Despite documentation of various types of neoplastic pathologies encountered in the vertebrate fossil record, no ameloblastic tumours have been recognised so far. Ameloblastoma is a benign neoplasic tumour with a strong preponderance for the mandible. Here, we report for the first time the presence of an ameloblastoma neoplasm in the lower jaw of a specimen referred to the derived non-hadrosaurid hadrosauroid dinosaur Telmatosaurus transsylvanicus from the uppermost Cretaceous of the Haeg Basin in Romania. The location, external appearance and internal structure of the pathological outgrowth provide clear evidence for the diagnosis of ameloblastoma in Telmatosaurus. This report extends the range of pathologies encountered in hadrosauroid dinosaurs. In addition, recognition of an ameloblastoma neoplasm in a taxon lying close to the origin of ‘duck-billed’ hadrosaurid dinosaurs confirms the predisposition of this clade towards neoplasia pathologies already in its basal members.
The hadrosauroid Telmatosaurus and the rhabdodontid Zalmoxes were the first and second dinosaur taxa that were described in detail from the famous Upper Cretaceous continental deposits of the Haţeg Basin by Franz Baron Nopcsa at the beginning of the twentieth century. Although they are among the most common and best-known dinosaurs discovered from these deposits, there are still many open questions as to their taxonomy and anatomy. Here, we re-describe two partial braincases from the uppermost Cretaceous of the Haţeg Basin that have been recently referred to the rhabdodontid Zalmoxes and re-assign them to hadrosauroids, possibly to Telmatosaurus. These specimens both exhibit basicranial features that are characteristic of derived hadrosauroids but are absent in more basal iguanodontians. These include an antero-posteriorly short basioccipital lacking a distinct neck, the presence of two well-developed sphenoccipital tubercles on the ventral aspect of the braincase and that are directly positioned anterior to the basioccipital, as well as a deep depression on the ventral aspect of the braincase between the sphenoccipital tubercles. The comparison provided herein demonstrates several important differences between the basicranium of hadrosauroids and that of rhabdodontids, which allows for the confident identification of even isolated and incomplete specimens. Moreover, the removal of the only basicranium that has been referred to Zalmoxes shqiperorum prompts a revised diagnosis of that species.
The Transylvanian area of Romania boasts a rich fossil record of dinosaurs, which lived on an island (Haţeg Island) during the very end of the Cretaceous. Many of these are dwarfed in body size or exhibit other unusual features thought to be linked to their insular habitat. One of the most common of these dinosaurs is the rhabdodontid ornithopod Zalmoxes, an herbivorous taxon that has been found at many Upper Cretaceous sites across Transylvania. Our collaborative fieldwork has uncovered several new Zalmoxes specimens from the Nălaț-Vad (= Vadu) locality, a site along the Râul Mare River in the Haţeg Basin that dates to the "middle" to late Maastrichtian. These include a partial associated skeleton, along with various isolated bones from several additional individuals. We catalog and describe these specimens here, and compare them to other Zalmoxes fossils from Romania. They provide further evidence that Zalmoxes was one of the most common vertebrates in the latest Cretaceous of Transylvania, and add to the unusual fossil record of Nălaț-Vad, which has yielded a much greater number of associated skeletons than other Transylvanian localities. Some of the Nălaț-Vad specimens possess features characteristic of the type species, Z. robustus, whereas
Rhabdodontid dinosaurs were a group of medium-sized iguanodontian ornithopods from the Late Cretaceous of Europe. The uppermost Cretaceous continental deposits from the Haţeg Basin of western Romania yielded a very rich assemblage of vertebrates including abundant rhabdodontid remains, which have been exclusively referred to the genus Zalmoxes thus far. Here we describe a new rhabdodontid dinosaur, Transylvanosaurus platycephalus gen. et sp. nov., from the uppermost Cretaceous of the Haţeg Basin. The holotype of the new taxon was discovered in early-late Maastrichtian strata near Pui in the eastern part of the basin and comprises the articulated basicranium and both frontals. Transylvanosaurus differs from all previously reported rhabdodontids in having particularly wide and crested frontals, elongated and straight paroccipital processes that make only a gentle lateral curve and project mostly posterolaterally, prominent and massive prootic processes that extend mainly anterolaterally and ventrally, wide and crest-like basal tubera that meet the long axis of the braincase at a very flat angle, widely splayed basipterygoid processes that extend mainly ventrolaterally and slightly anteriorly, as well as a well-developed notch on the lateral side of the basicranium that is continuous, straight, and inclined anteroventrally. Phylogenetic analyses employing two different datasets consistently recovered the new taxon within the Rhabdodontidae, at the base of the iguanodontian radiation.
Post-transplant lymphoproliferative disorder (PTLD) is a complication of immunosuppressive therapy following solid organ or hematopoietic cell transplantation. Initial treatment typically includes a reduction of immunosuppression with or without rituximab. However, the optimal therapy for PTLD with plasmacytic differentiation is unclear. We present 3 cases of pediatric patients with plasmacytic PTLD. Two patients received a standard rituximab-based approach and relapsed, prompting additional chemotherapy. The third patient was treated with a novel regimen of bortezomib, dexamethasone, and daratumumab. This regimen was safe, well-tolerated, and resulted in a 2-year remission. Larger studies are needed to further explore this regimen.
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