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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Cytopathology 11 (2000), S. 0 
    ISSN: 1365-2303
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background It is a well-known fact that when an invasive cervical carcinoma is sampled, the smear may exclusively contain blood and no diagnostic cells. We analysed a series of 77 smears of 46 patients who developed squamous cell carcinoma to detect in this series unsatisfactory cervical smears rich in blood and to define their macroscopical features.Materials and Methods All patients who developed squamous cell carcinoma in the Dordrecht region were retrieved and all preceding smears were evaluated light microscopically and with neural network technology to detect abnormal cells. The nine smears containing no diagnosable epithelial cells (neither normal or abnormal) were chosen for this study. The macroscopic features and light microscopic characteristics of the smear background (clean, inflammatory pattern, fresh blood, old blood, fibrin and necrosis) were classified.Results All nine unsatisfactory cervical smears were bloody, often showing a characteristic curdled pattern. Fibrin and lysed blood were seen in the background of the nine smears and can be considered as hall marks of cancer growth.Conclusion Light microscopically, both old and fresh blood were present in thick clumps explaining the curdled macroscopical pattern of the nine smears. The mean period between the unsatisfactory cervical smear rich in blood and the final diagnosis was less than 6 months. We conclude that women with such bloody smears should immediately be sent to the gynaecologist for a histological investigation.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1365-2303
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The diagnosis of squamous cell carcinoma (SCC) on a cervical smear is often far from easy. This study reports the analysis of 40 true-positive SCC smears detected in primary PAPNET screening and eight false-negative (FN) conventionally screened smears. All FN cases contained sparse abnormal material (〈 10% of the slide). In these potentially difficult cases the diagnosis on the PAPNET images was not hard. Statistical analysis of the quantitative data indicated that the PAPNET images of the FN cases and the true-positive cases differed in some aspects. PAPNET highlighted the importance of background information (old blood, fibrin and necrosis). In addition, all FN smears contained cancer cells in the PAPNET images, allowing a correct diagnosis.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1365-2559
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Discrimination between borderline and malignant mucinous ovarian tumours is a well-known diagnostic problem. In order to obtain objective reproducible and consistent features for differential diagnosis, 32 quantitative microscopical features were assessed in 10 benign, 10 borderline and 22 malignant mucinous ovarian tumours. There were many significant differences between the three groups, but using multivariate analysis there was 93% agreement between the histopathological assessment of these sections and the qualitative analyses. The following features were useful in the quantitative classification: the mean area, the mean perimeter and the mean of the short axis of the nucleus; the volume percentage of the epithelium; the mitotic activity. In three cases, there was a difference between the original histopathological and computer classification. It was debatable whether the original diagnosis was correct, and therefore, all the cases were independently reassessed blind by three pathologists. Their diagnoses lend strong support to the computer classification in two of the three cases. The computer classification seems therefore to be even better than 93%. The present quantitative techniques are inexpensive, relatively easy to use, and, we believe, have a useful place in diagnostic histopathology.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1365-2559
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: There are many significant differences, but also considerable overlap between the quantitative histopathological features of mild and marked atypical endometrial hyperplasias and well and moderately differentiated carcinomas, thus preventing its application to individual patient care. To try to overcome this problem, a classification rule for the diagnosis in individual patients, using discriminant analysis has been developed. Utilizing nine quantitative features, all the above four groups can be adequately separated. None of the carcinomas was misclassified as hyperplasia, and only one case of marked atypical hyperplasia was erroneously classified as well differentiated carcinoma, but with a probability of carcinoma 0.75, hyperplasia 0.25. By contrast, the classification probabilities of all the confirmed carcinomas exceeded 0.90. Therefore, using 0.90 as a classification level (‘threshold’), a reliable rule is obtained. A slightly more simple classification rule distinguishes between all the hyperplasias and all the carcinomas. In this way, all the cases of the test set were correctly classified. The classification rules can be used to select patients with benign disease for hormone therapy(Kistner 1973) as an alternative to hysterectomy, and can be programmed in an inexpensive microcomputer. The quantitative techniques are relatively easy, and are capable of being performed in most histopathological laboratories.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1573-4838
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: Glutaraldehyde (GA) crosslinking (fixation) of collageneous tissues is a widely used method for the preparation of implantible tissues to be used as biomaterials. In an attempt to optimize the fixation process, experiments were carried out with two types of collagen (native collagen membrane and synthetic collagen sheet) to study the effect on crosslinking of temperature, GA concentration and fixation time. Secondly, stimulation of GA diffusion was studied and finally, a procedure of low T-presoaking followed by brief exposure to high temperatures was investigated. As a measure of the degree of crosslinking the shrinkage temperature (T s) was determined. Temperature (20°C or 45°C), concentration (0.1% or 1.0%) or fixation time (4 or 24 h) were found to be positively correlated with the T s of the collagen sheets. Whereas untanned collagen exhibits a T s of around 60°C, short-term (1 or 5 min), high-temperature (50°C) fixation with a 0.1% GA solution caused the shrinkage temperature to increase to 72°C and 85.1°C, respectively. Fixation with 0.01% GA for 5 min at 50°C appeared equally effective as 1 min with 0.1% GA (T s=70°C). Microwave irradiation showed to be slightly more effective in enhancing the crosslinking process compared with conventional heating. Surprisingly, at any combination of temperature, concentration and fixation periods of 4 h or 24 h, an increased T s towards the central regions of the collagen was observed. Soaking the samples at 20°C (1 h) or at 0°C (3 h) with subsequent short-time heating to 45°C caused an almost equal rise in T s throughout the collagen samples and is therefore recommended for preparing implantable tissues.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-2307
    Keywords: Bladder cancer ; Grading ; Histomorphometry ; Cytomorphometry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Cytomorphometry, using various cytopreparatory techniques on bladder washings and histomorphometry on the resected bladder tumours, was used in an attempt to answer the question: Can cytomorphometry replace histomorphometry for grading of bladder tumours? For the analysis of quantitative data, a probit model was used. Three out of the four cytomorphometric methods provided data supportive to the histomorphometry Using one of the four cytomorphometric methods was sufficient to enhance grading accuracy and all were equally good. Two cases of high grade carcinoma in situ were properly identified by cytomorphometry (as judged on the follow-up data) but the concurrent resected papillary tumours were low grade. These findings indicate that cytomorphometry is a useful method in bladder tumour grading. In some cases it is preferable to histomorphometry.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Virchows Archiv 416 (1990), S. 521-525 
    ISSN: 1432-2307
    Keywords: Bladder tumour ; Grade ; Cytomorphometry ; Reproducibility
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The reproducibility of cytomorphometrical nuclear area measurements on transitional cell carcinoma is studied. The inter-individual consistency is low (r=0.55,P=0.0005) when nuclei for measurement are chosen at random. When we use a systematic analysis based on cell situation and cytological features of malignancy to select the 50 nuclei for measurement per slide, the consistency between two technicians appears to be significantly higher (r=0.90,P=0.015). Not only interindividual consistency increases using the selection, but the correlation with histological tumour grade also improves significantly for both technicians. The results show that cytomorphometry is a method of grading bladder carcinoma when an accurate selection of nuclei to measure is used. Cytomorphometrical studies should contain a clear description of the way the nuclei for measurement are chosen.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Archives of gynecology and obstetrics 233 (1983), S. 131-140 
    ISSN: 1432-0711
    Keywords: Chlamydia trachomatis ; CIN
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We found, as have others, a strong correlation between indirect immunofluorescence techniques and cell culture for the diagnosis ofChlamydia trachomatis infection in material obtained from the cervix. Five epithelial cell types indicative ofChlamydia trachomatis infection (indicator cells) were found in smears in patients with positive immunofluorescence. An attempt to diagnoseChlamydia trachomatis infection in 50 routine smears based on the presence of these indicator cells showed false positives and false negatives so that the diagnosis ofChlamydia trachomatis still requires confirmation by immunofluorescence or culture techniques. The indicator cells frequently had the same morphometric features as cells seen with cervical intraepithelial neoplasia, which may explain why some smears revert to normal after patients are given antibiotics.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Histochemistry and cell biology 73 (1981), S. 165-169 
    ISSN: 1432-119X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary The transition from infanthood to adulthood is characterized by a sequence of events which are not yet fylly understood. Hormonal changes influencing neuronal circuits in various hypothalamic area are —at least in part — held responsible. Using catecholamine fluorescence techniques in rats it has been found that a displacement of dopaminergic cells can be seen; the fluorescence activity shifting from the median eminence at day 20 after birth to the dorsolateral part of the arcuate nucleus around day 45 after birth, as is the case for catalase positive cells in these areas. It is concluded that the displacement of at least two populations of cells from the median eminence to the arcuate nucleus runs parallel to the onset of puberty. The relation of this shift in respect to the suprachiasmaticpreoptic control will be discussed.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Histochemistry and cell biology 75 (1982), S. 145-150 
    ISSN: 1432-119X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary The administration of monosodium glutamate (MSG) to newborn rats accelerates by two weeks the migration of fluorescent dopaminergic perikarya from the median eminence towards the arcuate nucleus at the time of puberty, which normally occurs from day 22 till 55 after birth. It is hypothesized that MSG affects the trigger mechanism for this migration. The disappearance of fluorescent dopaminergic cells that occurs after MSG administration is considered as a secondary effect.
    Type of Medium: Electronic Resource
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