In this experimental study in a rat model of caustic sclerosing cholangitis, the histopathologic and scintigraphic findings suggested that melatonin is effective in attenuating the damage caused by scolicidal agents on the liver and biliary ducts.
<P>Objective: Standard treatment of differentiated thyroid cancer includes total thyroidectomy
and high-dose Radioactive Iodine Therapy (RIT) for ablation of remnant thyroid tissue.
When administered systemically, RIT can cause radiation-induced damage in non-targeted normal
tissues. The aim of the present study was to compare the protective effects of amifostine (AMI), LCarnitine
(LC), and Vitamin E (EVIT) against high dose radioactive iodine treatment induced Salivary
Gland (SG) damage using SG scintigraphy and histopathological examination.
Methods:
Forty adult guinea pigs were studied. Twenty guinea pigs receive 555-660 MBq
131Iodine intraperitoneally (IP) to ablate the thyroid and impair the parenchymal function of the
SGs. The animals were divided into eight groups as follows: (1) Group 1 (control): 1 mL IP PS
(physiological saline); (2) Group 2: single dose of 200 mg/kg IP AMI one hour prior to 1 mL IP
PS; (3) Group 3: 200 mg/kg IP LC and 1 mL IP PS for 10 days; (4) Group 4: 40 mg/kg intramuscular
(IM) EVITand 1 mL IP PS for 10 days; (5) Group 5: IP RIT after premedication; (6) Group 6:
Single dose of 200 mg/kg IP AMI one hour prior to RIT and IP RIT after premedication; (7) Group
7: IP RIT after premedication and 200 mg/kg IP LC for 10 days starting one day before RIT; and
(8) Group 8: IP RIT after premedication and 40 mg/kg IM EVIT for 10 days starting one day before
RIT. Scintigraphy was performed 1 month after treatment. SGs were examined by light microscopy
and a histopathological scoring system was used to assess the degree of SG damage.
Results:
There were significant differences in the body weight and thyroid hormone levels between
the groups after treatment.
Conclusion:
The individual use of AMI, LC and EVIT for radioprotection yield different levels of
protection against radioactive iodine treatment injury in SGs; however, none of the agents could
provide absolute protection at the doses administered in this experimental model.</P>
Prostate adenocarcinoma (PCa) is the most frequently diagnosed malignancy in the male population, with the most common sites for secondary lesions being the lymph nodes, bones, and lungs. Testicular metastases from PCa are very rare and mostly identified incidentally after therapeutic orchiectomy for advanced PCa or during autopsy. Here we present a case involving a 64-year-old man with biochemical recurrence of castrated oligometastatic PCa that presented as solitary testicular metastasis on Ga-PSMA ligand positron emission tomography/computed tomography.
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