The corpora albicantia (CAs) from the ovaries of 39 common dolphins (Delphinus delphis) caught in driving fisheries were used, and histologically and immunohistochemically examined. The area of each corpus albicans (CA) and the proportion of that area occupied by elastin were measured using NIH-image software. In all CAs, elastoid material (EM) was apparent although EM area varied in each CA. CAs increased in number with dolphin age. Smaller CAs contained a higher proportion of EM. EM was completely digested by elastase, but not by collagenase. Furthermore, EM was immunostained with anti-␣-elastin antibody. These results demonstrated that EM was elastin. The present study is the first to describe the presence of elastin 1 Current address: Biologging Institute, 2-31-10, Rex Yushima 301, Yushima Bunkyo-ku, Tokyo 113-0034, Japan. 819 820 MARINE MAMMAL SCIENCE, VOL. 22, NO. 4, 2006 in cetacean CAs. The higher proportion of elastin in small-sized CAs of common dolphins is suggested as the likely cause of the persistence of CA.
CASE REPORTA 23-year-old women was admitted complaining of a 7-month history of general fatigue, slight fever, right flank pain and gross haematuria. CT showed a ª 13 ¥ 10 cm right renal mass ( Fig. la) and several nodules in both lungs, suggesting multiple pulmonary metastases. CT and cavography revealed a filling defect in the right renal vein and the inferior vena cava (IVC), suggesting a tumour thrombus in both (Fig. la). Aortography showed the mass to be hypervascular (Fig. lb). She underwent radical nephrectomy with cavotomy under a diagnosis of metastatic RCC with IVC tumour thrombus. The pulmonary metastatic lesions decreased in size and number 14 days after surgery ( Fig. 1c) and subsequently increasingly regressed with time. At 2 months after surgery they had completely regressed (Fig. 1d) . Before surgery her urinary excretion of homovanillic acid (HVA) and vanillylmandelic acid (VMA) were 3.3 and 3.3 mg/day (within the normal ranges; HVA 1.5-6.6 mg/day; VMA 1.3-5.1 mg/day). The histological findings of the resected tumour showed the typical small round to ovoid tumour cells and several neuroblastic Homer Wright rosettes, suggesting the tumour to be a primitive neuroectodermal tumour (PNET) or neuroblastoma (Fig. 2a). Positive reactions were obtained with the antibodies against synaptophysin, neurone-specific enolase, S-100 protein and CD99 (MIC2) [1] (Fig. 2b) but not to chromogranin and neurofilament. Taken together, the histological findings and laboratory results suggested a diagnosis of PNET of the kidney. The resection of the primary lesion was probably responsible for the complete regression of the pulmonary metastases. The patient remains well 1 year after surgery. COMMENTPNET of the kidney is very rare and the present case appears to be the eighth to our knowledge [2]. The presence of several neuroblastic Homer Wright rosettes on histology suggested PNET or neuroblastoma (Fig. 2a) but as the urinary excretions of HVA and VMA were within the normal ranges, PNET was indicated rather than neuroblastoma. The positive reactions with the highly specific antibody CD99 also suggested PNET or Ewing's sarcoma [1]
The treatment for lymph node involvement (LNI) after radical prostatectomy (RP) has not been established. This study aimed to reveal the outcomes of various management strategies among patients with LNI after RP. Retrospectively, 561 patients with LNI after pelvic lymph node dissection (PLND) with RP treated between 2006 and 2019 at 33 institutions participating in the Japanese Urological Oncology Group were investigated. Metastasis-free survival (MFS) was the primary outcome. Patients were stratified by prostate-specific antigen (PSA) persistence after RP. Cox regression models were used to analyze the relationships between clinicopathological characteristics and survival. Survival analyses were conducted using the Kaplan-Meier method and log-rank test with or without propensity score matching. Prognoses, including MFS and overall survival, were prominently inferior among patients with persistent PSA compared with those without persistent PSA. In multivariate analysis, androgen deprivation therapy (ADT) plus radiotherapy (RT) was associated with better MFS than ADT alone among patients with persistent PSA (hazard ratio = 0.37; 95% confidence interval = 0.15-0.93; p = 0.034). Similarly, MFS and overall survival were significantly better for ADT plus RT than for ADT alone among patients with persistent PSA after propensity score matching. This study indicated that PSA persistence in LNI prostate cancer increased the risk of poor prognoses, and intensive treatment featuring the addition of RT to ADT might improve survival.
Introduction Subcapsular renal hematoma after ureterorenoscopy using a holmium yttrium‐aluminum‐garnet laser is a rare complication. We experienced a case of subcapsular hematoma after ureterorenoscopy. Case presentation The patient was a 56‐year‐old man with a history of hypertension and coronary vasospastic angina, and he was taking antiplatelet drugs. He had the middle and lower calyx stones measured 36 mm in diameter of the right kidney. We performed ureterorenoscopy, which was completed about 2 h without intraoperative complications. We could not remove the stone completely. After the surgery, the patient developed a fever and complained of right back pain. Computed tomography showed several residual stones formed a stone street, obstructing the stent and resulting in grade 3 hydronephrosis. Furthermore, the right subcapsular renal hematoma infection had detected. Percutaneous hematoma drainage and percutaneous nephrostomy were performed. Conclusion Subcapsular renal hematoma after ureterorenoscopy is an uncommon complication but should be kept in mind.
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