upper thoracic region or in the conus medullaris. They were infrequently associated with a syrinx or cyst, and occupied shorter segments of the spinal axis than do tumors without exophytic growth. These tumors could be divided into two types. Type I tumors were accompanied by swelling of the spinal cord and, in some cases, a cap defect of the metrizamide column on the rostral side. Those of Type II had no cord swelling but cord deformity was present, and they were seldom associated with a syrinx or cyst. Cap defects were observed on both the rostral and caudal sides of the tumors. Thus, Type I tumors are mainly intramedullary, whereas Type II tumors are extramedullary. Since it is difficult to differentiate Type II tumors from intradural extramedullary tumors, one should keep in mind the possibility of exophytic growth of intramedullary tumors. (author)

  9. Radiation therapy of thoracic and abdominal tumors

    International Nuclear Information System (INIS)

    Until recently, radiotherapy of thoracic and abdominal tumors in animals has been limited. However, the availability of computerized tomography and other imaging techniques to aid in determining the extent of tumor, an increase in knowledge of dose tolerance of regional organs, the availability of isocentrically mounted megavoltage machines, and the willingness of patients to pursue more aggressive treatment is making radiation therapy of tumors in these regions far more common. Tumor remission has been reported after radiation therapy of thymomas. Radiation therapy has been used to treat mediastinal lymphoma refractory to chemotherapy, and may be beneficial as part of the initial treatment regimen for this disease. Chemodectomas are responsive to radiation therapy in human patients, and favorable response has also been reported in dogs. Although primary lung tumors in dogs are rare, in some cases radiation therapy could be a useful primary or adjunctive therapy. Lung is the dose-limiting organ in the thorax. Bladder and urethral tumors in dogs have been treated using intraoperative and external-beam radiation therapy combined with chemotherapy. These tumors are difficult to control locally with surgery alone, although the optimal method of combining treatment modalities has not been established. Local control of malignant perianal tumors is also difficult to achieve with surgery alone, and radiation therapy should be used. Intraoperative radiation therapy combined with external-beam radiation therapy has been used for the management of metastatic carcinoma to the sublumbar lymph nodes. Tolerance of retroperitoneal tissues may be decreased by disease or surgical manipulation

  10. Minimally Invasive-Endoscopic Intraventricular Neurosurgery

    Medline Plus

    Full Text Available ... benefit for taking out tumors such as colloid cysts, pineal region tumors. And then lastly we're now ... about a one-week hospitalization for most colloid cysts that go well through microsurgical resection. For a shunt surgery, the placement of a ...

  11. Minimally Invasive-Endoscopic Intraventricular Neurosurgery

    Science.gov (United States)

    ... benefit for taking out tumors such as colloid cysts, pineal region tumors. And then lastly we're now ... about a one-week hospitalization for most colloid cysts that go well through microsurgical resection. For a shunt surgery, the placement of a ...

  12. Panel discussion: Tumor imaging

    International Nuclear Information System (INIS)

    After three presentations on tumor imaging using radiopharmeuticals, a panel convened to discuss tumor imaging with positron emission tomography (PET) as well as with other nuclear medicine approaches. The two major goals of clinical tumor imaging procedures using radiopharmaceuticals, including both those that depend on receptor binding and those that depend on other methods of tumor radioisotope retention are: 1. Tumor localization which includes localization of the primary neoplasms as well as the metastases. Nuclear imaging to locate a primary or demonstrate its extent are uncommon in current practice although the procedures are frequently used to locate metastases. 2. Tumor characterization which includes studies of the chemistry, metabolism, immunology, and pharmacology of a tumor. In the future, a panel of radiopharmaceuticals, which may be receptor ligands, antibodies, and other types, might be used to characterize tumors. Tumors may be defined according to biochemical characteristics that may be assesed by radiopharmaceutical studies

  13. Diffusion-weighted MR images and pineoblastoma: diagnosis and follow-up / Imagens pesadas em difusão e pineoblastoma: diagnóstico e acompanhamento

    Scientific Electronic Library Online (English)

    Emerson L., Gasparetto; L. Celso Hygino da, Cruz Jr; Thomas M., Doring; Bertha, Araújo; Mário Alberto, Dantas; Leila, Chimelli; Romeu C., Domingues.

    2008-03-01

    Full Text Available Pineoblastomas são tumores incomuns da glândula pineal, os quais têm crescimento rápido e prognóstico reservado. Os autores objetivam relatar o caso de um homem de 43 anos de idade com uma massa na região pineal com realce pelo contraste, a qual demonstrou restrição da difusão nas imagens de ressonâ [...] ncia magnética (RM) pesadas em difusão. A biópsia cirúrgica definiu o diagnóstico de pineoblastoma e o tratamento foi iniciado com radio e quimioterapia. Três meses mais tarde, a RM de controle demonstrou áreas sugestivas de necrose e não mais eram observadas áreas de restrição da difusão da água. O diagnóstico diferencial das massas na região pineal que podem apresentar restrição da difusão é discutido. Abstract in english Pineoblastomas are uncommon pineal tumors, which demonstrate rapid growing and poor prognosis. We report the case of a 43-year-old man with an enhancing pineal region mass, which showed restriction of the diffusion on diffusion-weighted (DW) MR images. The surgical biopsy defined the diagnosis of pi [...] neoblastoma and the therapy was initiated with radiation and chemotherapy. Three months later, the follow-up MR imaging showed areas suggestive of necrosis and the DW images demonstrate no significant areas of restricted diffusion. The differential diagnosis of pineal region masses that could show restriction of diffusion is discussed.

  14. HIPEC in controversial digestive tumors.

    Science.gov (United States)

    Tentes, Antonios-Apostolos K

    2015-05-01

    Local-regional and peritoneal metastases still develop despite improvements in surgical techniques. Intraperitoneal chemotherapy has been proved to be effective in reducing the rate of local-regional and peritoneal metastases in many malignancies. There is adequate evidence that intraperitoneal perioperative chemotherapy after aggressive resection of locally advanced tumors of the digestive system may be helpful in decreasing the rate of local-regional and peritoneal metastases. Prospective trials and meta-analyses have shown that patients with locally advanced gastric or colorectal carcinomas are offered significant survival benefit and develop reduced number of local-regional metastases with surgery combined with perioperative intraperitoneal chemotherapy. In pancreatic cancer the preliminary results have shown that these patients do not develop local-regional recurrences with R0 resection in combination with hyperthermic intraoperative intraperitoneal chemotherapy (HIPEC). Further studies are required to document these findings. PMID:26051333

  15. Rhabdomyosarcoma mimicking Wilms' tumor

    Scientific Electronic Library Online (English)

    Achiléa Lisboa, Bittencourt; Núbia, Mendonça; Fernando, Schmitt.

    1994-06-01

    Full Text Available É apresentado um caso de rabdomiossarcoma pleomórfico em criança de seis anos envolvendo simultaneamente a musculatura da perna direita e o rim homolateral. O tumor renal distorcia o sistema pielocalicial e teve diagnóstico clinico de tumor de Wilms. Os autores discutem acerca do possível sítio prim [...] ário do tumor. Abstract in english A case of a 6 year old child, with a pleomorphic rhabdomyosarcoma involving simultaneously the leg muscles and the kidney is reported. The renal tumor distorted the pyelocalycial system and Wilms' tumor was the clinical diagnosis. The authors discuss on the possible primary site of the tumor. [...

  16. Tumores funcionales del ovario / Functional ovarian tumors

    Scientific Electronic Library Online (English)

    Jeddú, Cruz Hernández; Marelis, Yanes Quesada; Pilar, Hernández García; Ariana, Isla Valdés; Silvia Elena, Turcios Tristá.

    2007-12-01

    Full Text Available Se realizó una amplia revisión acerca de los tumores funcionales del ovario, y fueron los tumores estromales y de los cordones sexuales los que presentan con mayor frecuencia esta característica. A su vez, los tumores funcionales del ovario pueden secretar diferentes hormonas, tales como, estrógenos [...] , andrógenos, gonadotropina coriónica y hormonas tiroideas, entre otras, lo cual está en dependencia de la variante histológica de que se trate. Finalmente, se hace referencia a los síndromes paraneoplásicos causados por algunas neoplasias ováricas, de los cuales el más frecuente es la hipercalcemia tumoral. Abstract in english A wide review on the functional ovarian tumors was made. The stromal tumors and those of the sexual cords presented this characteristic more frequently. The functional ovarian tumors may secrete different hormones such as estrogens, androgens, chorionic gonadotropin and thyroid hormones, among other [...] s, depending on the histological variant. Finally, reference was made to the paraneoplastic syndromes caused by some ovarian neoplasias, of which tumoral hypercalcemia is the most common.

  17. Tumores cardíacos primarios / Primary cardiac tumors

    Scientific Electronic Library Online (English)

    Rosa Eugenia, Díaz Garriga; Luis Raúl, Martínez González; Dianelys, Pérez Rodríguez; Caridad, Pérez.

    2013-10-01

    Full Text Available Introducción: los tumores cardíacos primarios son aquellos que se originan en Miocardio o Pericardio. El 90% son benignos, no son invasivos, pero debido a su localización pueden provocar alteraciones hemodinámicas graves y arrítmias. Presentación del caso: dos casos portadores de tumores cardíacos d [...] iagnosticados en la etapa prenatal, una gestante de 32 años, portadora de una Neurofribromatosis que en la ecocardiografía fetal de su hijo, se identifican dos tipos de tumores cardíacos, un mixoma auricular y un fibroma, y un niño que desde la etapa prenatal se diagnosticó un rabdomioma, lo cual se confirmó al nacimiento y que regresó espontáneamente. Conclusiones: a ecocardiografía fetal permite cada vez con más frecuencia, el diagnóstico intraútero de tumores cardíacos. Los rabdomiomas regresan en más del 50% de los casos, pero pueden ser un marcador de Esclerosis Tuberosa. Los tumores cardiacos se asocian a otras afecciones congénitas y requieren de tratamiento quirúrgico. Aspectos todos a tener en consideración para realizar el asesoramiento genético a la familia. Abstract in english Introduction: primary cardiac tumors are those having their origin in the myocardium or pericardium. The 90% are benign, not invasive, but due to their location they can cause severe hemodynamic alterations and arrhythmias. Case report: two patients, carriers of cardiac tumors that were diagnosed in [...] prenatal stages, a 32 year-old pregnant woman, carrier of a Neurofibromatosis, in the fetal echography of her child, two types of cardiac tumors were identified: an atrial myxoma and a fibroma, along with a fetus who presented a rhabdomyoma that was diagnosed during the prenatal stage and confirmed at birth having a spontaneous remission. Conclusions: more frequently fetal echocardiography makes possible the intrauterine diagnosis of cardiac tumors. Rhabdomyomas have a spontaneous remission in more than 50% of the cases, but they can be a marker of Tuberous Sclerosis. Cardiac tumors are associated with other congenital affections and require surgical treatment. All these aspects must be considered to accomplish genetic counseling to the family.

  18. [Testicular and paratesticular tumors in children].