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At least 217 records · Page 12Linked to original sources
PubMed1998

[Myositis proliferans: a pseudosarcomatous lesion in soft tissue].

Myositis proliferans is a reactive, intramuscular soft tissue disease characterized by fibroblast and myofibroblast proliferation, showing similarities to the phase-like development seen in the general pathology of wound healing and hypertrophic scars. Immunohistochemically, a combined expression of vimentin and alpha-sm actin is seen in the spindle-shaped cell formations. The decisive histological preparations is supported by immunohistochemical techniques, especially in the differentiation from sarcoma. If a definite diagnosis is made, incomplete excision may suffice.

Actins↗
PubMed2004

Contrast-enhanced magnetic resonance imaging of malignant granular cell tumor with pathological correlation: a case report.

This report presents a case of malignant granular cell tumor in the deltoid muscle and emphasizes the correlation between magnetic resonance (MR) images and pathological findings. A 71-year-old woman developed an elastic hard mass at the left shoulder. MR images revealed a soft tissue tumor with a maximum diameter of 5 cm and low signal intensity on both T1- and T2-weighted images. The lesion with decreased signal intensity on all the images correlated with marked fibrosis mimicking desmoid tumor. Contrast-enhanced MR images provided useful information regarding the choice of biopsy site.

Aged↗
PubMed1998

Ultrastructural studies of tubules, analogous to skeletal cell T-tubules, in alveolar soft part sarcoma.

Tumor tissues from six patients with alveolar soft part sarcoma (ASPS) were investigated ultrastructurally to determine the presence of smooth tubules associated with plasmalemmal invaginations. Two different types of smooth tubular structures were identified: an aggregated and a dispersed type. The aggregated type (found in one of the six ASPSs) showed marked aggregation of many elongated smooth tubules without ribosomes associated with the plasmalemma. In the dispersed type (observed in the remaining five ASPSs), there was a conspicious appearance of a few smooth tubules scattered throughout the cytoplasm. Smooth tubules were the main component in both types, suggesting that both types appeared to have the same origin, although there were some differences in number, appearance, and distribution of the tubules between the two types. The smooth tubules in both types were classified into three different subtypes on the basis of materials in the tubular lumen. Ultrastructual observation and a plasmalemmal tracer-method, showed smooth tubules in continuity with the plasmalemma in three of the six cases, indicating that the tubules originated from the plasmalemma. Since the tubular structures were found in the tumor tissues of all six patients, they are probably one of the characteristic features of ASPS.

Adolescent↗
PubMedDate not supplied

Epstein-Barr virus-associated leiomyomatosis and posttransplant lymphoproliferative disorder in a child with severe combined immunodeficiency: case report and review of the literature.

The occurrence of smooth muscle neoplasms and lymphoproliferative disorders in immunocompromised patients is well recognized. We report the case of an 8-year-old girl with adenosine deaminase (ADA)-deficient severe combined immunodeficiency (SCID) status post-bone marrow transplant (BMT), in whom Epstein-Barr virus (EBV) was detected in innumerable leiomyomas involving the gallbladder (leiomyomatosis), and multifocal leiomyomas in liver, spleen, pancreas, intestinal tract, and lung. The leiomyomas of the gallbladder, liver, spleen, and lung were asymptomatic, while those located in the colon became clinically manifest by recurrent lower intestinal hemorrhage. The patient also developed extensive EBV-associated polymorphic lymphoproliferative disorder (PTLD) in nodal and extranodal sites. In addition, there were pulmonary and gastric adenovirus and small and large intestine cryptosporidum infections. Our case appears to be the first example of leiomyomatosis of the gallbladder coexisting with multifocal leiomyomas of the liver, spleen, pancreas, intestinal tract, and lung, as well as EBV-derived lymphoproliferative disorder in a young girl with ADA-deficient SCID. Awareness of the pattern of involvement and of the coexistence of benign leiomyomatous proliferations with lymphoproliferative disorder is of value when gallbladder, pancreatic, biliary tree, lung, and intestinal lesions become clinically manifest in these patients. The demonstration of EBV infection in both leiomyomata and the PTLD suggests a common pathogenesis that may have therapeutic and prognostic implications.

Adenosine Deaminase↗
PubMed1993

Adult intracardiac rhabdomyoma resembling the extracardiac variant.

Rhabdomyomas are benign striated muscle neoplasms that may assume a number of characteristic histologic patterns. These lesions may be classified as cardiac or extracardiac on the basis of their location and histology. We present a case of large intracardiac mass with the morphologic features of an extracardiac rhabdomyoma occurring in an adult female.

Adult↗
PubMed1994

Nutritional status of patients with oral and maxillofacial malignancies.

A nutritional assessment battery consisting of the patient's history, anthropometric measurements, and laboratory tests was used to characterize the nutritional status of 127 patients with oral and maxillofacial malignancies. Forty-three percent of these patients had good nutrition, 21% fair, and 36% poor. The pattern of nutritional impairment was a protein-calorie deficiency. A close correlation with malnutrition was found for diminished oral intake and tumor stage. Gender, tobacco or alcohol consumption, job, and living place were not related to nutritional status.

Age Factors↗
PubMed1975

Water in normal muscle and muscle with a tumor.

The total water content, the amount of non-freezable water, and the Na-+ and K-+ contents in the gastrocnemius muscle of albino mice with and without a solid tumor were determined. The spin-lattice relaxation time (T1) for the water protons in the two kinds of muscle were measured at six resonance frequencies ranging from 4.5 to 60 MHz over the temperature range +37 to minus 65 degrees C. Quantitatively calculated T1 values are given. The difference in T1 for the two types of muscle at temperatures above minus 5 degrees C is attributed to the difference in the distribution ratio of water between hydration and free states, and bears no direct relation to the concentration of Na-+.

Animals↗
PubMed1980

Possible reasons for the high resistance of muscle to cancer.

Muscle, particularly striated muscle, is highly resistant both to primary and to metastatic cancer. This resistivity is thought to be connected with the lactic acid producing activities of tumors. Lactic acid is an anoxia signal in the body, to which blood vessels tend to respond with a sprouting reaction, new vessels seeking out the source of anoxia and vascularising it. The reaction of the body to incipient cancer is probably two-fold. Fibroblasts treat them as foreign bodies and attempt to encapsulate them, while blood vessels tend to perpetuate them by supplying them with nutrients. The fate of the tumor may be decided by the relative speed of the two reactions. Muscles are lactic acid producers themselves, hence their blood vessels must be conditioned to a greater tolerance of it than in other tissues. This may be the crucial factor in preventing incipient tumors from establishing themselves in muscle.

Heart↗
PubMedDate not supplied

Giant cystic leiomyoma of the sigmoid colon.

Smooth muscle neoplasms may occur anywhere in the gastrointestinal tract, but are rare in hindgut derivatives. We report a case of colonic leiomyoma which had undergone cystic degeneration and presented as a huge abdominal mass. The diagnosis was aided preoperatively by C.T. scanning and the cyst shown subsequently to contain 13 litres of fluid. We believe this could be the largest reported cyst of this type.

Adult↗
PubMed2005

Cystic hygroma in the quadriceps muscle: a sanguine diagnosis for knee pain.

Reported here is a 28-year-old female who presented with severe right knee pain and swelling nearby the joint. Ultrasonography, magnetic resonance imaging and eventually surgery were performed. She was diagnosed to have a cystic hygroma in the vastus lateralis muscle. This is the first patient of a cystic hygroma in the quadriceps muscle.

Adult↗
PubMed2006

A model for quantitative changes in the magnetic resonance parameters of muscle in children after therapeutic irradiation.

PURPOSE/OBJECTIVE: This study aimed to develop objective models of radiation effects on musculature in children with soft tissue sarcoma using treatment dosimetry and clinical and quantitative magnetic resonance imaging (MRI) parameters that may be used to guide treatment planning or predict side effects. METHODS: In the initial 13 patients undergoing external beam radiation therapy (RT) on a Phase II study of conformal or intensity-modulated RT for the treatment of soft tissue sarcoma approved by an Institutional Review Board, we evaluated quantitative MRI changes in the musculature to assess radiation-related treatment effects. Patients with soft tissue sarcoma, including Ewing's sarcoma, had quantitative T1, T2 and dynamic enhanced MRI (DEMRI) performed before, during (Week 4) and after RT (Week 12). Regions of interest were selected in consistent locations within and outside the high-dose regions (on ipsilateral and contralateral sides when available). Mean RT dose, T1, T2 and DEMRI parameters were calculated and modeled using a mixed random coefficient dose model. RESULTS: The mean doses to the high- and low-dose regions were 56.4 Gy (41.8-75.3 Gy) and 13.0 Gy (0.1-37.5 Gy), respectively. Compared with tissues distant from the tumor bed, maximal enhancement was significantly increased in tissues adjacent to the tumor/tumor bed prior to RT (60.6 vs. 44.2, P=.045) and remained elevated after 12 weeks. T1 was significantly elevated in tissues adjacent to the tumor bed prior to RT (942.4 vs. 759.0, P=.0078). The slope of longitudinal change in T1 was greater for tissues that received low-dose irradiation than those that received high-dose irradiation (P=.0488). The effect of dose on the slope of T2 was different (P=.0333) when younger and older patients are compared. CONCLUSIONS: Acute affects of irradiation in muscle are quantifiable via MRI. These models provide evidence that quantifiable MRI parameters may be correlated with patient parameters of radiation dose and clinical factors including patient age. Long-term follow-up will be required to determine if acute changes correlate with clinically significant late effects.

Child↗
PubMed2006

Positron emission tomography and leiomyomas: clinicopathologic analysis of 3 cases of PET scan-positive leiomyomas and literature review.

INTRODUCTION: Studies have suggested that PET scans can differentiate between leiomyomas and leiomyosarcomas. Our experience, however, shows that PET scan-positive smooth muscle tumors are not necessarily malignant. CASE REPORTS: Three patients with cancer underwent PET imaging. In all three, the most worrisome finding was a PET scan-positive uterine tumor. After surgical extirpation, all three uterine tumors were found to be benign smooth muscle neoplasms. DISCUSSION: To explore the potential reason these tumors were positive on PET imaging, we performed a detailed histopathologic and immunohistochemical study of all specimens. Pathologic evaluation revealed a leiomyoma, a cellular leiomyoma, and a stromomyoma. There was no association between an increased Ki67 (proliferative) index and positivity on PET imaging. Increased vascularity, however, appeared to be a feature common to the leiomyomas that were PET-positive.

Female↗
PubMed2000

[Atypical metastatic sites in rectal cancer].

We report the case of a 48-year-old woman operated on for rectal carcinoma and subsequently for metastasis located in three unusual sites (i.e., laryngeal, muscular and cutaneous). Three months after the last surgery, the patient was still alive, without any detectable metastasis.

Adult↗