Non-Hodgkin's lymphoma presenting in the thyroid gland is uncommon. A review of the King Faisal Specialist Hospital and Research Centre (KFSH & RC) experience was performed to assess treatment outcome and prognostic factors in this rare extranodal presentation of localized lymphoma. Sixty patients treated at KFSH & RC between 1975 and 1995 were identified, and their records were reviewed retrospectively. Eight patients who had stage III or IV disease, low grade, or did not complete their prescribed treatment were excluded from the study. There were 38 female and 14 male patients with a median age of 59.5 years at the time of diagnosis (range: 10-87 years). Thirty-five of the 52 patients underwent diagnostic partial or total thyroidectomy at other institutions based on a preoperative assumption of thyroid carcinoma. All 52 patients had non-Hodgkin's lymphoma of intermediate (94%) or high (6%) grade. Detailed staging was carried out in all patients; 16 patients (31%) had disease confined to the thyroid gland (stage IE), whereas 36 (69%) had associated disease in cervical lymph nodes and/or the mediastinum (stage IIE) disease. All patients were treated with curative intent. A total of 18 patients (35%) were treated with a single-modality treatment--radiotherapy alone in 2, chemotherapy alone in 13, and surgery alone in the remaining 3 patients. The majority of patients (34/52; 65%) were treated with a combined-modality approach. The overall relapse-free survival (RFS) and overall survival (OS) at 5 years were 72% and 88%, respectively. There were no significant differences in outcome between those treated with single-modality and those with combined-modality therapy. A univariate analysis showed that the presence of mediastinal lymph node involvement was the most important prognostic factor affecting both RFS and OS. Patients with Hashimoto thyroiditis and without "B" symptoms were found to have a significantly higher RFS without influence on the OS. However, patients who had a good performance status (PS) of 0, 1, and 2 were found to have a significantly higher overall survival in comparison to those with poor performance status. Age, sex, stage, histology, lactic acid dehydrogenase level, tumor bulk, and the treatment modality were not found to correlate with RFS or OS. Mediastinal involvement and PS were found to be the most important independent prognostic factors influencing RFS and OS.
Amyloodinium ocellatum, adinoflagellate which causes one of the most serious diseases of warm water marine aquaculture. The parasite produces a powdery or velvety appearance on infected fish, and the resulting disease is commonly referred to as "marine velvet," velvet disease, or Amyloodiniosis. The organism is a dinoflagellate ectoparasite and has been reported in a wide range of marine and estuarine fish. It is one of a very few organisms that can infect both teleosts and elasmobranchs (Alvarez-Pellitero, 2008). This makes it a concern for public aquaria. This ectoparasite can be found on gills and skin (body and fins) of host fish. It can cause devastating disease and mortality because the organism is able to reproduce quickly when fish are crowded, especially in closed systems. This parasite has a broad host and geographic range, causing fish mortalities in tropical and temperate environments. Rapid spread of the parasite and high mortality are common in cultured fish if the organism is not recognized and treated early in the course of an outbreak. One of the most important of the ectoparasitic protozoaisIn this respect, the present study was aimed to investigate the occurrence of Amyloodiniosis among cultured European seabass (Dicentrarchus labrax L.; Moronidae; Perciformes) fishes. This work was carried out on 1065 European seabass fishes of diffrerent life stages (546 fry-222 fingerling and 78 adults) which were collected in different seasons of the year. Cultured fish were collected from different marine farms in Egypt during the period from April 2015 to April 2016 and subjected to full clinical parasitological and histopathological examination studying the environmental stressors surrounding examined fish and their association with A.ocellatum infestation Study the ecological factors affects Amyloodiniosis. As well as examining the antiseptic activity of hydrogen peroxide against the ectoparasitic protozoan A.ocellatum as a trial for treatment.
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