[Choroid leiomyoma (author's transl)].
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Biomedical subjects
Publications and source records attributed to B Czerniak.
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It is generally accepted that there are dichotomous biologic pathways that lead to the development of either: i) superficial papillary (Ta) transitional cell carcinoma (TCC) or ii) precursor lesions to muscle-invasive (CIS, T1) TCC and muscle-invasive (> or =T2) TCC. We investigated the expression of several progression-related genes to characterize the phenotype of these tumors within these divergent developmental pathways. Using a colorimetric in situ hybridization technique, we examined the expression of mRNAs of several progression-related genes in archival, pathologic specimens from 77 patients with bladder TCC. These genes included basic fibroblast growth factor (bFGF), vascular endothelial growth factor (VEGF), interleukin (IL)-8, matrix metalloproteinase (MMP)-9, and epidermal growth factor receptor (EGFR). Relative gene expression was quantified using image analysis. Gene expression was normalized using poly (dT) and the expression of each factor in a panel of specimens of normal urothelium. Patients were stratified according to disease stage, and the level of gene expression among the stratified groups was compared. VEGF, bFGF, IL-8, and MMP-9 expression was increased in muscle-invasive compared with superficial papillary tumors, (p<0.05) and VEGF expression was increased in muscle-invasive tumors compared with CIS specimens (p<0. 05). bFGF, IL-8, and EGFR expression was increased in CIS specimens compared with superficial papillary tumors (p<0.05). The pattern of expression of bFGF, VEGF, IL-8, MMP-9, and EGFR represent the divergent developmental pathways in the pathogenesis of bladder TCC, which characterizes superficial or invasive bladder cancer. bFGF, IL-8, and EGFR appear to be upregulated in early precursor lesions (CIS), whereas VEGF appears to be upregulated at later stages in the development of muscle-invasive TCC.
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Cancer cells of human effusions have a prominent surface coat clearly demonstrated by ruthenium red staining. The cancer cells forming clumps are usually interconnected with each other by gap junctions which is expressed by a free penetration of the ruthenium red through the majority of the junctions. The benign cells encountered in human effusions are also covered with the surface coat, which, however, is usually thinner in comparison to the coat observed on the cancer cells.
The cells of human body cavity fluids were examined by light microscopy and with a scanning electron microscope after settling on the surface of glass. Some differences in behavior of various cell types were noticed. The histiocytes, a few minutes after settling, began to spread, and thin processes later extended from their cytoplasm. Extension of mesothelial cells was observed a few hours after settling, and was not proceeded by flattening. The flattening of neutrophils occurred soon after settling, and was not followed by extension. The other cells encountered in effusion, both benign and malignant, did not change their shape even up to 12 hours after the time of settling. The differences in behavior after the settling of various cell types encountered in human effusions is discussed in relation to their biological properties.
The basic principles of flow cytometry with special emphasis to cell cycle analysis and DNA ploidy measurements are described. The concept of separation of various subcompartments of cell cycle, distinguished by simultaneous determinations of DNA versus RNA and DNA versus protein contents is presented. Based on DNA ploidy patterns, human tumors were divided into two groups designated as diploid range and non-diploid (aneuploid). Since it has been proposed that diploid range tumors have generally better prognoses than non-diploid tumors, the value of DNA ploidy patterns as a prognostic factor is discussed in major groups of human cancers.
The cytologic features of metastatic myxopapillary ependymoma were described. The cytologic material obtained from a metastatic subcutaneous nodule by the thin needle aspiration technique was examined by light and electron microscopy.
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