BackgroundBreast cancer is the most frequent localization of malignant process in American women and women of European countries. To date it is not possible to control the morbidity growth due to lack of effective ways of primary prevention. Comparing the incidence of breast cancer in developed countries with the countries of Asia and Africa, there is the fact of population predominance lesion in more urbanized countries. This suggests that the environment along with other factors, occupies a significant place in the initiation and progression of breast neoplasia. The impressive rates of industrial development led to the pollution of soil, surface water and, as a consequence, food by heavy metal salts.The purposes of this paper are as follows: the chemical composition determination of neoplastic breast tissue, evaluation of the DNA methylation level, study of prognostic-important receptors expression in the breast cancer cells, establishing linkages between all the derived indicators.MethodsIn our study we used the following methods: studying of the chemical composition of breast cancer tissue by atomic absorption spectrophotometry and energy-dispersion spectrometer; іmmunohistochemical study of ER, PR, HER2/neu, p53, Ki-67, E-cadherin and MGMT receptors; DNA extraction and investigation by oscillating infrared spectroscopy method.ResultsThe total amount of heavy metals in breast cancer tissue ranged from 51.21 × 10−3 to 84.86 × 10−3 μg/kg. We have got the following results: the growth of heavy metals in neoplastic tissue is accompanied with the increase of HER2/neu, p53, Ki-67, MGMT expression and decrease of ER and PR expression. The increment of pathological DNA methylation is accompanied with the increasing amount of heavy metals in tumor tissue.ConclusionsHeavy metals through different pathogenetic links stimulate the progression of breast cancer and reduce its sensitivity to treatment. DNA of tumor tissue has a different level of methylation which changes with the amount of heavy metals in cancer cells. This is displayed on the synthesis of prognostically important receptors in neoplastic tissue.

A patient with primary adenocarcinoma with yolk sac and trophoblastic differentiation occurring in Barrett's esophagus is reported. Yolk sac differentiation at this site has not been described previously. The diagnosis of germ cell differentiation initially was suggested by the finding of elevated serum tumor marker levels. The patient experienced disease remission after cytotoxic chemotherapy. Germ cell differentiation may be difficult to identify in small biopsy samples, which may not be representative of the tumor as a whole. The finding of germ cell differentiation defines therapy and predicates for a relatively good prognosis, which is in contrast to adenocarcinoma. Because of the significance of germ cell differentiation in the selection of appropriate therapy, immunostaining for germ cell tumor markers is suggested in all patients with adenocarcinoma who are younger than 50 years.

Background Although primary cancer of the fallopian tubes is a relatively rare type of tumor in female reproductive organs, its mortality is quite high. It is important to identify molecular and biological markers of this malignancy that determine its specific phenotype. Methods The study was carried out on samples received from 71 female patients with primary cancer of the fallopian tubes. The main molecular and biological properties, including hormone status (estrogen receptor [ER], progesterone receptor [PR]), human epidermal growth factor receptor (HER2)/neu expression, proliferative potential (Ki-67), apoptosis (p53, Bcl-2), and pro-angiogenic (vascular endothelial growth factor) quality of serous tumors were studied in comparison with clinical and morphological characteristics. Results ER and PR expression is accompanied by low grade neoplasia, early clinical disease stage, and absence of lymphogenic metastasis (p < .001). HER2/neu expression is not typical for primary cancer of the fallopian tubes. Ki-67 expression is characterized by an inverse correlation with ER and PR (p < .05) and is associated with lymphogenic metastasis (p < .01). p53+ status correlates with high grade malignancy, tumor progression, metastasis, negative ER/PR (p < .001), and negative Bcl-2 status (p < .05). Positive Bcl-2 status is positively correlated with ER and PR expression and low grade malignancy. Conclusions Complex morphologic (histological and immunohistochemical) study of postoperative material allows estimation of the degree of malignancy and tumor spread to enable appropriate treatment for each case.

No abstract

Heavy metals (HMs) are distinguishable among various exogenous elements with a comprehensive impact and high adverse environmental consequences. The danger of their spread is accompanied by risks of entry into living organisms, leading to organ accumulation, homeostasis disruption, and the development of various inflammatory and oncological clinical manifestations. Interestingly, the uterus shows an unpredictable reaction to the influence of these chemical elements, with almost all previous studies providing differing results. Therefore, this study investigated the features of chemical element content in the rat uterus after 30 days of HMs exposure and assessed the benefits of vitamin E against HMs impacts. Spectral analysis of uterine tissue of rats (daily HMs exposure) and animals (HMs exposure with vitamin E treatment) showed a significantly higher accumulation of Zn, Cu, Fe, Mn, Pb, and Cr after 30 days of the experiment. Although the uterus samples of rats treated with vitamin E showed a significant accumulation of HMs, it should be noted, that the tendency for their accumulation was less pronounced than in untreated rats. This study showed the accumulation features of some chemical elements in the rat uterus after 30 days of HMs exposure. Therefore, widespread environmental HMs exposure can leads to high absorption levels in uterine tissues. However, increases in HMs levels were significantly attenuated by vitamin E supplementation. Unfortunately, while a positive trend was found for each chemical element, the complete protection and purification effect of vitamin E use against HMs exposure was not observed.

Neuroendocrine tumors (NETs) comprise a large group of tumors that are most often localized in the gastrointestinal tract and lungs. They are rarely found in the organs of the female reproductive tract; such NETs are primarily localized in the ovaries. We present a case of multicentric primary low-grade NET of the fallopian tube and high-grade ovarian serous adenocarcinoma. In both tumor regions, the histotypes of neoplasms were determined by morphological and immunohistochemical investigations. The NET of the fallopian tube was diffusely positive for chromogranin A and CD56, but wild type for p53 and negative for CK7, CK20, and ER; Ki-67 expression was observed in 3% of the neoplastic cells. The ovarian serous adenocarcinoma was positive for CK7 and ER, mutant for p53, but negative for chromogranin A, CK20, and CD56; Ki-67 expression was observed in 45% of the tumor cells. These results support the possibility that NET can occur in the female reproductive tract and coexist with other malignant tumors.

Introduction. Much attention is paid to the global ecological problem of environmental pollution with heavy metals (HM), starting from their production and use and ending with the search for means of their degassing and bioremediation. Particular attention is drawn to the study of the influence of HM on the reproductive system, in particular, the uterus. This is due to the high risk of reproductive ability deterioration and the reflection of the consequences of HM exposure in future generations. Objective. The objective of our study was to perform morphometric measurement of the structural elements of the uterine wall in female rats under the conditions of 30-day exposure to HM salts, as well as to study the protective role of vitamin E. Materials and Methods. For the experimental study, 24 female rats were selected and randomly divided into three series (8 rats in each): series I included control rats that received ordinary drinking water; series II included rats that daily consumed water saturated with HM salts; and series III included rats that were administered vitamin E orally every day against the background of constant consumption of water enriched with a combination of HM. After 30 days of the experiment, the uteri were removed; the sections were stained with hematoxylin and eosin for microscopic examination, followed by morphometric measurement of the structural elements and their statistical analysis. Results. First, we measured the morphometric dimensions of the structural elements of the uterine wall in the control animals. At the same time, in the animals of the experimental series II and III, the morphometric indicators underwent significant changes. Thus, on the 30th day of the study, series II rats showed a significant thickening of the uterine wall by 31.03% (p < 0.001) vs. the indicators of the control series. A similar trend of morphometric changes in the thickness of the uterus was noted in series III animals, where the uterus thickened by 20.58% (p < 0.001). Moreover, a significant difference was also observed between experimental series II and III. The analysis of the organ structural components in the experimental series indicated the predominance of endometrium thickness over myometrium thickness. Сonclusions. The results showed that 30-day exposure to HM led to a statistically significant thickening of the uterine wall. At the same time, the most pronounced changes in morphometric indicators were observed in the endometrium (in comparison with the myometrium and perimetrium) of both experimental models, both under the conditions of HM combination exposure and during the prophylactic use of vitamin E against the background of the action of xenobiotics. It is important to note that with the use of vitamin E, the morphometric indicators of the uterine thickness were characterized by a less pronounced transformation of values, although they still significantly exceeded the values of the control series.

Trichosomoides crassicauda (T. crassicauda) is a parasite commonly localized in the urinary bladder (UB) of laboratory and wild rats. The presence of these helminths can influence the prediction of pathological changes in the UB. Therefore, the purpose of this research was to make a comprehensive study of the features of the morphological changes in the UB wall of white laboratory rats as a result of T. crassicauda infestation. The study was performed on male rats using histological (Hematoxyline-Eosin and Alcian Blue staining) and immunohistochemical (Ki-67, Hsp70, Hsp90α, CD3 and CD20) methods. T. crassicauda was detected in both urine and UB samples. Morphological changes were observed as disruption in urothelial cell stratification and insignificant proliferative and immune responses in the UB. Increased heat shock protein levels were observed which may suggest a natural body’s resistance to this parasite.