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  • Cerebellopontine angle tumour  (1)
  • Hypertensive putaminal haemorrhage  (1)
  • Morphometry  (1)
  • 1995-1999  (3)
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  • 1995-1999  (3)
Year
  • 1
    ISSN: 1432-2307
    Keywords: Angiogenesis ; Human ; Morphometry ; Oral cheek epithelium ; Blood vessels
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The present study was designed to determine whether increased vascularity occurs during malignant transformation of human oral cheek epithelium. Nine normal (N) samples were taken from the resection margins of benign lesions; the pathological lesions were classified as chronic inflammation (CI; n=11), fibrous hyperplasia (FH; n=12), lichen planus (LIP; n=8), dysplasia (DYS; n=5), squamous cell carcinoma (SCC; n=25; well differentiated [SCCWD]; n=10; moderately to poorly differentiated [SCCMPD]; n=15) and epithelium adjacent to carcinomas (EAC; n=6). Sections were stained with monoclonal antibody (mAb) against vimentin using an ABC immunoperoxidase technique. All blood vessels present within a depth of 0.9 mm of lamina propria were quantified irrespective of their morphology. The blood vessel parameters quantified were volume density (VVBV, CT), number per unit area (NABV, CT), length per unit volume (LVBV, CT) and mean transverse sectional area (ABV). VVBV, CT increased significantly between normal and all pathological groups. Amongst the pathological groups, statistical differences were detected between CI and SCC, CI and EAC, FH and SCCWD, FH and EAC, LIP and SCC, LIP and EAC, DYS and SCCWD and DYS and EAC. The EAC group had the highest VVBV, CT and the values of NABV, CT and LVBV, CT were significantly higher in all the pathological groups when compared with the normal group. No significant differences were detected between any of the pathological group. The parameter ABV increased significantly between normal and DYS, FH, SCC, EAC, FH and EAC, FH and SCC, CI and EAC, CI and SCC, LIP and EAC and LIP and SCC. Spearman rank correlations detected a positive correlation between the severity of oral lesions and all of the blood vessel parameters. We conclude that a mAb against vimentin improved the identification of smaller blood vessels and the blood vessel data suggest that angiogenesis occurs in premalignant and malignant lesions of human oral cheek epithelium. Angiogenesis seems to play an essential role in sustaining the actively growing and transforming cells.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 0942-0940
    Keywords: Hypertensive putaminal haemorrhage ; transcranial Doppler sonography ; cerebral blood flow velocity ; stereotaxic surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary From May 1992 to February 1993, 22 cases of hypertensive putaminal haemorrhage (HPH) treated at our hospital were serially measured with transcranial Doppler (TCD) sonography. Among them, 13 patients underwent surgical intervention (3 stereotaxic surgery and 10 craniotomies), and 9 were conservatively treated. Most of the patients of the two operative groups had larger haematomas and developed clinical and/or neurological deterioration, which was the indication for subsequent surgery. Therefore the groups represent different clinical and physiological entities. On admission, the peak MCA velocities (Vs) in the surgical group (stereotaxic and craniotomy) were significantly lower than those in the conservative group (mean±S.E.M.∶ 38.33±4.26 and 42.00±2.62 cm/sec vs. 57.22±3.23 cm/sec; p 〈 0.005, respectively). The surgical group also had significantly lower diastolic (Vd) and mean (Vm) velocities than those of the conservative group (p 〈 0.001). Rather, the admission pulsatility indices (PI = (Vs-Vd)/Vm) in the surgical group were significantly higher than those of the conservative group (mean±S.E.M.∶ 1.42±0.04 and 1.31±0.09 vs. 0.95±0.01; p 〈 0.005, respectively). Time course velocity curves reached a peak around the 3rd hospital day in all the 3 groups. The Glasgow coma scale (GCS) scores positively correlated with the mean MCA velocities (n = 22; r = 0.63, p 〈 0.005; y = 2.04 x + 8.74), but negatively with PI values on admission (n = 22; r = −0.53, p 〈 0.05; y = 1.68−0.053 x). On the 7th hospital day, 2 patients with peak MCA velocities below 50 cm/sec had an unfavourable outcome. All the 3 patients in the stereotaxic group had higher peripheral resistance, as compared with those in conservative craniotomy groups (mean±S.E.M.∶ 1.28±0.13 vs. 0.99±0.07 and 0.87±0.06; p 〈 0.05, respectively). Our study supports TCD as a safe and valid monitoring method in patients with HPH. “Compromised cerebral haemodynamic status” (Vs 〈 50 cm/sec, Vd 〈 15 cm/sec, Vm 〈 25 cm/sec, PI 〉 1.15) may offer an aid in the decision for surgical intervention in HPH. Postoperatively, patients who made a favourable recovery had a significant increment in the MCA velocities in contrast to those severely disabled, whose MCA velocities remained low.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 139 (1997), S. 476-477 
    ISSN: 0942-0940
    Keywords: Cerebellopontine angle tumour ; embryonal-cell carcinoma ; germ-cell tumour ; brain neoplasm
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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