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J Hassoun

Publications and source records attributed to J Hassoun.

At least 145 records · Page 8Linked to original sources

Immunohistochemical and immunoelectron-microscopic study of pituitary adenomas associated with Cushing's disease. A report of 13 cases.

Thirteen pituitary adenomas were removed from patients with Cushing's disease by the transphenoidal route. All cases demonstrated a typical histochemical and ultrastructural pattern. Immunocytochemical study by means of the immunoperoxidase technique and light or electron microscopy demonstrated 1-24/1-39 adrenocorticotropic hormone (ACTH) in all cases, lipotropin/melanotropin (beta-LPH/beta-MSH) in 10 cases, beta-endorphin in 8 cases, and an absence of calcitonin in all cases. In addition, in 2 cases tumor tissue contained a few antiprolactin immunoreactive cells. These ACTH, beta-LPH, and beta-endorphin immunoreactivities may reflect either the peptides themselves or their precursors or intermediate products. The authors also suggest a possible intermediate-lobe-like processing of beta-LPH leading to beta-endorphin production, which may act on PRL cells. In addition, no positive arguments for the existence of a common precursor for calcitonin and ACTH could be provided from this study.

Adenoma↗

[Medulloblastoma].

Explore the source record for details and available documents.

Cerebellar Neoplasms↗

Germinomas of the brain. Light and electron microscopic study. A report of seven cases.

The authors report seven cases of intracerebral germinomas studied on autopsy and/or biopsy material. Electron microscopy was done in five cases. Tumors were located on the middle line of the brain (pineal area, suprasellar region, third ventricle). Light microscopic features were stereotyped with PAS + round tumor cells and inflammatory mononuclear cells. By electron microscopy, fenestrated nucleoli, glycogen storage and annulate lamellae were always found, as well as a striking macrophagic activity of histiocytes. This immune reaction is supposed to contribute to the relatively favorable prognosis of these original brain tumors.

Adolescent↗

Primary cerebral neuroblastoma in an adult man.

Survey of the literature reveals 10 cases of cerebral neuroblastoma in adults. An additional case, confirmed by electron microscopy, is reported here. The patient had a voluminous supratentorial calcified intraventricular tumor with clinical signs dating back more than two years. Despite the size and cellular immaturity of the lesion, surgical removal of the tumor was apparently satisfactory on macroscopic grounds. Treatment also included postoperative radiotherapy of the brain and spinal cord. The present case is discussed in light of the scarce data from the literature.

Adult↗

[Primary brain lymphomas. Anatomoclinical, ultrastructural and immunocytochemical study about 23 cases (author's transl)].

Twenty-three cases of primary brain lymphomas were morphologically studied. Electron microscopy was done in twelve cases and immunoperoxidase reactions for light chains of immunoglobulins in ten cases. The patients were fourteen males and nine females. Except two children, the mean age was 50 years. Clinical features and pre-operative investigations lacked any specificity. Post-operative radiotherapy could be performed in thirteen patients, eleven of them being still alive with a follow-up varying from 2,5 months to 4,5 years. All the other patients persued fulminating course (max: 4,5 months). Tumors were preferentially located in frontal and temporal lobes. On gross examination, well limited tumors were more frequent than ill-defined or purely infiltrating tumors. Microscopically, all the lymphomas were of the diffuse type. Perivascular clusters of lymphoma cells, meningeal and parenchymal infiltrates and sub-ependymal sprouts were found in the peritumoral areas. The lymphomas were cytologically characterized according to the modified Kiel classification (Lennert et al, 1975) using light and electron microscopic data. So were identified thirteen lymphoblastic lymphomas (with one convoluted-cell type), one centroblastic lymphoma, eight immunoblastic lymphomas (two with plasmacytic differentiation). Light chains of human immunoglobulins were immunocytologically demonstrated in six of twelve tumors tested, all the positive cases corresponding to immunoblastic lymphomas. A unique case of primary meningeal Hodgkin's disease was found. These results were compared with the rare previous reports associating these different morphological investigations.

Adolescent↗

[The role of stereotaxic biopsy in the therapeutic approach to malignant gliomas (author's transl)].

Analysis of 770 biopsies of intra-cerebral neoplasms under stereotaxic conditions and performed in Bordeaux, Rennes and Marseilles. The study emphasized the relative benign nature of this examination (1% deaths, 1.4 % severe sequellae) bearing in mind the severity of the underlying disease. In a very large number of cases (from 7 to 38% according to Schools) the diagnosis made before biopsy was fundamentally altered by this examination. The quasi-certitude of the nature of the lesion, and the possible facilitation of surgery by the precision of the lesional topography, and finally the possibility of a therapeutic gesture of evacuation in certain cases, is felt to justify intra-cranial biopsy performed under stereotaxic conditions.

Biopsy↗

Macrophagic activity in intracerebral germinoma: ultrastructural study of a case.

This report presents the ultrastructural study of a germinoma of the third ventricle occurring in a 13 year old boy. The electron microscopic data showed similarities linking this tumor to gonadal and mediastinal germinomas and emphasized the exceptional glycogenic storage in tumor and stroma cells. Another morphological analogy was the intense macrophagic activity that led to tumor cell phagocytosis. The authors discuss the meaning of such an immune response, which is usually not observed in cerebral tumors.

Adolescent↗

[Cerebral neuroblastoma in the adult. Clinical and C.T. scan aspects (author's transl)].

The case of a thirty two years old patient with a frontal syndrome developing over the last three years is reported. CT scan showed a large calcified lesion, situated on the median line enhanced by iodine. The patient was operated. Ultrastructural and histologie studies concluded that it the tumor was a neuroblastoma. After operation an unquestionable amelioration of the frontal disorders appeared. Facial paralysis with a inverse automatic-voluntary dissociation and an underuse of motricity, both left-sided, after cortectomy of the right-sided premotor area were observed. We therefore suggest that the lesion of the external premotor cortex was responsible of the facial paralysis with an inverse automatic voluntary dissociation and of the underuse the left side.

Adult↗

Prolactin secreting adenoma in 22 men.

The authors report on 22 men with a prolactin secreting adenoma. Clinical symptomatology included associated signs of tumoral compression with varying degrees of hypogonadism. Endocrinological evaluation disclosed hyperprolactinemia in all cases but one, and hypopituitarism in 10 of 22 cases. Of the 22 patients, 21 underwent transsphenoidal microsurgery (two of whom underwent a second procedure by the infrafrontal approach) and in one case surgery was performed by the infrafrontal route. Diagnosis was confirmed by immunocytochemical evaluation of tumoral tissue. Prolactin levels returned to normal in 32% of cases after operation and became normal after complementary bromocriptine therapy in 54.5% of cases. However, normal prolactin secretion was not consistently accompanied by a return to normal of gonadotropin regulation. In three patients radiotherapy was not effective. The latter treatment should be limited to the very rare cases of postoperative resistance to bromocriptine.

Adenoma↗

Tumorigenic clones of hamster brain cells transformed in vitro by polyoma virus. Ultrastructural and immunohistochemical study.

The morphological characteristics of three clones of hamster brain cells transformed in vitro by polyoma virus and of the tumors obtained after subcutaneous grafting of these cells in syngenic animals are reported. These clones appeared to be glial in nature by light and electron microscopy. The initial tumors induced by the three clones presented astrocytic features both by electron microscopy and immunohistochemistry. Analysis of the subsequent in vivo passages showed a decrease in cell differentiation, which was accompanied by a decrease in the latency period; after 2 years of serial transplantation, the tumors seemed poorly differentiated gliomas. A control cell line of hamster cerebellar cells evolved similarly.

Animals↗

[Immunocytochemical similarities between basophilic and chromophobe pituitary adenomas. Light and electron microscopic study of 13 cases (author's transl)].

ACTH, beta MSH, beta LPH, beta endorpSin, leucine and methionine enkephalin activities were tested in four Cushing pituitary basophilic adenomas and nine "chromophobe" adenomas with immunoperoxidase methods. The antisera gave various positive reactions in both of these groups. ACTH, alpha MSH and enkephalins were predominant. The reason why these hormones are clinically silent in "chromophobe" or, even, basophilic adenomas is still to be elucidated.

Adenoma, Basophil↗