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Biomedical subjects

T J Anderson

Publications and source records attributed to T J Anderson.

At least 235 records · Page 13Linked to original sources
PubMed1983

A morphological study of the changes which occur during pregnancy in the human breast.

In this study the structural changes which occur during human pregnancy were examined by light and electron microscopy. Pregnancy was associated with proliferation and differentiation of the epithelial cells within the lobules. Proliferation was continuous throughout pregnancy with a progressive increase in the size of the lobules. The highest level of mitosis was observed in the first trimester with lower levels in the second and third trimesters. Unexpectedly a number of apoptotic cells were observed during pregnancy. Differentiation was initiated in the second trimester with an increase in the amount of rough endoplasmic reticulum and the appearance of a hypertrophic Golgi body and lipid droplets within a number of epithelial cells. A number of small vacuoles were present close to the apical plasmalemma of a few epithelial cells. As the pregnancy proceeded there was an increase in the number of cells exhibiting these features. There was also an increase in the size of the lipid droplets and the number of apical vacuoles. The apical vacuoles which have not been described previously range in size from 150-600 nm with the contents of the larger vacuoles having a whorled or labyrinth-like appearance.

Adult↗
PubMed1983

Microcalcification and its relationship to cancer of the breast: experience in a screening clinic.

The mammograms and specimen radiographs of 45 women in whom the presence of microcalcification played a major part in the decision to biopsy, were studied to determine possible distinguishing features. A mammographic lesion of 150 mm2 or less with an irregular density and five or more calcific particles, especially if palpable, was very likely to be an invasive carcinoma. With improved resolution, it should become possible to distinguish those calcifications covering 150 mm2 or less in the mammograms which are associated with parenchymal structures and those that are associated with stromal elements. Features that may potentially distinguish some benign parenchymal calcifications and those parenchymal calcifications associated with non-invasive malignancy are described. There will probably remain a few benign parenchymal associated calcifications which are identical to the calcifications associated with non-invasive cancer. Implications for improvement in technique are considered.

Aged↗
PubMed1983

Invasive cribriform carcinoma of the breast.

A histological review of 1003 invasive breast carcinomas identified 51 tumours in which the invasive component showed a predominantly cribriform pattern. These separated into two groups; 35 which showed exclusively cribriform or cribriform with a limited extent of tubular invasive elements only, designated 'classical' invasive cribriform carcinoma and 16 which also contained areas of less well differentiated invasive carcinoma, designated 'mixed' invasive cribriform carcinoma. At follow-up, 10 to 21 years after diagnosis, none of the 35 patients with classical invasive cribriform carcinoma had died as a result of this initial carcinoma and 30 remained alive. Of the 16 remaining patients, whose tumours showed areas of less well differentiated carcinoma, only six remained alive. However, the adjusted 10 years survival rate of these patients in this mixed group was significantly better than that of invasive carcinoma in Edinburgh. Invasive cribriform carcinoma in its classical form, is a histological subgroup of invasive carcinoma with the same excellent prognosis as that of invasive tubular carcinoma.

Adenocarcinoma↗
PubMed1982

Cell turnover in the "resting" human breast: influence of parity, contraceptive pill, age and laterality.

Morphological identification of cell multiplication (mitosis) and cell deletion (apoptosis) within the lobules of the "resting" human breast is used to assess the response of the breast parenchyma to the menstrual cycle. The responses are shown to have a biorhythm in phase with the menstrual cycle, with a 3-day separation of the mitotic and apoptotic peaks. The study fails to demonstrate significant differences in the responses between groups defined according to parity, contraceptive-pill use or presence of fibroadenoma. However, significant differences are found in the apoptotic response according to age and laterality. The results highlight the complexity of modulating influences on breast parenchymal turnover in the "resting" state, and prompt the investigation of other factors as well as steroid hormones and prolactin in the promotion of mitosis. The factors promoting apoptosis in the breast are still not clear.

Adenofibroma↗
PubMed1982

Infiltrating lobular carcinoma of the breast.

On review of the histology of 1050 primary breast carcinomas, 103 cases of infiltrating lobular carcinoma were identified and clinical and survival data collected in each case. The tumours were then separated into four groups on the basis of histological pattern and these groups shown to have significantly different survival times. Assessment of the presence of in situ carcinoma, elastosis and intracytoplasmic lumina was performed in each case and the effect of these features on survival investigated. In addition to stage of disease at presentation, the major significant factor in predicting survival of patients with this type of invasive carcinoma is histological type.

Adult↗
PubMed1982

Breast localization biopsy.

Nineteen localization biopsies were performed on eighteen women, where routine mammography revealed impalpable abnormalities. These abnormalities are described and the results of biopsy given. Six carcinomas were detected, all of which were shown to have no evidence of metastatic disease.

Biopsy↗
PubMed1981

Ultrastructural observations on cell death by apoptosis in the "resting" human breast.

For the first time the process of epithelial cell deletion was studied within the parenchymal component of the "resting" human breast. The dying cells were initially recognised by specific nuclear changes involving peripheral condensation of the chromatin and nucleolar disintegration. At this stage the cells were retracted from the lumen and had lost desmosomal connections with their neighbours. Within the cytoplasm, there was evidence of ribosomal detachment from the endoplasmic reticulum with the formation of ribosome aggregates. The majority of dying cells were phagocytosed at this stage although a few underwent further morphological changes. These involved blebbing and fragmentation of the nucleus followed by cytoplasmic fragmentation. The dying cells and cell fragments were phagocytosed by epithelial or myoepithelial cells as well as mononuclear phagocytes and undergo lysosomal digestion within the phagosomes. These progressive morphological changes were consistent with cell deletion occurring by apoptosis.

Adolescent↗
PubMed1981

Morphological evaluation of cell turnover in relation to the menstrual cycle in the "resting" human breast.

This study examines cell turnover within the lobules of the "resting" human breast and correlates it to the stage of the menstrual cycle. The results are based on the morphological identification of both cell multiplication (mitosis) and cell deletion (apoptosis). It is found that these events undergo significant cyclical changes during the menstrual cycle, with raised levels towards the end of the cycle and during menses. However, in relation to a 28-day menstrual cycle, the position of the mitotic and apoptotic peaks, at Days 25 and 28 respectively, are significantly different. The high values are associated with an increase in the number of lobules showing a slight response rather than a large reaction within a few lobules. It appears that the "resting" breast tissue shows a general, rather than a focal reaction to a given hormonal environment. The possible role of oestrogen and progesterone as effectors of these changes is discussed. Our results show that the menstrual cycle influences cell turnover, though different factors may be affecting mitosis and apoptosis.

Adolescent↗
PubMed1980

Modification of assays for the routine analysis of 3-methoxy-4-hydroxyphenylglycol in urine by electron-capture gas chromatography.

Urinary 3-methoxy-4-hydroxyphenylglycol has been reliably assayed on a routine basis using an electron-capture detector method. Modifications of previous procedures include simplifcation of extraction and derivatization of urine, inclusion of an internal standard, prevention of losses during concentration, use of each urine as its own standard, and better chromatographic resolution by lengthening of columns and programming temperature. The assay shows a coefficient of variation of 3.1%.

Chromatography, Gas↗
PubMed1977

Breast screening and surgical problems.

The Edinburgh Breast Screening Clinic in its first year completed the initial screening examination of 3005 invited women, who were apparently in good health, aged between 40 and 60 years; 141 were referred for a surgical opinion; 70 women ultimately underwent biopsy and 9 proved to have carcinoma. The indications for biopsy are described together with methods of management of the various lesions.

Adult↗