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TUMORES HEPÁTICOS MALIGNOS PRIMÁRIOS DE CÃES DA REGIÃO CENTRAL DO RIO GRANDE DO SUL (1965-2012) / PRIMARY CANINE MALIGNANT HEPATIC TUMORS IN RIO GRANDE DO SUL, BRAZIL (1965-2012)Flores, Mariana Martins 25 February 2013 (has links)
Conselho Nacional de Desenvolvimento Científico e Tecnológico / Primary hepatic malignant tumors (PHMT) represent an important cause of death of
dogs at the Laboratório de Patologia Veterinária of the Universidade Federal de Santa Maria
(LPV-UFSM). Based in this information, the prevalence and epidemiological and
immunohistochemical aspects of PHMT were reviewed in dogs necropsied in a 48-year
period (1965-2012). Out of those7,373 dogs, 64 died due to PHMT, which corresponds to
0.9% of the dogs dying from any cause in the period; 7.8% of dogs which deaths were caused
by tumors in general; and 33.5% of all dogs dying from hepatic tumors (primary and
metastatic). Out of the 64 cases of PHMT, 51 were reviewed histologically and evaluated by
immunohistochemistry; from these cases, 46 were carcinomas (36 cholangiocarcinomas, 9
hepatocellular carcinomas and one hepatocholangiocarcinoma) and five were sarcomas (5
hemangiosarcomas). In those dogs in which the age was possible determined, 64.7%
(cholangiocarcinomas) and 77.8% (hepatocellular carcinomas) were old. At necropsy
examination cholangiocarcinomas were characterized mainly by a multinodular pattern
(83.3%) while hepatocellular carcinomas occurred both as massive (44.4%) or multinodular
(44.4%) distribution. Extra-hepatic metastasis occurred respectively in 77.8% and 33.3% of
the cases of cholangiocarcinomas and hepatocellular carcinomas; metastatic
cholangiocarcinomas affected mainly the lungs (52.8%), lymph nodes (50%) and peritoneum
(19.4%). Ascites (22.2%) and icterus (22.2%) were observed frequently associated to both
tumors. Histologically, most part of the cholangiocarcinomas (86.1%) and of the
hepatocellular carcinomas (55.6%) presented respectively a tubular or trabecular type.
Immunohistochemistry revealed that the majority (63.9%) of cholangiocarcinomas was
positive for CK7 and none was marked for Hep Par 1. The majority (55.6%) of the
hepatocellular carcinomas revealed positive reaction for Hep Par 1 and none was marked for
CK7. The results presented here demonstrated a very high prevalence of PHMT, especially
cholangiocarcinomas, in the dog. The necropsy, histological and immunohistochemical
findings reported might be useful to help veterinary pathologists in the diagnosis of this
common form of cancer in dogs of the Rio Grande do Sul, Brazil. / Os tumores hepáticos malignos primários (THMP) representam uma importante causa
de morte de cães na rotina do Laboratório de Patologia Veterinária da Universidade Federal
de Santa Maria (LPV-UFSM). Diante disso, a prevalência e os aspectos epidemiológicos,
anatomopatológicos e imuno-histoquímicos dos THMP em cães foram estudados. De 7.373
cães necropsiados entre 1965 e 2012 (48 anos), 64 morreram de THMP. Esse número
corresponde a 0,9% das causas de morte de cães, 7,8% das causas de morte de cães por
tumores em geral e 33,5% das causas de morte de cães por tumores hepáticos. Desses 64
casos de THMP, 51 foram revistos histologicamente e avaliados imuno-histoquimicamente,
dos quais 46 eram carcinomas (colangiocarcinomas [n=36], carcinomas hepatocelulares [n=9]
e hepatocolangiocarcinoma [n=1]) e cinco eram sarcomas (hemangiossarcomas [n=5]). Dos
cães com colangiocarcinomas e carcinomas hepatocelulares em que a idade estava disponível
nos protocolos, 64,7% e 77,8% eram idosos, respectivamente. Na necropsia,
colangiocarcinomas caracterizaram-se principalmente por ocorrerem em um padrão
multinodular (83,3%), enquanto carcinomas hepatocelulares ocorreram tanto de forma
massiva (44,4%) quanto multinodular (44,4%). Metástases extra-hepáticas foram vistas em
77,8% e 33,3% dos casos de colangiocarcinomas e carcinoma hepatocelulares,
respectivamente, e em relação aos colangiocarcinomas afetaram principalmente pulmões
(52,8%), linfonodos (50%) e peritônio (19,4%). Ascite (22,2%) e icterícia (22,2%) foram
achados associados ocasionalmente com ambos os tumores. Na histologia, a maior parte dos
colangiocarcinomas (86,1%) e dos carcinomas hepatocelulares (55,6%) tinha padrão tubular e
trabecular, respectivamente. Na imuno-histoquímica, a maioria (63,9%) dos
colangiocarcinomas demonstrou imunomarcação para CK7 e nenhum imunomarcou para Hep
Par 1. A maioria (55,6%) dos carcinomas hepatocelulares demonstrou imunomarcação para
Hep Par 1 e nenhum imunomarcou para CK7. Os resultados aqui apresentados demonstram
uma alta prevalência de THMP, principalmente colangiocarcinomas, e servem para auxiliar,
através dos achados de necropsia, histologia e imuno-histoquímica, patologistas veterinários
no diagnóstico dessa forma tão comum de câncer em cães da Região Central do RS, Brasil.
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Nouvelles stratégies d’étude et de prévention des complications hépatorénales de la glycogénose de type Ia / New strategies to study and prevent hepatorenal complications of glycogen storage disease type IaClar, Julie 15 September 2014 (has links)
La glycogénose de type Ia (GSDIa) est une maladie métabolique rare causée par un déficit en glucose-6- phosphatase (G6Pase), menant à l'absence de production endogène de glucose. Cette pathologie est caractérisée par des hypoglycémies sévères, une hépatomégalie et une stéatose hépatique ainsi qu'une néphromégalie. En absence de traitement curatif, la prise en charge de cette maladie repose actuellement sur des mesures diététiques très strictes. Cependant, des complications apparaissent avec l'âge comme le développement de tumeurs hépatiques et la progression de la néphropathie vers l'insuffisance rénale. Afin d'étudier l'évolution de cette pathologie à long terme, nous avons utilisé des modèles murins originaux présentant une invalidation du gène de la sous-unité catalytique de la G6Pase spécifiquement au niveau du foie ou des reins. Dans ce travail, nous avons démontré que la déficience en G6Pase uniquement au niveau des reins est suffisante pour entrainer le développement de la pathologie rénale de la GSDIa. Les souris déficientes en G6Pase hépatique nous ont permis de mettre en évidence les effets délétères d'une consommation modérée de fructose ou de galactose et d'une alimentation riche en lipides, de type « cafétéria », sur la pathologie hépatique de la GSDIa, en particulier sur le développement tumoral. Nous avons également démontré chez ces souris l'efficacité et l'innocuité d'un traitement par thérapie génique ciblant le foie. Le transfert de gène avec un vecteur lentiviral, permettant l'intégration du transgène au génome, semble plus efficace qu'avec un vecteur AAV pour prévenir le développement de la pathologie hépatique de la GSDIa et l'apparition des tumeurs / Glycogen storage disease type Ia (GSDIa) is a rare metabolic disease caused by glucose-6-phosphatase (G6Pase) deficiency, leading to the absence of endogenous glucose production. This pathology is characterized by severe hypoglycemia, hepatomegaly, hepatic steatosis and nephromegaly. In the absence of a curative therapy, the current treatments available consist in strict dietary management. However, various complications occur with aging, such as hepatic tumor development and progressive chronic renal disease leading to renal failure. In order to study the long term pathology development, we used original mouse models, presenting an invalidation of the gene encoding the G6Pase catalytic subunit, specifically in the liver or in the kidneys. In this work, we demonstrated that renal G6Pase deficiency alone is sufficient to induce the development of the GSDIa nephropathy. Mice with liver-specific G6Pase deficiency allowed us to highlight the deleterious effects of high-fat diet, such as « fast-food » diet, as well as moderate consumption of fructose or galactose on the hepatic GSDIa pathology, particularly on tumor development. Furthermore, we demonstrated the efficiency and innocuity of gene therapies targeting the liver in these mice. Gene transfer with a lentiviral vector, allowing transgene integration into the genome, seems to be more efficient than an AAV vector in preventing the development of hepatic GSDIa pathology and tumor formation
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