Vascular plexus around intrahepatic large bile ducts in normal livers and portal hypertension.
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Bile Ducts, Intrahepatic↗
Biomedical subjects
T Terada
Publications and source records attributed to T Terada.
[Two cases of pathological dilatation of seminal duct end].
Two cases of male infertility due to pathological dilatation of seminal duct end are reported. One patient was 33 years old. He was diagnosed with azoospermia by semen analysis. The cystic wall of the seminal duct end was incised by a cold knife on the urethral scope. After the operation, 100,000-500,000/ml sperms were found in his semen. The other patient was 31 years old. He was diagnosed with severe oligoasthenozoospermia. He was operated on in a similar operation. After operation, the findings of his semen analysis improved exceedingly, and his wife became pregnant.
Adult↗
Arterial-venous plasma concentration differences of 6-chloro-2-pyridylmethyl nitrate in humans after sublingual administration.
The plasma concentrations of 6-chloro-2-pyridylmethyl nitrate after sublingual administration were determined in six healthy male volunteers (venous plasma) and eleven patients (arterial plasma) with ischemic heart failure. The pharmacokinetics of the compound was investigated in volunteers. Plasma concentration-time data in each volunteer were found to fit a two-compartment open model with zero-order absorption. The pharmacokinetic parameters estimated from curve-fitting the plasma concentration-time data were as follow: Tmax 10 +/- 2.8 min, Cmax 8.16 +/- 2.48 ng/mL and CLP 6.16 +/- 1.79 L/min (means +/- S.D.). The arterial plasma concentrations (11.9 +/- 5.14 ng/mL) 7 min after sublingual administration were significantly higher (p less than 0.05) than those in venous samples (6.86 +/- 2.80 ng/mL). These results support that the arterial-venous gradient exists after administration of 6-chloro-2-pyridylmethyl nitrate in humans.
Administration, Sublingual↗
Iron-negative foci in siderotic macroregenerative nodules in human cirrhotic liver. A marker of incipient neoplastic lesions.
Resistance to iron accumulation is known as a phenotypic marker of neoplasia and preneoplasia in experimental hepatocarcinogenesis in rodents overloaded by iron. This study was aimed to evaluate whether such iron-free foci are present and valuable for identification of preneoplastic and incipient neoplastic lesions in human cirrhotic livers, especially within macroregenerative nodules in which hepatocellular carcinoma is known to arise. Iron-free foci were found in siderotic macroregenerative nodules in liver cirrhosis. These foci were classic and overt carcinoma or borderline lesions showing an expansive growth pattern. Borderline lesions were composed of hyperplastic or small basophilic hepatocytes with hyperchromasia and distinct nuclear membrane showing pseudoglandular, trabecular, compact, and scirrhous patterns. These data suggest that iron stain is valuable for identification of neoplastic or borderline lesions representing a transition from hyperplastic nodule to carcinoma in human liver cirrhosis.
Humans↗
[A study on the vascular permeability of brain tumors using dynamic CT].
The vascular permeability of 50 brain tumors of various kinds was examined by means of dynamic CT. The degree of the vascular permeability within the tumor was evaluated according to the theoretical basis that the regression of the time-density curve after the peak to the base line became less in accord with the increase in vascular permeability. The time-density curves obtained from dynamic CT were classified into the following four types. Type 1; This type shows a similar pattern to normal brain tissue and is thought to reveal the normal vascular permeability. Type 2; this type shows intermediate pattern between type 1 and type 3. And the vascular permeability is thought to have been moderately increased. Type 3; This type shows the flattening or gradual increase in the time-density curve after forming the peak. The vascular permeability is thought to have increased markedly. Type 4; The peak of the time-density curve is lower than that of the white matter. This type of tumor is regarded to be least vascularized. All tumors except for gliomas and AVMs showed type 2 or 3 and their vascular permeability was thought to be increased. Most of the gliomas showed type 2 or 3, although some gliomas showed type 1 even in the lesion with positive contrast enhancement. In the lesions of such cases, it was thought that the vascular permeability was not affected significantly, so that blood brain barrier modification therapy by intraarterial mannitol infusion may be quite effective. All AVMs showed type 1.(ABSTRACT TRUNCATED AT 250 WORDS)
Adult↗
Histologic and scanning electron microscopic observations of intrahepatic peribiliary glands in normal human livers.
The three-dimensional configuration of the intrahepatic peribiliary glandular system was examined in normal autopsied livers by scanning electron microscopic observations of the intrahepatic biliary tract casts. Biliary tract casts were made by injection of resin into the biliary tree and subsequent corrosion of the hepatic parenchyma. There were many projections on the surface of the biliary casts and they could be morphologically classified into pouchlike and treelike projections. These projections tended to be arranged on opposite sides of the biliary casts. The treelike projections from the large bile ducts at the bifurcation frequently anastomosed each other. By comparing the findings of biliary casts with histologic findings as well as the measuring of these projections and thickness of bile duct wall, it was suggested that the treelike projections correspond to the extramural peribiliary glands and the pouchlike ones to the intramural ones, both of which are normally present around the intrahepatic biliary tree. Thus, it was suggested stereologically in this study that substance(s) produced in the intrahepatic peribiliary glands may be secreted into the bile ductal lumen and thereby participate in the modification of bile composition.
Bile Ducts, Intrahepatic↗
Determination of the anti-anginal drug 6-chloro-2-pyridylmethyl nitrate in plasma and urine by fused-silica open-tubular column gas chromatography with electron-capture detection.
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Animals↗
Morphological examination of intrahepatic bile ducts in hepatolithiasis.
Numerous glandular elements are characteristically found within and around the intrahepatic bile duct walls in hepatolithiasis. These glandular elements were studied by reconstruction of serial sections and mucus histochemistry. The glands were of two types: glands within the thickened ductal wall (intramural) and those outside the wall (extramural). The former were mucous glands arranged in tubular pattern and the latter seromucous glands arranged in tubuloalveolar pattern. Mucous acini of both glands were rich in neutral, carboxylated and sulfated mucus glycoproteins. Serial section observations showed that the intramural glands communicated with bile duct lumina directly, and the extramural glands with ductal lumina via their own conduits. The intramural glands were usually continuous with the epithelia lining bile ducts, suggesting that they were derived from an invagination and subsequently proliferating epithelium lining bile ducts. The extramural glands may have arisen from a proliferation of the pre-existing peribiliary glands. Hypersecreted mucus from the intramural and extramural glands might be causally related to the development and growth of calculi in the intrahepatic biliary tree.
Adult↗
Peripheral hepatolithiasis incidentally found at autopsy. A morphological study.
Hepatolithiasis is a common disease in East Asia though very rare in the West. Four cases of hepatolithiasis in which calculi were incidentally found in the peripheral branches of the intrahepatic biliary tree at autopsy are described and compared with hepatolithiasis involving the major branches of the intrahepatic biliary tree. These four cases were all elderly, three patients were male and one female. The calculi were brown pigment stones in each case, as seen in the major branch type. The stone-containing ducts showed mild fibrosis and glandular proliferation with inflammatory changes in three cases; these changes were marked in the fourth case. The hepatic parenchyma around the stone-containing ducts was atrophic or collapsed in all four cases. The major branches of the intrahepatic biliary tree as well as the extrahepatic tree failed to show findings suggestive of bacterial infections or biliary anomalies. These data suggest that brown pigment stones develop primarily in the peripheral ducts in the liver. It remains uncertain whether the peripheral type eventually progresses to the major type or not.
Aged↗
Histological study of intrahepatic cavernous transformation in a patient with primary myelofibrosis and portal venous thrombosis.
Cavernous transformation in the liver was examined histologically by serial section observations, in an autopsy case of portal venous thrombosis and primary myelofibrosis. Cavernous transformation was present from the hepatic hilus to medium-sized portal tracts and was composed of dilated and thin-walled vessels. Serial sections disclosed that these vascular channels were anastomotic and occasionally communicated with occluded portal venous radicles. In places they entered directly into the hepatic parenchyma without accompanying biliary or arterial elements, and also drained into the patent portal venous branches beyond the occluded segment. The study demonstrated that cavernous transformation in the liver develops as hepatopetal collaterals secondary to the portal venous obstruction. Periportal and peribiliary capillary plexus may become cavernous in the presence of portal venous occlusion.
Aged↗
Removal of dodecyl sulfate from protein solution.
Sodium dodecyl sulfate is one of the most widely used detergents. But, there is no good method to remove dodecyl sulfate (DS) from a small volume of protein solution. We showed that (a) DS in protein solution was removed by the addition of potassium salts with high recovery of protein, and (b) the method was useful before tryptic digestion of protein.
Barium↗
Actinomycosis of urachal remnants.
We report a case of urachal actinomycosis. The patient presented with complaints of micturition pain and a lower abdominal mass. Computerized tomography and an echogram showed the mass extending from the dome of the bladder to just beneath the rectus muscle. Exploration revealed a hard mass in the urachal cord, which was near the dome of the bladder and extended to the umbilicus. The mass and urachal cord were resected, and histopathological examination revealed actinomycosis of the urachal remnants.
Actinomycosis↗
Pathologic features of hepatolithiasis in Japan.
A national survey of pathologic features of hepatolithiasis was conducted in Japan. The significance of hepatobiliary lesions in the pathogenesis of hepatolithiasis was evaluated in 31 autopsy livers and 242 surgically resected livers. Eighty-two percent shared several morphologic and clinical features, eg, the presence of multiple calcium bilirubinate or brown pigment stones within the intrahepatic duct and a characteristic hepatobiliary morphology. These cases were distributed throughout Japan without distinct geographic differences. The stones were found in the left and/or right hepatic duct and/or their tributaries. The ducts that contained stones had uneven dilatation of their lumena with focal stenosis. The walls of the involved ducts were thickened mainly by fibrosis. The hepatic parenchyma associated with stones within intrahepatic bile ducts showed mild to severe atrophy and fibrosis. Histologically, the ducts that contained stones showed fibrosis, proliferation of mucous and serous glands, and inflammatory cell infiltration in their walls and the periductal tissue. A large amount of mucus secreted from the affected ducts was seen within the biliary sludge and calcium bilirubinate stones were found in the involved ductal lumena. These findings suggest that the large amount of mucus and the formation of unevenly dilated ductal lumena may be important in the formation of intrahepatic calculi because these factors may favor nucleation and promote local bile stasis, thereby accentuating the ductal changes and stone formation (a vicious cycle).
Adult↗
A study on budding protrusions of human seminiferous tubules.
In order to elucidate the morphogenesis of seminiferous tubular protrusions, histometric, microscopic and electron microscopic studies were performed on the testes of 202 Japanese men, including 117 sudden deaths, 75 hospital deaths and 10 prostatic cancer cases. Protrusions usually occurred at outer convexes of multi-bending tubular portions and were divided into dome, sessile, pedunculated and multi-branched types. Aggregated Sertoli cells were present in dome-type protrusions as a major component, and spermatogenesis associated with active mitoses of spermatogonia was induced with development of protrusions. Protruding walls consisted of inner compact and outer loose layers. Distribution of lipid droplets in Sertoli cell cytoplasm in protrusions was different from those in the original tubules. The incidence of protrusions peaked in the forties and sixties, respectively, in the case of hospital and sudden death cases with underlying tubular atrophy. The findings suggest that tubular protrusions take place as a compensatory reaction for declining spermatogenesis, and therefore, probably represent a regenerative phenomenon in hypospermatogenic testes.
Adolescent↗
An autopsy case of primary angiosarcoma of the pericardium mimicking malignant mesothelioma.
The pathology of a rare case of primary diffuse angiosarcoma of the pericardium is reported. Grossly, the heart was entirely encased by the pericardial tumor, and the myocardium was only superficially invaded by the tumor. The tumor tissue extended directly to the mediastinum, where the great vessels were embedded in the tumor. A few minute distant metastases were found only in the bilateral lungs and pulmonary hilar lymph nodes. Microscopically, the tumor tissue was composed of malignant cells forming vascular channels admixed with solid areas. Histo- and immunohistochemically, no mesothelial characteristics were evident. Factor VIII-related antigen and Ulex europaeus I lectin were positive, implying that the tumor was of vascular origin. Grossly, and in part microscopically, this case resembled malignant diffuse mesothelioma, indicating that pericardial angiosarcoma may sometimes mimick malignant mesothelioma.
Adult↗
Intrahepatic periductal glands in graft-versus-host disease.
Degenerative epithelial changes with cytoplasmic eosinophilia and nuclear pleomorphism were found in the intrahepatic periductal glands in two patients who died following allogeneic bone marrow transplantation. These changes, which have not been described in the literature to our knowledge, were closely associated with clinicopathologic signs of graft-versus-host disease (GVHD), and histologically they resembled small bile ductal lesions, a characteristic finding of hepatic GVHD. In addition, periductal glandular and small bile ductal lesions frequently coexisted. Neither livers from patients given autologous marrow transplantation nor other control livers including those from patients given abdominal irradiation revealed such glandular lesions. These results suggest that the observed changes in the intrahepatic periductal glands were a manifestation of GVHD.
Adult↗
An autopsy case of idiopathic enlargement of the right atrium, and a review of the literature.
A 69-year-old man in whom idiopathic enlargement of the right atrium was revealed at autopsy is described. The patient had had cardiomegaly of at least 19 years' duration prior to his death, even though cardiac symptoms were absent. Cause of death was pancreatic carcinoma. Postmortem examination revealed marked and diffuse dilatation of the right atrium and moderate dilatation of the left atrium. Measurement of the cardiac chambers showed that the right and left atria were 7.6 and 4.7 times as large as those of normal hearts, respectively. The volume of either ventricle was about twice the normal value. Histologically, widespread cardiac muscular degeneration and necrosis, diffuse fibrosis, and focal lymphocytic infiltration were found in the right atrium and also, to a lesser degree, in the left atrium. Such pathologic changes were not found in either of the ventricles. The etiology of these muscular changes, which might have been related to atrial enlargement, was unclear. The present case was thought to be consistent with idiopathic enlargement of the right atrium, and a brief review of the literature is given.
Age Factors↗
Pathology of hepatolithiasis associated with biliary malformation in Japan.
A national survey of the morphologic features of hepatolithiasis in Japan disclosed that 13 (4.8%) of the 273 cases examined were associated with obvious biliary malformations: Caroli's disease with congenital hepatic fibrosis (one case), adult polycystic disease of the liver and kidneys (one case), choledochal cyst (nine cases), and anomalous pancreaticobiliary ductal union (four cases). The latter two malformations overlapped in two cases. Intrahepatic calculi in all of these cases were of brown pigment stones, suggesting that focal bile stasis as well as bacterial infection might have played an important role in their formation and growth. It seems likely that such phenomena occur in the congenitally dilated segments of the intrahepatic biliary tree. These data imply that biliary malformation is one of the lithogenic factors in hepatolithiasis in Japan.
Adult↗