Objective To compare the level of vitamin D3 in cutaneous melanoma patients, with or without disease activity, with reference values and with patients from a general hospital.Methods The serum levels of vitamin D3 were measured in cutaneous melanoma patients, aged 20 to 88 years, both genders, from January 2010 to December 2013. The samples from the general group were processed at Hospital Israelita Albert Einstein (control group). Data analysis was performed using the Statistics software.Results A total of 100 patients were studied, 54 of them men, with mean age of 54.67 years, and 95 Caucasian. Out of these 100 patients, 17 had active disease. The average levels of vitamin D3 in the melanoma patients were lower than the level considered sufficient, but above the average of the control group. Both groups (with or without active disease) of patients showed a similar distribution of vitamin D3 deficiency.Conclusion Vitamin D3 levels in melanoma patients were higher than those of general patients and lower than the reference level. If the reference values are appropriate, a large part of the population had insufficient levels of vitamin D, including those with melanoma, or else, this standard needs to be reevaluated. No difference in vitamin D3 levels was found among melanoma patients with or without active disease. More comprehensive research is needed to assess the relation between vitamin D and melanoma.
Cutaneous melanoma is the solid neoplasia with the highest growing incidence
among all tumors. It spreads predictably to the lymphatic vessels and sentinel
lymph node, and when the latter is affected the prognosis worsens dramatically.
Sentinel lymph node biopsy is considered when thickness of the primary tumor
exceeds 1mm and/or when there are adverse features in thinner melanomas. When
there is nodal metastasis, current evidence in the literature recommends
complete lymphadenectomy, although this procedure has its intrinsic risks (i.e.,
lymphedema and cellulitis), and there are no published clinical trials proving
additional overall survival benefits. The current in-depth literature review
thus aims to identify patients that will benefit most from the procedure,
including those with the highest likelihood of presenting additional affected
lymph nodes in the same nodal basin. The authors also discuss techniques for
identification of the sentinel lymph node, false-negative rates, and predictive
models for lymph node involvement. In conclusion, complete elective
lymphadenectomy should always be discussed on a case-by-case basis when
metastases are detected in the sentinel lymph node.
Objective To analyze the distribution of larger diameter in the pathological report of cutaneous melanoma patients.Methods Data were obtained from patients seen from 1994 to 2015. Date, sex, age, maximum diameter, histological subtype, primary site, microscopic thickness, mitoses, ulceration, vertical growth phase, and regression were the variables studied. This study was approved by the National Ethics Committee - Brazil Platform. Patients were grouped into smaller diameter (≤6mm) and larger diameter (>6mm). The statistical analysis used the χ2 test (p<0.05).Results Of the 292 patients analyzed, 123 were seen between 1994 and 2004, and 169 between 2005 and 2015; in that, 151 women and 141 men, mean age of 52 years. The diameters ranged from 2 to 76mm (mean of 14mm), 81 patients with smaller diameter (≤6mm) and 211 with larger diameter (>6mm). Out of 81 patients with smaller diameter, 29 had invasive melanoma, while 179 of the 211 with larger diameter were invasive. A difference was observed in frequency of vertical growth phase.Conclusion Pigmented skin lesions with diameter smaller than 6mm should not be an excluding factor for biopsies, especially when patients present risk of developing skin cancer.
Akodon molinae is polymorphic with 2n=42, 43, 44, where the metacentric autosome No. 1 is homologous to 2 acrocentrics 1a and 1b. Matings between 2n=43 heterozygotes 1/1a, 1b gave a surplus of 1/1 offspring, a moderate reduction of heterozygous and a strong reduction of homozygous 1a, 1b/1a, 1b offspring. The latter type also has a highly reduced fertility.
Interspecific hybridization of Akodon molinae x Akodon dolores was obtained by crossing animals from our laboratory breeding colony.Sixteen pregnant females which produced a total of 86 Akodon hybrids were obtained from a total of 40 matings. The sex ratio in the hybrids was 2.58 males for each female. No clear explanation for this abnormal ratio can a t the present time be given; however it cannot be ascribed to a phenomenon of intrauterine selection between sexes. The presence of natural hybrids has not been detected; therefore, the appearance of Akodon molinae X Akodon dolores hybrids is up to this moment a laboratory phenomenon.
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