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R Paredes

Publications and source records attributed to R Paredes.

66 records · Page 4Linked to original sources
PubMedDate not supplied

Cytogenetics in acute lymphoblastic leukemia in Mexican children: an institutional experience.

BACKGROUND: Cytogenetic studies in acute lymphoblastic leukemia (ALL) have identified numerical and structural chromosomal abnormalities related to the disease's pathophysiologic characteristics. These findings correlate with prognosis and response to treatment in ALL patients. The purpose of this study was to define the frequency of chromosomal abnormalities in a group of Mexican children with ALL and to compare these data with those reported in the literature. METHODS: Bone marrow chromosome studies with GTG bands were performed in 150 pediatric patients with ALL who were naive to antileukemic treatment and aged from 5 months to 16 years; the majority was diagnosed as L1. RESULTS: Among 131 patients, 30 (22.9%) karyotypes were normal and the remaining 101 (77.1%) had abnormal karyotypes with numerical and/or structural abnormalities. Among patients with numerical abnormalities, the most frequent karyotypes were hyperdiploidy with 51-65 chromosomes (30 patients) and hyperdiploidy with 47-50 chromosomes (18 patients). Among recurrent, non-random, and primary structural abnormalities, the most frequent was t(9;22), followed by t(1;19). Aberrations involving band 11q23 were not detected, and only one of two patients with L3 had the t(8;14). Of the secondary non-random abnormalities, dup(1q), del(6q), and i(7)(q10) were found. CONCLUSIONS: The frequency and type of chromosomal abnormalities found was comparable to those reported in the literature with similar methodology and pediatric populations; however, the number of cases analyzed should be increased to create a database of Mexican children with ALL, and several patients require molecular analysis to identify chromosomal abnormalities not detected through conventional cytogenetic studies.

Child↗
PubMedDate not supplied

Leishmaniasis in HIV infection.

Herein we review the particular aspects of leishmaniasis associated with HIV infection. The data in this review are mainly from papers identified from PubMed searches and from papers in reference lists of reviewed articles and from the authors' personal archives. Epidemiological data of HIV/Leishmania co-infection is discussed, with special focus on the influence of Highly Active Antiretroviral Therapy (HAART) on incidence of leishmaniasis and transmission modalities. Microbiological characteristics, pathogenesis, clinical presentation and specific treatment of the co-infection are also presented.

AIDS-Related Opportunistic Infections↗
PubMedDate not supplied

[Endoscopic-histopathological correlation in gastric lymphoma diagnosis: the experience of an oncologic institute].

Among the Gastric Lymphoma' chief features are the varied endoscopic appearances and the difficulty for its conventional bioptic diagnosis. In order to focusing on this problem we analyzed 15 years of experience on this matter at the "Luis Razetti" Oncological Institute. 10 cases were morphologicaly classified as follow: a) Exophytic type 5/50%. The most difficult morphology for its endoscopic diagnosis was the infiltrative type, in its large gastric folds category 2/20%, yielding a 33% of bening diagnosis. Histopathologicaly a 66% of bening diagnosis was obtained and a 33% of uncertain diagnosis. The exophytic type in its erosive protruding mass category was the second most difficult morphology fot both endoscopic and histopathologic diagnosis. When the last two categories were associated with ulceration, the malignant diagnosis increased. 40 of the cases were operated on without preoperative histological diagnosis. All the cases were operated on without preoperative histological diagnosis. All the cases corresponded with Large cells diffuse type of Non Hodgkin's Lymphoma, a diagnosis reached in only one opportunity by endoscopic biopsy. No correlation between tumoral morphology and intraparietal growth was found. 3 patients survived for more than 1 years. It can be concluded that video endoscopic methods could help to improve the endoscopic knowledge in gastric lymphoma diagnosis, while polipectomy snare biopsy, dye methods like Indigo Carmin and special techniques like mucosectomy could help to improve the histologic diagnosis, because conventional biopsy provides small and superficial samples.

Adolescent↗