Ganglioneuroblastoma in an adult human albino.
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Biomedical subjects
Publications and source records attributed to H W Simpson.
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Breast temperatures have been measured by the automated instrumentation called the 'Chronobra' for 16 progesterone cycles in women at normal risk for breast cancer and for 15 cycles in women at high risk for breast cancer. Circatrigintan and circaseptan rhythm parameters have been examined by the single and population mean cosinor technique. In the first analysis there was strong evidence for a loss of the 28-day rhythm and its replacement by a 7-day rhythm (? frequency multiplication). In the more rigorous population mean cosinor method the presence of a phase and frequency synchronized rhythm with a period at or close to 28 days was sustained in the normal-risk subjects and it was confirmed that this rhythm is absent in the high-risk subjects. At tau = 7 days there was no rhythm detected in the normal-risk subjects and only a weak effect (p = 0.07) in the high-risk subjects. In other words, the circaseptan expression was detected in the high-risk breasts but then not in every case. The MESOR of the high-risk cases was highly significantly warmer than in the controls.
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A thermorhythmometric analysis was carried out on data from a patient who underwent a prophylactic subcutaneous mastectomy, subsequently to a preoperative mammogram revealing clustered small calcifications in the left breast. The patient self-measured surface temperature of each breast, above and below the nipple, at intervals of 75 +/- 10 min for 59 h while awake. In one location of each breast, the recording thermistor-probe was insulated for 21.5 h while other probe locations remained uninsulated. The overall rhythm-adjusted average surface temperature and the extent of predictable circadian variation differed with statistical significance when the two breasts were compared. The left breast exhibited a higher rhythm-adjusted mean temperature and a lower extent of predictable circadian variation, as compared to the contralateral breast. The interbreast differences of surface temperature also demonstrated a statistically significant rhythm. A review on results of rhythmometry of breast temperature was also carried out. The thermorhythmometric findings here reported must not necessarily be regarded as indicative of cancer; they may be found in non-cancerous subjects and may or may not reflect early pathology. The objective of this publication is to suggest that non-invasive mammary thermorhythmometry may complement clinical histopathology. This subject may exemplify a new principle awaiting scrutiny with much more extensive sampling and much longer follow-up, namely that chronopathology including chronoprotopathology, alongside established diagnostic procedures, may provide an indication for prophylactic intervention.
Breast skin temperatures have been monitored at 30-min intervals throughout wake-span for the whole or part of the menstrual cycle of women aged 20-37 years using both manual and automatic (chronobra) methods of measurement. Circadian breast skin temperature rhythms have been mathematically characterized and rhythm parameters assessed in relation to the estimated time of ovulation. Data generally indicate that there is a peri-ovulatory rise in breast temperature. Computer simulation and practical experiments, based on changes in the residual sums of squares from target values obtained for days in the cycle prior to ovulation, have indicated that this peri-ovulatory increase in temperature is possibly detectable within 24 h. The use of the chronobra and associated statistics may be of value in signalling the onset of the infertile phase of the menstrual cycle.
Plasma prolactin and cortisol were determined and breast skin temperatures measured in 8 postmenopausal diurnally active-nocturnally resting women, 7 with primary breast cancer and 1 with benign breast disease. In all subjects, prolactin peaked during the early morning hours. Cortisol and oral temperature served as internal physiological markers of anticipated rhythmicity in adrenocortical function and metabolism. In all patients studied, the tumour site had an increased mesor (midline-estimating statistic of rhythm) and reduced amplitude of the circadian breast skin temperature rhythm when compared to a similar site on the contralateral breast. Thermal asymmetry was also observed between left and right breasts. A cancer, if in the left breast, may reinforce lower amplitude and perhaps a higher mesor (associated with the healthy left breast in these particular patients), whereas if it is located in the right breast, it tends to nullify inter-mammary differences in mesor and amplitude. Screening for breast cancer appears to require subjects being monitored on at least two occasions before thermal abnormalities due to tumour or preneoplasia become discernible.
A prophylactic bilateral subcutaneous mastectomy, following a preoperative mammogram revealed clustered small calcifications in the left breast. In order to investigate the merits of thermorphythmometry, the patient self-measured surface temperature of each breast, above and below the nipple, while awake. In the case here presented, bilateral subcutaneous mastectomy followed by extensive histologic scrutiny of both breasts revealed no indication of malignancy. Bilateral fibrocystic disease with calcification and lobular hyperplasia was found. As compared to the contralateral sites, the atypical epithelial proliferation was more abundant in the mammographically and thermorhythmometrically 'abnormal' area of the left breast.
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