scholarly journals Morphofunctional and immunohistochemical characteristics of the large omentum in ovarian cancer

2020 ◽  
Vol 9 (3) ◽  
pp. 64-71
Author(s):  
N. N. Shevlyuk ◽  
L. V. Khalikova ◽  
A. A. Khalikov

The aim of the study was to establish morphofunctional and immunohistochemical characteristics of large omentum in women with ovarian cancer.Material and methods. The large omenta of 48 women with ovarian cancer (low-grade differentiated seropapillary adenocarcinoma of high-grade malignancy) of II stage (n=20) and III stage (n=28) were studied. Histological sections were stained with overview histological and immunohistochemical methods (to reveal ki67, P53, CD34, CD7, CD4, CD8, CD61 proteins expression). Results. In patients, the size of the large omentum was characterized by high individual variability; in the presence of metastasis, the size of the omentum was reduced. Intensive development of blood vessels in the organ was noted, but in the presence of metastases stasis of blood corpuscles, leucocytic infiltration, and moderate edema of connective tissue were observed in the organ’s vessels. Areas of lymphoid tissue, both small lymphatic follicles and diffusely located lymphoid tissue, were revealed in the omentum. In most follicles, reactive centers were not marked, and the number of follicles was reduced in the presence of metastases in the omentum. The analysis of CD34+ cells distribution showed that they were identified both in the tumor and in the areas of the omentum adjacent to the tumor, which indicates a pronounced angiogenesis. An irregular distribution of CD7+ and CD8+ and CD4+ cells was revealed in the tumor tissues, as well as in the surroundings. Simultaneously with the expression of P53 protein, ki67 protein expression is revealed in the significant number of tumor cells (including endothelial cells of tumor blood vessels). The proportion of ki67+ cells in the tumor cell population was 60.1±3.3%. The presence of a large number of ki67+cells in the presence of P53 protein expression in them indicates the aggressiveness of the tumor, as well as a disturbance of apoptosis regulatory mechanisms in the cells. Ki67 expression was low in the omentum areas unaffected by metastases, and it was revealed in the certain areas of connective tissue in fibroblastic programmed differentiation cells. Conclusion. The results obtained indicate significant plasticity and reactivity of great omentum in the presence of tumor process in the body and confirm the important role of great omentum in protective reactions.

2020 ◽  
pp. 4241-4244
Author(s):  
S. J. Bourke

Lymphocytic infiltrations of the lung arise from the proliferation of bronchus-associated lymphoid tissue, resulting in a spectrum of rare conditions ranging from benign polyclonal lymphoid interstitial pneumonia to monoclonal primary malignant lymphomas of the lung. Lymphoid interstitial pneumonia is most commonly seen in Sjögren’s syndrome or other connective tissue diseases, and in association with HIV infection, and is characterized by reticulonodular shadowing on CT imaging and (usually) a good response to corticosteroids. Primary pulmonary lymphomas fall into three categories: lymphomatoid granulomatosis, low-grade B-cell lymphoma, and high-grade B-cell lymphoma. The latter require treatment with cytotoxic drugs and have a poor prognosis.


1898 ◽  
Vol 3 (6) ◽  
pp. 611-638 ◽  
Author(s):  
F. B. Mallory

The typhoid bacillus produces a mild diffusible toxine, partly within the intestinal tract, partly within the blood and organs of the body. This toxine produces proliferation of endothelial cells which acquire for a certain length of time malignant properties. The new-formed cells are epithelioid in character, have irregular, lightly staining, eccentrically situated nuclei, abundant, sharply defined, acidophilic protoplasm, and are characterized by marked phagocytic properties. These phagocytic cells are produced most abundantly along the line of absorption from the intestinal tract, both in the lymphatic apparatus and in the blood-vessels. They are also produced by distribution of the toxine through the general circulation, in greatest numbers where the circulation is slowest. Finally, they are produced all over the body in the lymphatic spaces and vessels by absorption of the toxine eliminated from the blood-vessels. The swelling of the intestinal lymphoid tissue of the mesenteric lymph nodes, and of the spleen is due almost entirely to the formation of phagocytic cells. The necrosis of the intestinal lymphoid tissue is accidental in nature and is caused through occlusion of the veins and capillaries by fibrinous thrombi, which owe their origin to degeneration of phagocytic cells beneath the lining endothelium of the vessels. Two varieties of focal lesions occur in the liver: one consists of the formation of phagocytic cells in the lymph spaces and vessels around the portal vessels under the action of the toxine absorbed by the lymphatics; the other is due to obstruction of liver capillaries by phagocytic cells derived in small part from the lining endothelium of the liver capillaries, but chiefly by embolism through the portal circulation of cells originating from the endothelium of the blood-vessels of the intestine and spleen. The liver cells lying between the occluded capillaries undergo necrosis and disappear. Later the foci of cells degenerate and fibrin forms between them. Invasion with polymorphonuclear leucocytes is rare. Many of the phagocytic cells pass through the liver and lungs, and get into the general circulation. A few come from the abdominal lymphatics through the thoracic duct.


1911 ◽  
Vol 13 (1) ◽  
pp. 98-114
Author(s):  
Fraser B. Gurd

The cutaneous lesions in pellagra consist of an early erythema, or, in occasional cases, of vesicles or bullous formations which are followed by hyperkeratosis and pigmentation, resulting in a dry, dark brown scaliness. These various lesions are similar to those normally produced by the action of sunlight, but are much more marked. The histological phenomena of the erythematous and bullous stage are those of a mild acute inflammatory reaction, together with a degeneration in the superficial layers of the corium. Following this degeneration, which involves not only the general connective tissue but the connective tissue of the blood vessels, there is a reparative change evidenced histologically by an increased cellularity of the corium and the presence of fibroblasts. The capillaries also are increased in number and much dilated. Apparently as a result of this increased vascularity of the corium, there is an increased proliferation of the epithelium resulting in a thickening of the epidermis. This increase in thickness of the epithelial layer is especially marked in the prickle cells and the stratum granulosum. In the later stages, in an effort to secure a firm basement membrane, the epithelium is seen to dip down deeply into the rarefied connective tissue. About the blood vessels during the reactionary process are found collections of lymphoid cells, a few plasma cells, but no mast cells or eosinophiles. That the irritant producing the degeneration in the corium is sunlight in the presence of some predisposing factor, is suggested by the enormous increase in pigment formation in the epithelial cells and by the large number of chromatophores in the superficial layers of the corium. This pigmentation is autochthonous in both types of cell. There is no reason for believing that the pigment is formed in the cells of the corium and thence discharged into the epithelium, or that the reverse process takes place. The predisposing factor inducing the changes in the corium is, apparently, a lessened resistance of the epithelium to the violet and ultra-violet rays, due to some metabolic insufficiency on the part of the epithelial cells. Further observation may justify the conclusion that throughout the body, pellagra is a disease essentially of the epithelium, including the nervous system, this pathological condition manifesting itself by an insufficient or altered function.


The investigations which form the subject of the paper were begun with the object of verifying the statements made by several authors with regard to the origin and development of the so-called "heart" or pericardial vesicle of Echinoderms. A study of the literature soon led to the conclusion that our knowledge of the development of the organ was somewhat defective and that a thorough revision of its development and ultimate fate would be desirable. This work has occupied my attention for the last two years and the results obtained have been fairly satisfactory. Historical Resumé . The Echinodermata offer a number of most interesting problems to the comparative physiologist. They are in many senses the lowest animals, from the point of view of organisation, which possess a true cœlom or secondary body-cavity. It was always assumed by earlier naturalists that these animals must have a circulatory system and strenuous efforts were made to find a heart and blood-vessels. None of these efforts has been very successful because the so-called vessels were found to be mere rents in the loose connective tissue without proper walls of their own, and further, no connection could be traced between vessels in one part and those in another part. The fact that these vessels owe the honour of being denominated blood-vessels at all is because they contain a ground-substance, which unlike the ground-substance of the rest of the connective tissue, stains with aniline dyes such as eosin and methyl green. If there is to be true circulation some part of the system must be rhythmically contractile and so a heart had to be found. A pillar-like organ, lying alongiside the stone-canal in Echinoidea, Ophiuroidea and Asteroidea, was selected for the rôle. Unfortunately, in Holothuroidea, where the so called vessels are best developed, it is absent and this fact may be correlated with the elongated shape of the animal and the contractility of the body wall. Later, as repeated observation had failed to detect any sign of its beating, the non-committal term of "pseudo-heart" was adopted for it. It is now proposed to call it the “pericardial vesicle.”


2017 ◽  
Vol 19 (78) ◽  
pp. 26-29
Author(s):  
N.V. Dyshlyuk

The features of the structure of the esophagus and its lymphoid tissue of the house sparrow (Passer domesticus) have been studied. It is shown that its wall is formed by well expressed mucous, muscular and least developed adventitial (serous in the caudal part) shells. The mucosa forms 7–9 longitudinal folds of leaf-shaped and finger-shaped forms directed into the lumen of the esophagus. It consists of epithelium, lamina propria, lamina muscularis and submucosa. The epithelial layer is represented by a multi-layered flat, weakly keratinizing epithelium and is better developed in the cranial part of this organ. Near the proventriculus, it passes into a single-layered cylindrical. In its lamina propria of the mucosa there are bags of numerous large esophageal glands in which mucus is recorded. Their excretory ducts open onto the surface of the mucosal epithelium. The lamina muscularis is intermittent in places, formed by a smooth muscle tissue. The submucosa is weakly expressed and its own plate is formed by a loose fibrous connective tissue with blood vessels. Between the esophagus glands, their excretory ducts and in the submucosa of the tunica mucosa on the border with the tunica muscular are separate clusters of diffuse lymphoid tissue, which are represented by cells of the lymphoid series without noticeable rarefaction and densities. The basis of the diffuse lymphoid tissue is the reticular tissue, the fibers of which, are densely disposed and do not have a definite orientation and form a small grid. In the area of transition of the esophagus to the proventriculus, the esophageal tonsil, which is inherent in many species of birds, is not expressed. In this area in the mucous membrane, only local accumulations of diffuse lymphoid tissue are recorded. There are no prenodules and lymphoid nodules. The tunica muscular of the esophagus is formed by a smooth muscle tissue, which forms the inner–circular and outer – longitudinal layers. Between them, layers of loose fibrous connective tissue and blood vessels are identified. Tunica adventitia (serosa) are formed by a loose fibrous connective tissue, and serosa is also covered by mesothelium.


2017 ◽  
Vol 19 (77) ◽  
pp. 117-120
Author(s):  
Zh.H. Stegney

Tissue components, intraorganic blood vessels and indicators of correlation between the area of these structures in the thymus of 1, 5, 10 and 20 day-old calves were investigated. Newborns calves at birth had different morphofunctional status. Thymic blood vessels are represented as interlobular and intralobular blood vessels as confirmed by other authors. In the cortical portion blood vessels were branching radially, in the medullary portion they formed a polygonal plexus. In 1-day-old calves of average morphofunctional status the area of organ’s parenchyma was less and the area of connective tissue stroma was bigger than in the calves of high status. This indicates the delay of thymus formation as an organ and suppression of its functional activity in calves of average morphofunctional status. In this case, the area of thymic blood vessels of 1-day-old calves of high morphofunctional status was bigger than of average morphofunctional status calves. The area of thymic parenchyma in calves up to 5-days old was increasing, and the area of connective tissue stroma was reducing. Characteristically, the area of parenchyma and stroma in the calves of this age reached the values that calves of high morphofunctional status had. In older calves the area of parenchyma was slightly decreasing and the area of stroma was increasing. Our studies showed that the correlative relationships between the area of blood vessels and tissue components of thoracic part of thymus of calves with different morphofunctional status were variable in the firmness and character. In thoracic part of thymus of 1-day-old calves with high morphofunctional status of the body the correlative relationships between the area of blood vessels and tissue components were tight and reversible. Their firmness was slightly less in calves of medium status. With increasing of calves’ age the correlative relationships changed asynchronously in firmness and character: in 5- and 10-days-old calves they were tight, weak and reversible, and in 20-days-old calves they were tight, positive and reversible.


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