Introduction: Osteosarcoma is the most common primary malignant bone tumor in children. It is highly aggressive and has a poor prognosis. A late presentation modifies and makes difficult the management affecting the s...Introduction: Osteosarcoma is the most common primary malignant bone tumor in children. It is highly aggressive and has a poor prognosis. A late presentation modifies and makes difficult the management affecting the survival of children. We report the case of a large conventional osteosarcoma in a 13-year-old girl. Case Presentation: Adolescent girl admitted for painful swelling of the left shoulder with absolute functional impotence of the thoracic limb and severe anemia. The painful swelling was thought to have been caused by a minor trauma that had occurred six months previously. The patient’s general condition was poor, and she presented with a large, shiny, painful mass over the shoulder and upper 2/3 of the left arm, measuring 28 cm long by 28 cm wide and 57 cm in circumference, and a large fistulous axillary adenopathy. CT scan showed a tumour lesion of the left humerus with liver and lung metastases, raising suspicion of osteogenic osteosarcoma. The tumor was classified according to TNM staging: T2N1M1(a + b). Management was modified when uncontrolled bleeding developed. It consisted of an extended amputation of the left thoracic limb. Pathological analysis showed a high-grade conventional osteosarcoma. Quality improvement was obtained for thirty days, followed by the onset of dyspnea. The evolution was towards death at forty days post-operatively. Conclusion: Osteosarcoma is a highly aggressive cancer. Delayed treatment leads to a fatal outcome. Early diagnosis is one of the challenges to be met in order to improve survival.展开更多
Egg incubation on the female abdomen is the parental care behavior observed in aeglids,in which eggs are kept adhered to maternal pleopods and maintained,cleaned and aerated.In A.platensis,egg attachment occurs with t...Egg incubation on the female abdomen is the parental care behavior observed in aeglids,in which eggs are kept adhered to maternal pleopods and maintained,cleaned and aerated.In A.platensis,egg attachment occurs with the aid of pleopodal setae,which are twisted around their axis in the distal region,forming the funiculus,and pleopodal glands,which are responsible for the production of the adhesive substance that seems to be involved in egg fixation to pleopodal setae.Those glands are acini formed by secretory cells arranged concentrically around a central duct,giving them a rosette appearance.Two types of secretory cells were observed,those that produce electron-lucid vesicles and those having electron-dense ones.Both kinds of vesicles are released in a duct whose opening pore is located on the pleopodal surface and constitute the adhesive substance that coats eggs and pleopodal setae,ensuring egg fixation to the female body and maternal care maintenance.This study investigates the internal and external morphology of Aegla platensis pleopods,to understand the egg attachment process and identify the structures involved in this phenomenon.Three microscopy techniques are used:scanning electron microscopy(SEM),transmission electron microscopy(TEM),and optical microscopy(OM).展开更多
文摘Introduction: Osteosarcoma is the most common primary malignant bone tumor in children. It is highly aggressive and has a poor prognosis. A late presentation modifies and makes difficult the management affecting the survival of children. We report the case of a large conventional osteosarcoma in a 13-year-old girl. Case Presentation: Adolescent girl admitted for painful swelling of the left shoulder with absolute functional impotence of the thoracic limb and severe anemia. The painful swelling was thought to have been caused by a minor trauma that had occurred six months previously. The patient’s general condition was poor, and she presented with a large, shiny, painful mass over the shoulder and upper 2/3 of the left arm, measuring 28 cm long by 28 cm wide and 57 cm in circumference, and a large fistulous axillary adenopathy. CT scan showed a tumour lesion of the left humerus with liver and lung metastases, raising suspicion of osteogenic osteosarcoma. The tumor was classified according to TNM staging: T2N1M1(a + b). Management was modified when uncontrolled bleeding developed. It consisted of an extended amputation of the left thoracic limb. Pathological analysis showed a high-grade conventional osteosarcoma. Quality improvement was obtained for thirty days, followed by the onset of dyspnea. The evolution was towards death at forty days post-operatively. Conclusion: Osteosarcoma is a highly aggressive cancer. Delayed treatment leads to a fatal outcome. Early diagnosis is one of the challenges to be met in order to improve survival.
基金The authors thank the technicians of the Centro de Microscopia Eletronica(CME)and the histology laboratory of the Department of Zoology,Federal University of Rio Grande do Sul(UFRGS)who assisted with sample preparation,as well as the National Council for Scientific and Technological Development(CNPq)of Brazil.
文摘Egg incubation on the female abdomen is the parental care behavior observed in aeglids,in which eggs are kept adhered to maternal pleopods and maintained,cleaned and aerated.In A.platensis,egg attachment occurs with the aid of pleopodal setae,which are twisted around their axis in the distal region,forming the funiculus,and pleopodal glands,which are responsible for the production of the adhesive substance that seems to be involved in egg fixation to pleopodal setae.Those glands are acini formed by secretory cells arranged concentrically around a central duct,giving them a rosette appearance.Two types of secretory cells were observed,those that produce electron-lucid vesicles and those having electron-dense ones.Both kinds of vesicles are released in a duct whose opening pore is located on the pleopodal surface and constitute the adhesive substance that coats eggs and pleopodal setae,ensuring egg fixation to the female body and maternal care maintenance.This study investigates the internal and external morphology of Aegla platensis pleopods,to understand the egg attachment process and identify the structures involved in this phenomenon.Three microscopy techniques are used:scanning electron microscopy(SEM),transmission electron microscopy(TEM),and optical microscopy(OM).
