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  • Articles: DFG German National Licenses  (2)
  • 2000-2004  (2)
  • 1
    ISSN: 1432-2307
    Keywords: Key words Anaplastic carcinoma ; Thyroid ; Cytogenetics ; CGH ; FISH
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Comparative genomic hybridisation (CGH) is a technique which identifies gains and losses of DNA sequence copy number in tumours. We used CGH to search for genetic changes in one of the most aggressive malignancies – anaplastic thyroid carcinoma (ATC). For this purpose, we analysed tumour specimens of nine ATCs and DNA of two ATC cell lines. CGH detected aberrations in 10 of 11 samples, with a mean number of gains or losses per carcinoma of 4.8 (range 0–13). Total or partial changes of chromosome 8 (n=6), including gains or losses of 8p (n=6) or 8q (n=5) were those detected most frequently. Chromosome 5p was amplified in five cases. Gains in two of three samples were found for 3q, 7p, 11q and 20q. Gains in a fewer number were seen for 1p (1 case), 1q (1), 7q (2), 9q (2), 11p (2), 12q (1), 14 (1), 15 (1), 17q (2), 18p (2), 18q (1), 20p (1), 21 (2), Xp (2) and Xq (2). Losses were less frequent than gains and observed for 1p (2 cases), 1q (1), 2p (1), 2q (2), 3p (2), 3q (1), 4q (2), 6q (1), 9p (2), 9q (1), 18p (1), 18q (1) and Y (2). Examples of analysis of tumour sections and cell lines performed by fluorescence in situ hybridisation (FISH) confirmed the gains and losses found by CGH and detected additional signals for 8q21 in tumour cells in a sample with no gains or losses normally in CGH. The results suggest that aberrations of 5p, 8p and 8q, which are rarely found in differentiated thyroid carcinoma, may play an important role in the development of ATC. Therefore, these chromosomes could harbour gene loci potentially involved in the aggressiveness of neoplastic tumours, as shown in tumours such as in this study for ATC.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1435-1285
    Keywords: Key words Aortic atresia –¶myocardial sinusoids – coronary¶fistulas ; Schlüsselwörter Aortenatresie – myokardiale Sinusoide –¶Koronarfisteln
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei Vitien, die mit einer Aortenatresie einhergehen, erfolgt die Koronarperfusion in der Regel durch retrograden Blutfluss in der Aorta ascendens. Wir berichten über zwei Patienten mit antegradem Blutfluss in der Aorta ascendens trotz Aortenatresie: Bei einem Patienten mit hypoplastischen Linksherzsyndrom (Aortenatresie, hochgradiger Mitralstenose) wurde ein intaktes interatriales Septum (vorzeitiger Verschluss des Foramen ovale) gefunden. Während sich echokardiographisch und angiographisch keine anderen Wege einer linksatrialen oder -ventrikulären Dekompression fanden, zeigten sich bei der Autopsie linksventrikuläre, koronare Sinusoide als alleinige pulmonalvenös-aortale Verbindung zur Oxygenation des Körperkreislaufes. Bei einem zweiten Patienten mit komplexer kongenitaler Herzerkrankung einschließlich Aortenatresie fand sich ein antegrader Fluss in der Aorta ascendens durch eine Koronarfistel als Shuntfluss aus der Pulmonalarterie.¶   Hämodynamisch findet sich bei beiden Fällen eine Perfusion des Körperkreislaufs, die von einer retrograden Koronarperfusion bei koronararerio-venöser Fistel und myokardialen Sinusoiden abhängt und zu dem Phänomen eines antegraden Flusses in der Aorta ascendens trotz Aortenatresie führt.
    Notes: Summary In aortic atresia, coronary perfusion normally occurs through retrograde blood flow in the ascending aorta. We report on two patients with antegrade flow in the ascending aorta despite aortic atresia. In one patient with hypoplastic left heart syndrome (aortic atresia, severe mitral stenosis), an intact interatrial septum/premature closure of the foramen ovale was found. While no other way of left atrial or ventricular decompression was found, echocardiography, angiography and the post-mortem examination showed left ventricular to coronary sinusoids as the sole pathway for systemic oxygenation. In a second patient with complex congenital heart disease, including aortic atresia, antegrade flow in the ascending aorta was through a left coronary fistula with shunt flow originating from the pulmonary trunc.¶   This report describes systemic perfusion depending on retrograde coronary flow due to coronary-cameral (sinusoids) and coronary arterio-venous fistulas leading to the phenomenon of antegrade blood flow in the ascending aorta despite aortic atresia.
    Type of Medium: Electronic Resource
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