We report on a case of a sarcoma arising in the hyaline- vascular variant of Castleman disease (HVCD) of the skin and subcutis. The patient was a 38- year- old man who clinically presented with a subcutaneous non- fix...We report on a case of a sarcoma arising in the hyaline- vascular variant of Castleman disease (HVCD) of the skin and subcutis. The patient was a 38- year- old man who clinically presented with a subcutaneous non- fixed cyst- like mass on his right shoulder with an unremarkable prior medical history. Histologic sections showed a biphasic tumor with numerous atretic lymphoid follicles located in the deep dermis and subcutis and a spindle- cell neoplasm mainly situated in the deep subcutis and adjacent soft tissue. The atretic lymphoid component fulfilled the criteria for HVCD, whereas the spindle- cell lesion showed all the criteria for sarcoma including nuclear atypia and frequent mitotic figures. The sarcomatous componentwas diffusely positive for fascin, nerve growth factor receptor, and CD34 with focal weak reactivity for CD21 and CNA.42. Stains for CD23, CD31, CD35, CD99, ALK- 1, SMA, ASMA, desmin, factor XIIIa,AE1- AE3, EMA, bcl- 2, S- 100, Melan- A,HMB- 45, Cam 5.2, and factor VIII were negative in the neoplastic spindle cells. No monoclonal population of lymphocyteswas detected andwe could not identify EBV or HHV- 8 virus by PCR. Electron microscopy of the sarcomatous component showed spindle cells with labyrinth- like invaginations of the nucleus and numerous long, slender, interwoven cytoplasmic processes. The sarcomatous component in this case is most consistent with a poorly differentiated follicular dendritic cell sarcoma based upon the morphologic and ultrastructural findings.展开更多
Background. Few cases of cutaneous lymphocytic hyperplasia secondary to vaccin ation have been published, although such lesions are not rare. Patients and meth ods. We report a series of 10 cases registered between 19...Background. Few cases of cutaneous lymphocytic hyperplasia secondary to vaccin ation have been published, although such lesions are not rare. Patients and meth ods. We report a series of 10 cases registered between 1993 and 2003. Results. M ean age was 25. The clinical aspect was solitary or multiple subcutaneous nodule s, located on the arm, developing after a delay of 1 to 18 months after vaccinat ion. Histologic examination showed a lymphocytic infiltration of the subcutaneou s fat, with diffuse and/or follicular pattern, without nuclear atypia, the morph ological and immunohistochemical analysis of which revealed the benigh nature. I n all cases, there was fibrosis and granuloma composed of lymphocytes, plasma ce lls, eosinophils and macrophages with basophilic cytoplasm. Morin stain showed i ntralesional aluminium in the 6 investigated cases. Evolution was always benign, with no relapse following exeresis. Discussion. Cutaneous lymphocytic hyperplas ia secondary to vaccination has to be suspected in a young patient with subcutan eous nodules appearing at a vaccination site. Evidence of aluminium in the lesio ns supports the diagnosis and the hypothesis that aluminium in the vaccine excip ient might have a role in the onset of such lesions.展开更多
Objective To analyze the relationship between karyotypes and clinic features of patients with primary amenorrhea.Methods G banding was done for 340 patients with primary amenorrhea to facilitate individual chromosome ...Objective To analyze the relationship between karyotypes and clinic features of patients with primary amenorrhea.Methods G banding was done for 340 patients with primary amenorrhea to facilitate individual chromosome identification,and if specific staining for certain portions of the chromosome was necessary,C banding was used.The clinical data were recorded by physical examination and ultrasound scanning.Results Karyotype analysis of the 340 patients revealed that 180(52.94%) patients had normal female karyotypes and 160(47.06%) patients had abnormal karyotypes.The abnormal karyotypes included abnormal X chromosome(150 patients),mosaic X-Y chromosome(4 patients),abnormal autosome(5 patients),and X-autosome translocation(1 patient).The main clinical manifestations in patients with primary amenorrhea were primordial or absent uterus(95.9%),invisible secondary sex features(68.8%),little or absent ovary(62.6%),and short stature(30.0%).The incidence of short stature in patients with X chromosome aberration(46%,69/150) was significangly higher that in patients with 46,XX(9.44%,17/180) as well as 46,XY(6.67%,3/45;χ2=146.25,P=0.000).All primary amenorrhea patients with deletion or break-point at Xp11.1-11.4 were short statures.Conclusions One of the main reasons of primary amenorrhea is choromosome abnormality,especially heterosome abnormality.It implies the need to routinely screen chromosomal anomalies for such patients.There might be relationship between Xp11.1-11.4 integrity and height improvement.展开更多
Human embryonic fibroblasts (hEFs) can well maintain the pluripotency in human embryonic stem cells (hESs). However, recent research and reports indicated that a few of hES cell lines acquired genomic alteration d...Human embryonic fibroblasts (hEFs) can well maintain the pluripotency in human embryonic stem cells (hESs). However, recent research and reports indicated that a few of hES cell lines acquired genomic alteration during long-term culture of hES cells in vitro. This will directly restrict the therapy use of hES cells. Wnts are secreted lipid-modified signaling proteins that influence multiple processes ranging from cell proliferation to stem cell loss. Activation of Wnt signaling in many tissues has also been associated with cancer. Unchecked Wnt signaling and loss of cadherin expression can promote tumorigenesis. In this study, we found the caryotype of one hES cell line chHES-3 changed with duplication of 1 p32-1p36 area after 34 passages. The results of RT-PCR indicated Wnt7a was expressed in hEFs after culture normal karyotype hES cells, but not expressed in control and abnormal karyotype hES cells. Wnt3 was expressed in hEFs after culture abnormal karyotype hES cells, not expressed in control and normal karyotype hES cells. Wnt3, Wnt9a and WntlOb were detected weakly expression in normal hES cells, but higher in abnormal hES cells. At the same time, Wnt3a, Wnt4, Wnt5b, Wnt7a, Wnt8b and Wnt11 were expressed and E-cadherin was not tested in abnormal hES cells compared with normal hES cells. All that indicated Wnt7a was need for culture normal karyotype hES cells and Wnt3 was need for culture abnormal karyotype hES cells on hEFs. Wnt3, Wnt9a and WntlOb high expression in hES cells and absence of E-cadherin may cause hES cells karyotype change.展开更多
The a+^2+ Ne elastic scattering angular distributions at lower incident energies of Eα= 12.7-31.1 Me V have been analyzed by using the a-folding potential based on the α+^16O structure model of the ^20Ne nucleus....The a+^2+ Ne elastic scattering angular distributions at lower incident energies of Eα= 12.7-31.1 Me V have been analyzed by using the a-folding potential based on the α+^16O structure model of the ^20Ne nucleus. The a-folding potential with a standard Woods-Saxon type imaginary part, can reasonably describe experimental cross sections and the anomalous large angle scattering (ALAS) features. The anomaly of the a+^20Ne scattering system is further confirmed , in the lower incident energy region.展开更多
文摘We report on a case of a sarcoma arising in the hyaline- vascular variant of Castleman disease (HVCD) of the skin and subcutis. The patient was a 38- year- old man who clinically presented with a subcutaneous non- fixed cyst- like mass on his right shoulder with an unremarkable prior medical history. Histologic sections showed a biphasic tumor with numerous atretic lymphoid follicles located in the deep dermis and subcutis and a spindle- cell neoplasm mainly situated in the deep subcutis and adjacent soft tissue. The atretic lymphoid component fulfilled the criteria for HVCD, whereas the spindle- cell lesion showed all the criteria for sarcoma including nuclear atypia and frequent mitotic figures. The sarcomatous componentwas diffusely positive for fascin, nerve growth factor receptor, and CD34 with focal weak reactivity for CD21 and CNA.42. Stains for CD23, CD31, CD35, CD99, ALK- 1, SMA, ASMA, desmin, factor XIIIa,AE1- AE3, EMA, bcl- 2, S- 100, Melan- A,HMB- 45, Cam 5.2, and factor VIII were negative in the neoplastic spindle cells. No monoclonal population of lymphocyteswas detected andwe could not identify EBV or HHV- 8 virus by PCR. Electron microscopy of the sarcomatous component showed spindle cells with labyrinth- like invaginations of the nucleus and numerous long, slender, interwoven cytoplasmic processes. The sarcomatous component in this case is most consistent with a poorly differentiated follicular dendritic cell sarcoma based upon the morphologic and ultrastructural findings.
文摘Background. Few cases of cutaneous lymphocytic hyperplasia secondary to vaccin ation have been published, although such lesions are not rare. Patients and meth ods. We report a series of 10 cases registered between 1993 and 2003. Results. M ean age was 25. The clinical aspect was solitary or multiple subcutaneous nodule s, located on the arm, developing after a delay of 1 to 18 months after vaccinat ion. Histologic examination showed a lymphocytic infiltration of the subcutaneou s fat, with diffuse and/or follicular pattern, without nuclear atypia, the morph ological and immunohistochemical analysis of which revealed the benigh nature. I n all cases, there was fibrosis and granuloma composed of lymphocytes, plasma ce lls, eosinophils and macrophages with basophilic cytoplasm. Morin stain showed i ntralesional aluminium in the 6 investigated cases. Evolution was always benign, with no relapse following exeresis. Discussion. Cutaneous lymphocytic hyperplas ia secondary to vaccination has to be suspected in a young patient with subcutan eous nodules appearing at a vaccination site. Evidence of aluminium in the lesio ns supports the diagnosis and the hypothesis that aluminium in the vaccine excip ient might have a role in the onset of such lesions.
文摘Objective To analyze the relationship between karyotypes and clinic features of patients with primary amenorrhea.Methods G banding was done for 340 patients with primary amenorrhea to facilitate individual chromosome identification,and if specific staining for certain portions of the chromosome was necessary,C banding was used.The clinical data were recorded by physical examination and ultrasound scanning.Results Karyotype analysis of the 340 patients revealed that 180(52.94%) patients had normal female karyotypes and 160(47.06%) patients had abnormal karyotypes.The abnormal karyotypes included abnormal X chromosome(150 patients),mosaic X-Y chromosome(4 patients),abnormal autosome(5 patients),and X-autosome translocation(1 patient).The main clinical manifestations in patients with primary amenorrhea were primordial or absent uterus(95.9%),invisible secondary sex features(68.8%),little or absent ovary(62.6%),and short stature(30.0%).The incidence of short stature in patients with X chromosome aberration(46%,69/150) was significangly higher that in patients with 46,XX(9.44%,17/180) as well as 46,XY(6.67%,3/45;χ2=146.25,P=0.000).All primary amenorrhea patients with deletion or break-point at Xp11.1-11.4 were short statures.Conclusions One of the main reasons of primary amenorrhea is choromosome abnormality,especially heterosome abnormality.It implies the need to routinely screen chromosomal anomalies for such patients.There might be relationship between Xp11.1-11.4 integrity and height improvement.
基金Acknowledgment This work was supported by grants from the National Nature Science Foundation of China (No.31071091 No.30971570) and Department of Education key project of Hunan Province, China (09A035 and 07B029).
文摘Human embryonic fibroblasts (hEFs) can well maintain the pluripotency in human embryonic stem cells (hESs). However, recent research and reports indicated that a few of hES cell lines acquired genomic alteration during long-term culture of hES cells in vitro. This will directly restrict the therapy use of hES cells. Wnts are secreted lipid-modified signaling proteins that influence multiple processes ranging from cell proliferation to stem cell loss. Activation of Wnt signaling in many tissues has also been associated with cancer. Unchecked Wnt signaling and loss of cadherin expression can promote tumorigenesis. In this study, we found the caryotype of one hES cell line chHES-3 changed with duplication of 1 p32-1p36 area after 34 passages. The results of RT-PCR indicated Wnt7a was expressed in hEFs after culture normal karyotype hES cells, but not expressed in control and abnormal karyotype hES cells. Wnt3 was expressed in hEFs after culture abnormal karyotype hES cells, not expressed in control and normal karyotype hES cells. Wnt3, Wnt9a and WntlOb were detected weakly expression in normal hES cells, but higher in abnormal hES cells. At the same time, Wnt3a, Wnt4, Wnt5b, Wnt7a, Wnt8b and Wnt11 were expressed and E-cadherin was not tested in abnormal hES cells compared with normal hES cells. All that indicated Wnt7a was need for culture normal karyotype hES cells and Wnt3 was need for culture abnormal karyotype hES cells on hEFs. Wnt3, Wnt9a and WntlOb high expression in hES cells and absence of E-cadherin may cause hES cells karyotype change.
基金Supported by National Natural Science Foundation of China under Grant No.10865002
文摘The a+^2+ Ne elastic scattering angular distributions at lower incident energies of Eα= 12.7-31.1 Me V have been analyzed by using the a-folding potential based on the α+^16O structure model of the ^20Ne nucleus. The a-folding potential with a standard Woods-Saxon type imaginary part, can reasonably describe experimental cross sections and the anomalous large angle scattering (ALAS) features. The anomaly of the a+^20Ne scattering system is further confirmed , in the lower incident energy region.