Clinical experience with large-core needle biopsies of the breast and evaluation of histopathology

OBJECTIVE: Interventional techniques allow a microinvasive diagnostic of breast lesions. We examined the reliability of large core needle biopsies for histologic diagnosis on breast lesions. MATERIAL AND METHODS: 143 ultrasound guided automated spring gun biopsies and 16 stereotactic guided vacuum-assisted device biopsies were analyzed. Indications included confirmation of malign or benign lesions and diagnosis of suspicious lesions. RESULTS: In 113 biopsies (71%) an invasive breast carcinoma was diagnosed, in 5 biopsies (3%) in situ/atypical lesions were seen and 38 cases (24%) showed benign lesions. Based on the bioptic results, 108 patients underwent subsequent surgery. An identical histology was seen in 100/108 patients (93%), 5 biopsies were false negative (5%) and 3 specimens yielded necrotic/insufficient material. The immunohistochemical results of percutaneous biopsies and surgical specimens were comparable. 17 out of 113 patients (15%) with biopsy proven carcinoma were treated with neoadjuvant therapy. 32/38 patients with benign lesions were follow-up clinically. CONCLUSION: Ultrasound- or stereotactic guided percutaneous biopsies are methods to confirm histological diagnosis. Based on the biopsy results the, number of surgical excisions can be reduced and treatment of biopsy proven carcinoma can be improved by individual presurgical planing.     

Die Rolle elektrochemischer Vorgänge bei der Entstehung der Linsen- und Hornhautverkupferung

Zusammenfassung Da die bisherigen Erklärungen des Verteilungsmechanismus von Metallionen im Auge unbefriedigend erscheinen, wird untersucht, ob der Bestandstrom des Auges als treibende Kraft in Frage kommt. Durch Anlegen einer künstlichen Spannungsdifferenz, die bedeutend höher ist als das Ruhepotential des Auges, lassen sich in kurzer Zeit am Tierleichenauge Kupferablagerungen erzielen, die makroskopisch und histologisch der Chalkosis, wie sie bei Anwesenheit von Kupfer im lebenden Auge auftritt, weitgehend ähnlich sind.     

Severe abrasion of composite and amalgam restorations in a patient with Lupus erythematosus systemic. Case report

A case of repeated severe abrasion of amalgam and composite resin restorations in a patient under treatment for Lupus erythematosus systemic is reported. The patient had a history of audible nocturnal bruxism. Severe roughening occurred within three weeks of placement of the restorations and was related precisely to surfaces in contact with the opposing restored dentition. Examination by SEM revealed an unusual wear pattern of the amalgam restorations.     

Variants in the SLCO1B3 gene: interethnic distribution and association with paclitaxel pharmacokinetics

To explore retrospectively the relationships between paclitaxel pharmacokinetics and three known, non-synonymous single-nucleotide polymorphisms (SNPs) in SLCO1B3, the gene encoding organic anion transporting polypeptide (OATP)1B3. Accumulation of [(3)H]paclitaxel was studied in Xenopus laevis oocytes injected with cRNA of Oatp1b2, OATP1A2, OATP1B1, OATP1B3, OAT1, OAT3, OCT1, and NTCP. The 334T>G (Ser112Ala), 699G>A (Met233Ile), and 1564G>T (Gly522Cys) loci of SLCO1B3 were screened in 475 individuals from five ethnic groups and 90 European Caucasian cancer patients treated with paclitaxel. Only OATP1B3 was capable of transporting paclitaxel to a significant extent (P=0.003). The 334T>G and 699G>A SNPs were less common in the African-American and Ghanaian populations (P<0.000001). Paclitaxel pharmacokinetics were not associated with the studied SNPs or haplotypes (P>0.3). The studied SNPs in SLCO1B3 appear to play a limited role in the disposition of paclitaxel, although their clinical significance in other ethnic populations remains to be investigated.     

A physiologically based toxicokinetic modelling approach to predict relevant concentrations for in vitro testing

Our study was performed in the context of an in vitro primary hepatic cell culture as an alternative for the in vivo cancerogenic bioassay. The 29 substances which are to be used in the in vitro primary hepatic cell culture have been tested in 2-year bioassays and a 14-day short term study. The aim of this modelling study was to simulate the concentration–time profile of the compounds when given by the oral route at the doses tested in the previous studies taking into account the percentage of the dose absorbed. The model contained seven tissue compartments with uptake from the gastrointestinal tract into the portal vein. Because the primary hepatic cell culture is metabolically competent and the primary interest was to model the concentration in the portal vein, the hepatic vein and the systemic circulation (blood) in the beginning we did not include elimination. Partitioning between blood and tissues was calculated according to a published biologically based algorithm. The substances’ kinetic profile differed according to their blood: tissue partitioning. Maximal concentrations in portal vein, hepatic vein and the blood depended mainly on the dose and the fraction absorbed which were the most critical parameters in this respect. Our study demonstrates an application of BPTK modelling for the purpose to simulate concentrations for planning the doses for an in vitro study. BPTK modelling seems to be a better approach than using data from in vitro studies on cytotoxicity.     

A comparison of monopolar and bipolar recording techniques for examining the patterns of responses for electromyographic amplitude and mean power frequency versus isometric torque for the vastus lateralis muscle

The purpose of the present study was to compare monopolar and bipolar recording techniques for the patterns of responses and mean values for absolute and normalized electromyographic (EMG) amplitude and mean power frequency (MPF) versus isometric torque for the vastus lateralis muscle. Ten healthy men (mean+/-S.D. age=23.6+/-3.0 years; body weight=80.9+/-15.6 kg) volunteered to perform submaximal to maximal isometric muscle actions of the dominant leg extensors. Monopolar and bipolar surface EMG signals were detected simultaneously from the vastus lateralis with an eight-channel linear electrode array. The results indicated that in 70-80% of the cases, monopolar and bipolar recording techniques resulted in the same patterns of responses for absolute and normalized EMG amplitude and MPF versus isometric torque. There were, however, differences between the two techniques for mean absolute EMG amplitude and MPF values, but not for the normalized values. Thus, these results supported the practice of normalization, and suggested that comparisons can be made between monopolar and bipolar recording methods for the patterns of responses and mean values for normalized (but not absolute) EMG amplitude and MPF versus isometric torque.     

Vergleich deutscher und türkischer Patienten mit ischämischem Schlaganfall

BACKGROUND: Until now no data has been available on possible specific features of the Turkish minority in Germany with respect to stroke. PATIENTS AND METHODS: We compared 20 Turkish stroke patients with matched German controls analyzing risk factors, findings at admission, rehabilitative treatments, and psychosocial aspects. RESULTS: In the Turkish group the interval between onset of symptoms and admission was longer (532 min vs 255 min, P < 0.01). All other findings during acute treatment and rehabilitation were comparable. At follow-up after 22 months, the Barthel index was 90 for the Turks and 100 for the Germans. The Turkish patients reported more consultations with physicians than their German counterparts (68 vs 12 per year, P < 0.01). Scores for quality of life and outcome did not differ. The Turkish patients more frequently required care and had a higher degree of disability. CONCLUSIONS: Turkish stroke patients have a longer time to admission. Risk factors, findings at admission, and treatment in the acute phase and rehabilitation are comparable. Several findings point towards a different health behavior. These results highlight the need for specific education of the Turkish population in Germany.