Transplants of human tumors in nude mice have shown a progressive increase during the past 15 years as an experimental model for cancer research. A variety of factors, including relatively fragile health, have been identified that require appropriate experimental controls if the investigator is obtain consistent results. Not all tumors grow in nude mice. The frequency of tumor 'take' varies according to tumor origin, tumor type, inoculation site, age and conditioning of the mouse host, and a variety of other factors. Manipulation of these variables has led to successful propagation of almost every known variety of human malignancy. Following transplant, changes in characteristics have been documented, but the frequency and degree of such changes remains uncertain. Tumor growth rate probably increases after transplantation, requiring great care in the interpretation of chemotherapy experiments, but biochemical characteristics may be more stable. The nude mouse offers great interest as a model for the in vivo study of metastasis, as a number of experimental variables, mainly immunological, have been shown to affect this process. Spontaneous tumors have been shown to arise in these animals, but the controversy over their frequency relative to the thymus-bearing background strain is unresolved. We conclude that the nude mouse/tumor xenograft model, while requiring meticulous experimental controls, is nevertheless an extremely useful tool for cancer research.

Alterations in pharyngeal structure and function are considered fundamental in the pathogenesis of obstructive sleep apnea (OSA). However, little is known about morphologic features of the pharynx in patients with OSA. We therefore studied the tissue composition of the uvula (midsagittal section) in patients with OSA, using a quantitative, morphometric point-counting technique. Uvula tissue was obtained by uvulopalatopharyngoplasty (UPPP) in 33 patients (mean number of apneas per hour of sleep = 32.7 +/- 5.2) and by autopsy in 22 normal subjects not known to have OSA. All statistical comparisons were controlled for differences caused by age and body mass index. Patients with OSA had a significantly greater percentage of muscle in the uvula (18.1 +/- 1.9% versus 9.3 +/- 2.1%, p = 0.02) than did normal subjects. A significant difference in fat content was also found (9.5 +/- 1.4% in patients versus 4.0 +/- 1.0% in normal subjects, p less than 0.02). These differences between patients with OSA and control subjects could not be accounted for by anthropometric or sex differences. The percentage of uvula fat tissue was significantly related to the frequency of apneas and hypopneas in sleep (r = 0.43, p less than 0.01). Uvula morphology in 6 nonapneic snorers undergoing UPPP was similar to that of patients with OSA. We conclude that the uvula in patients with OSA contains more muscle and fat than the uvula in control subjects, possibly contributing to pharyngeal narrowing in OSA.

The diameter of the echogenic response observed with intraoperative sonography during radiofrequency ablation of the cirrhotic liver correlates closely with the mean diameter of the subsequent area of tissue necrosis. However, the solitary diameter of the echogenic response as measured in our study was often greater than the smallest diameter and less than the largest diameter of the area of tissue necrosis. Therefore, the echogenic response associated with radiofrequency ablation of the cirrhotic liver should be viewed only as a rough approximation of the area of induced tissue necrosis; the final assessment of the adequacy of ablation should be deferred to an alternative imaging technique.