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عضویت

جستجوی مقالات مرتبط با کلیدواژه "subcutaneous tissue" در نشریات گروه "پزشکی"

  • George Táccio De Miranda Candeiro *, Amanda Kevys Magalhães, Laissa Sousa Evangelista, Amanda Brito Santos, Larissa Bernardo Dantas, Hermano Camelo Paiva, Giulio Gavini, Paulo Goberlânio De Barros Silva
    Introduction

    Calcium silicate-based sealers are an alternative to be used into root canal, mainly to their biological properties. However, some biological parameters need to be determined in an in vivoanimal research model. So, the aim of the present study was to evaluate in vivothe tissue biocompatibility of a calcium silicate-based sealer (EndoSequence BC Sealer) and an epoxy resin-based sealer (AH-Plus).

    Materials and Methods

    Polyethylene tubes were filled with freshly mixed sealers and implanted in connective subcutaneous tissue of 25 rats (5/euthanasia day) (Rattus norvegicus albinus). Empty tubes were used as controls and no tubes as sham. Histopathological (hematoxylin eosin) and histochemical (P icrosirius red) examinations were conducted at 3, 7, 15, 30 and 60days (five rats/day) after the implantation procedure (n=5/group). The type/intensity of inflammation and collagenesis was analyzed statistically with Friedman or Kruskal-Wallis/Dunn tests (P<0.05).

    Results

    The profile of inflammation induced by AH-Plus (Median=2, Range=2-3) was significantly greater than that by Endosequence BC Sealer (Median=1, Range=1-1) during the 15-day experimentation period (P=0.018). After 30 days, both materials produced similar tissue reaction (P>0.05). AH-Plus and Endosequence BC Sealer (Median=2, Range=1-2) induced a high level of fibrosis after 60-day than control (Median=1, Range=1-1) and sham (Median=0, Range=0-0) groups (P<0.001) of fibrosis based in type I collagen increase (P=0.025 and P=0.021, respectively). Tissue necrosis was not observed and the bioceramic sealer showed significant signs of endocytosed (Median=1, Range=1-1) material after 7 days than other groups (Median=0, Range=0-0) (P<0.05). The calcium silicate-based sealer induced tissue repair faster than the epoxy resin-based sealer tested. However, both materials showed adequate biocompatibility and tolerance by subcutaneous tissues, with few differences in inflammatory profiles, formation of granulation tissue, and collagenesis.

    Conclusions

    It may be concluded that calcium silicate-based sealer (EndoSequence BCSealer) and an epoxy resin-based sealer (AH-Plus) presented suitable biocompatibility.

    Keywords: Biocompatible Materials, Calcium Silicate, Root Canal Obturation, Sealers, Subcutaneous Tissue
  • Nayanatara Swamy, Patrick Jennings, Rachel Taylor, Scott B Harter, Asangi R Kumarapeli, Gwendolyn Bryant-Smith
    Background

    Granular cell tumors (GrCTs) are rare neoplasms derived from Schwann cells and can affect any part of the body. They are histologically categorized into benign (most common), atypical, or malignant (<2%) subtypes.

    Methods

    A retrospective review of pathology-proven GrCTs at a tertiary hospital was done from 4/1/2014 to 3/31/2021. The patient age, gender, location of the tumor, and imaging findings were reviewed.

    Results

    A total of 18 patients with GrCTs were found over a period of 7 years. The sites of involvement ranged from the tongue to the heel. The most common site of occurrence was the esophagus. There were 2 cases of recurrences and 2 cases of multicentric GrCTs. In our study, we did not have atypical or malignant GrCTs.

    Conclusion

    Granular cell tumors are uncommon and primarily published as case reports and case series. Our seven-year review provides a comprehensive synopsis of this tumor in the breast and rest of the body. Their clinical and imaging features are non-characteristic, but histopathologic features with immunohistochemistry are diagnostic. Complete surgical excision with negative margins is the accepted standard of care. A global overview of this tumor will allow physicians to provide their patients with a better understanding of their diagnosis and prognosis.

    Keywords: Granular cell tumor, Schwann cells, African American, subcutaneous tissue, head, neck neoplasms
  • Armaghan Fard Esfahani, Bahare Saidi *, Sara Seyedinia, Alireza Emami Ardekani, Mohammad Eftekhari

    Rosai Dorfman disease is a rare form of nonlangerhans cell histiocytosis, presenting with extensive lymphadenopathies. Treatment in most cases of nodal disease, involves close observation; however, extranodal involvement requires a more definitive treatment strategy. Herein, we report a case of extensive Rosai Dorfman disease in a 43-year-old woman presenting for evaluation of treatment response by 18F-FDG PET/CT after frequent relapses and disease progression. In addition to extensive lymphadenothapies in cervical, supraclavicular, superior mediastinum, axillary, abdominopelvic and inguinofemoral regions, the patient had metabolically active bone and subcutaneous lesions which were not previously recognized. Following this 18F-FDG PET/CT study, the patient management was changed to sirolimus and prednisolone. To choose the best treatment option for Rosai Dorfman patients, knowledge of the full extent of disease is important. Compared with conventional imaging, 18F-FDG PET/CT has the advantage of being a whole-body imaging modality and can recognize disease involvement prior to any anatomical changes.

    Keywords: Rosai Dorfman, PET, CT, Bone, subcutaneous tissue
  • Nurbek Igissinov, Dariyana Kulmirzayeva, Zarina Bilyalova, Gulnur Akpolatova, Marzya Mamyrbayeva, Galina Zhumagaliyeva
    Background
    Arrangement of effective management aimed at improving dermatological services and consistent care of patients with skin diseases depends on understanding the epidemiological situation.
    Methods
    This retrospective study presents an epidemiological assessment of non-neoplastic skin and subcutaneous tissue diseases in Kazakhstan registered in 2003-2015.
    Results
    The yearly incidence rate of the diseases among the whole population was in average 3,341.8±121.1per 100000 population. This represents 4835.0±156.1 for children, 5503.2±141.8 for adolescents and 2646.6±106.7for adults per 100000 inhabitants.Space and time incidence rate was evaluated according to the administrative division. The overall trend decreased to 3.5% in children to 2.8% in adolescents to 1.9%, and in adults to 3.9%. Considerable variation in rates was seen across the country, with highest rates in East Kazakhstan, Mangystau and Aktobe regions, the lowest – in Atyrau and South-Kazakhstan regions.
    Conclusion
    Non-neoplastic diseases of skin and subcutaneous tissue continue to be an urgent public health problem, especially among children in many regions of Kazakhstan.
    Keywords: Incidence, Non-neoplastic diseases, Skin, subcutaneous tissue, Spatial analysis, Time trends
  • Lindsay F. Remy *, Jacob Azurdia, Ashraf Fansa, Nabil A. Ebraheim
    Originally described in 1853 by Dr. Morel-Lavellee, closed internal degloving injuries represent an important, although uncommon, source of morbidity in trauma patients. These injuries are typically the result of a shearing or crushing force that traumatically separates the skin and subcutaneous tissue from the underlying fat. This results in disruption of perforating blood vessels and lymphatics, leading to hematoma/seroma formation. We describe two cases in which industrial crush injuries resulted in lumbar transverse process fracture. Both patients developed closed degloving injuries of the flank. To the author’s knowledge, this is the first case series describing the occurrence of closed internal degloving injuries of the flank with transverse process fractures. We advise that a high level of suspicion for these lesions to occur with transverse spinal fractures should be maintained, as they may arise several years after initial injury.
    Keywords: hematoma, lumbosacral region, spinal fractures, subcutaneous tissue, wounds, injuries
  • Sarra Fouli, Faten Hammedi, Rim Hadhri
    Introduction
    Angiomyxolipoma is considered as a variant of lipoma admixed with myxoid stroma and blood vessels. It was first described in 1996 by Mai and since then, 16 cases have been reported in literature, mostly in subcutaneous tissue. Case report: We report the case of a 50-year-old male who presented with a painless swelling of the right thigh. The ultrasonography revealed a vascularized inhomogeneous, slightly hyperechoic well defined mass measuring a maximum of 8 cm across. The patient underwent a large excision. The diagnosis was retained on histological and immunohistochemical findings.
    Conclusion
    Angiomyxolipoma is an extremely rare benign tumor. This entity has to be differentiated from other benign and malignant lesions, the latter being much more common.
    Keywords: angiomyxolipoma, histology, subcutaneous tissue
  • Camilla Christian Gomes Moura, Thais Cristina Cunha, Virg, Iacute, Nia Oliveira Crema, Paula Dechichi, Jo, Atilde, O. Carlos Gabrielli Biffi
    Introduction
    Several studies have evaluated the inflammatory reaction triggered by Epiphany (EPH), a contemporary endodontic sealer. However, they used conventional parameters, which need additional analysis to better understand the reactions induced by this sealer compared to other traditional sealers. Methods and Materials: The intensity and time span of tissue irritations for three endodontic sealers were assessed by inflammatory reactions, fibrous capsule measurement and mast cell counts. Tubes containing freshly mixed EPH, AH plus (AHP) and Endofill (ENF) were subcutaneously implanted into the backs of 28 Wistar rats. The side wall of the tube was used as the control. At 14, 21, 42 and 60 days, the connective tissue surrounding the implants (n=7) was stainedfor histopathological analysis. The Friedman test was applied to compare the results. The level of significance was set at 0.05.
    Results
    At days 14 and 21, a significant difference among the groups was observed, with the ENF showing the worst tissue response (P<0.001). ENF remained the most aggressive sealer at 42 and 60 days, compared with EPH (P<0.05). No differences were found for the fibrous capsule thicknesses among the groups in each period. The number of mast cells per field did not show difference among the sealers at 21 and 60 days.
    Conclusions
    EPH and AHP elicited similar patterns of irritation, as demonstrated by the inflammatory scores and fibrous capsule thicknesses. ENF caused the highest degree of tissue damage. The increase in mast cell counts observed during the early and late periods shows the possibility of late hypersensitivity to the test materials.
    Keywords: Biocompatible Materials, Biocompatibility Testing, Endodontics, Root Canal Filling Materials, Root Canal Obturation, Root Canal Sealants, Subcutaneous Tissue
  • Shaweta Rana, Nisha Marwah, Promil Jain, Sumiti Gupta, Sanjay Marwah, Rajeev Sen
    Background
    Abdominal cutaneous and subcutaneous nodules are uncommon benign or malignant lesions. The majority of the malignant nodules are metastatic in origin and may be the initial presentation of a primary malignancy; hence، an early diagnosis is important. Our aim of this study was to find out the spectrum of lesions (both non-neoplastic and neoplastic) that present as cutaneous and subcutaneous nodules on the abdominal wall and to find out the efficacy of fine needle aspiration cytology in the early diagnosis of such lesions so that the need for histopathology can be minimized.
    Method
    The study was conducted on 46 patients of all age groups who presented with various palpable cutaneous and subcutaneous abdominal nodules. These nodules were assessed by fine needle aspiration cytology. The diagnosis was made cytopathologically and subsequently correlated with the histopathological diagnosis when possible.
    Result
    Out of 46 cases aspirated; there were 13 non-neoplastic cases، 15 benign neoplasms، 17 malignant cases and one case whose tissue sample was inadequate for opinion but turned out to be metastatic deposits from renal cell carcinoma on histopathology. The rate of unsatisfactory fine needle aspiration cytology was 2. 2% and the sensitivity was 89. 47%. The specificity and positive predictive value were 100%.
    Conclusion
    Fine needle aspiration cytology is a simple، minimally invasive، highly accurate and cost effective technique for early diagnosis of malignant metastatic nodules on the abdominal wall and therefore minimizes the need for histopathology and facilitates decision-making regarding the mode of treatment.
    Keywords: cytology, cutaneous nodule, fine needle aspiration, subcutaneous tissue
  • مرضیه مهرافزا، زهرا عطرکارروشن، نسترن عزیزالله زاده
    مقدمه

    عوارض بعد از عمل سزارین نظیر هماتوم زیر جلد،سروما و یا عفونت در اغلب موارد باعث بستری شدن طولانی فرد در بیمارستان و انجام مداخلاتی مانند تخلیه،دبریدمان و ترمیم مجدد محل زخم میشود . بستن زیر جلد و کاهش فضای مرده یکی از روش های مورد استفاده در کاستن عفونت زخم بعد از عمل سزارین می باشد.

    هدف

    هدف از انجام این پژوهش بررسی نقش بستن زیر جلد با باز گذاشتن آن در ایجاد عفونت زخم بعد از سزارین است. مواد و روش‌ها: مطالعه حاضر بصورت کارآزمایی بالینی تصادفی آینده‌نگر می باشد که خطر ایجاد عفونت زخم را در زنانیکه تحت سزارین اورژانس یا الکتیو قرارگرفته بودند ارزیابی نمود. جمعیت مورد پژوهش336 نفر از زنان حامله ای بود که بر حسب تصادف به دو گروه مساوی جهت باز یا بستن بافت زیر جلد در حین عمل سزارین تقسیم شدند. به همه زنان مطابق معمول آنتی بیوتیک پروفیلاکسی داده شد.پیامد مورد بررسی در این مطالعه عفونت زخم بود که با ظهور علایمی نظیر ترشح،تورم ،حساسیت،قرمزی،سفتی محل برش تشخیص داده می‌شد. برای ارزیابی داده ها از آزمون کای دو و نرم افزار SPSS.9 استفاده شد.

    نتایج

    یافته های این مطالعه نشان داد بین گروه ها تفاوت معنی داری از نظر مشخصات دموگرافیک،زایمان،وضعیت عمل وجود ندارد.میزان عفونت زخم مشاهده شده بعداز سزارین درگروهی که زیر جلد بسته بود 3/11%(19 نفر) و در گروه با زیر جلد باز 5/6%(11 نفر) بود. (05/0> P)

    نتیجه گیری

    بنظر میرسد بستن زیر جلد هیچ مزیتی نسبت به باز نگهداشتن آن در عمل سزارین ندارد.

    کلید واژگان: بستن بافت زیر جلد, سزارین, عفونت زخم
    M Mehrafza *, Z Atrkar Roshan, N Azizolah Zadeh
    Introduction

    The postoperative complications of a subcutaneous hematoma, seruma, or infection often delay hospital discharge and requires interventive techniques that include evacuation, debridement and restoration of damaged tissue. Closure of the dead space in subcutaneous tissues is one of the methods to minimize wound infection after cesarean delivery.

    Objective

    The purpose of this study was to compare the role of subcutaneous tissue closure with its non- closure of wound in infection after cesarean delivery.

    Materials and Methods

    The present study is a prospective randomized clinical trial. It assessed the risk of wound infection in females undergoing an elective or emergency cesarean section. Research population were 336 pregnant women who were divided randomly into two equal groups for closure or non- closure of subcutaneous tissue during the cesarean section. All women were given prophylactic antibiotics routinely. Outcome under study in present research was wound infection, which was diagnosed by emergence of signs such as discharge, swelling, tenderness, redness hardness of excision spots. Chi- square test and SPSS. 9 software was used for assessment of the data.

    Results

    Findings of this study indicated that there were no significant differences between the two groups in terms of demographic, obstetric and surgical characteristics. Extents of wound infection after the cesarean section were 11.3% (no=19) in the group with closed subcutaneous tissue and 6.5% (no=11) in the group of non- closed subcutaneous tissue.

    Conclusion

    It appears that there is no significant benefit in using a subcutaneous stitch closure in comparison with non- closure of it in cesarean section.

    Keywords: Cesarean Section, Subcutaneous Tissue, Wound Infection
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