Ichthyoses are a common group of keratinization disorders. A non-inflammatory
generalized persistent skin desquamation is observed. It is characterized by
increased cell turnover, thickening of the stratum corneum and functional changes of
sebaceous and sweat glands. All of these favor fungal proliferation. Dermatophytes
may infect skin, hair and nails causing ringworm or tinea. They have the ability to
obtain nutrients from keratinized material. One of its most prevalent genera is
Trichophyton rubrum. Although tineas and ichthyoses are quite common, the association
of the two entities is rarely reported in the literature. Three cases of ichthyosis
associated with widespread infection by T. rubrum are presented. Resistance to
several antifungal treatments was responsible for worsening of ichthyosis signs and
symptoms.
HEADINGS -Microsatellite instability. Tumor markers, biological. Trasanal endoscopic microsurgery.ABSTRAT -Background -Colorectal cancer has an important genetic component.Microsatellites are considered phenotypic markers of prognosis, therapeutic response and identify patients with mutations in DNA repair genes. Aim -To evaluate the molecular profile of tumors underwent to transanal endoscopic microsurgery -TEM in surgical treatment of rectal cancer. Method -Thirty eight surgical specimens were evaluated according to pathological staging and the region of the tumor were dissected and submitted to DNA extraction. The colorectal tumors were tested for microsatellite instability -MSI using a panel of five markers (BAT25, BAT26, D2S123, D5S346, and D17S2720) technique of Polymerase Chain Reaction (PCR). Result -From total 63% were male and 47% female, with mean age of 58.4 years. In relation to tumor type adenomas were 58%, 24% low-grade adenomas and 76% high grade; 42% were carcinomas. The depth of resection 80% included the rectal perirenal fat and 20% the muscularis propria. The most frequent microsatellite amplification was BAT26 (100%) and lowest D17S2720 (85.4%). Sixteen patients (42%) were MSI, ten were carcinomas, two low grade adenomas and four high grade. Twenty-two cases (68%) showed microsatellite stable -MSS. The allelic loss of microsatellite markers was statistically significant in cases of carcinoma in relation to adenomas. The most frequent microsatellite amplification was BAT26 (100%) and lower D17S2720 (85.4%), 16 patients (42%) had microsatellite instability -MSI thereof ten were carcinomas, two low grade adenomas, four highgrade adenomas and 22 cases (58%) were microsatellite stable -MSS. Conclusion -Microsatellite instability (MSI-H) was significantly associated with rectal carcinomas, confirming its use as a prognostic marker in colorectal carcinogenesis.
ABCDDV/877RESUMO -Racional -O câncer colorretal tem importante componente genético. Os microssatélites são considerados marcadores fenotípicos de prognóstico, resposta terapêutica e de identificação de pacientes com mutação nos genes de reparo do DNA. Objetivos -Avaliar o perfil molecular dos tumores submetidos à microcirurgia endoscópica transanal (TEM) para tratamento do câncer de reto.
We report a case of adult-onset Still's disease in a female patient with fever, myalgia, vanishing rash and bilateral inguinal lymphadenopathy, diagnosed after extensive workup to exclude other rheumatic, infectious and neoplastic diseases. The patient initially responded to corticosteroid therapy, but progressed to increased lymph nodes size that when biopsied, revealed serous ovarian adenocarcinoma. To our knowledge, this is the first report of ovarian neoplasm associated with adult-onset Still's disease.
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