Carcinoma cuniculatum (CC) is a rare, distinct clinico-pathological variant of squamous cell carcinoma (SCC) that is defined histologically by the characteristic infiltrative pattern of a deep, broad, and complex proliferation of stratified squamous epithelium with keratin cores and keratin-filled crypts. Herein, we present a case report of CC of the oral tongue and discuss its diagnosis, management, and outcome, as well as briefly review the world literature. To our knowledge, this is the first documented case of CC of the tongue to be reported in the English literature. We draw attention to its clinico-pathological features and highlight that awareness of this entity as a distinct variant of SCC facilitates its correct management.
1. Three groups of mature ewes were fed during pregnancy and lactation on rations differing in their calcium content. The mean daily intakes of calcium were 1·4 g. (group A), 4·5 g. (group B), and 7·4 g. (group C). Blood samples were analysed monthly for calcium and inorganic phosphorus. The ewes were killed at approximately 100 days after parturition and the skeletons isolated. Individual bones, either whole or divided into definite fractions, were analysed.2. The level of calcium intake was without effect on the number of lambs born, birth weight, or growth while milk fed.3. Blood calcium was significantly lower in group A than in groups B and C, but blood inorganic phosphorus was unaltered.4. The resorption of bone substance was greater in group A than in groups B and C.5. The severity of resorption varied between bones, and in regions within certain bones. Resorption was most severe in the vertebrae and pelvis, and only slight in the metacarpal, the metatarsal and the shafts of other long bones. Resorption of intermediate magnitude was found for the remainder of the skeleton.6. Resorption was accompanied by reductions in the percentages of ash in bones, but this effect was proportionately less than the ash weight reduction.7. Radiological observations made on flesh-free bones at the end of the experiment gave a picture of resorption similar to that presented by the data for ash weights and percentages of ash, namely that resorption was much greater in group A than in groups B and C.
1. Forty Large White pigs varying in age from birth to 5 weeks were slaughtered and their carbohydrate digesting enzymes studied for any change in activity with increase in age.2. Pancreatic amylase, sucrase and maltase increased from low levels at birth to high levels at 5 weeks of age.3. The total amount of lactase present at birth and of small intestine amylase at 1-week-old was maintained at a constant level up to 5 weeks of age. The increased weight of the intestine with the growth of the pig made the quantity of these enzymes appear to decrease with age when the values were expressed per kg. body weight or per g. dry tissue.4. Anaemia had no marked effect on the activity of the enzymes though the rate of enzyme development appeared to be retarded in the case of maltase.5. The quantity of pancreatic amylase present in the pancreas was sufficient at all ages to digest the amounts of starch likely to be included in a synthetic diet. Maltase, on the other hand, appeared to be limiting in early life.
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