The melanotic neuroectodermal tumor of infancy is a rare neoplasm arising in the first year of life. A 33-day-old female infant had an enlarged alveolar ridge on the right anterior maxilla. Intraoral examination revealed a nonulcerative swelling at the site. An intraoral radiograph showed an ill-defined radiolucency on the right anterior maxilla and displacement of primary incisors from their alveolar sockets. CT scans revealed an expansion of the surrounding bone and partial destruction of the anterior wall of the premaxilla. Histopathologic examination showed the cytoplasm of neuroblastic cells and eosinophilic, epithelioid cells frequently contained a dark brown granular pigment that stained positively to vimentin and HMB45, focally positive to NSE and cytokeratin. Four weeks after the operation, CT scans showed a rapidly growing soft tissue mass occupying right maxillary sinus encroaching to the orbit and nasal cavity. The final diagnosis was made as a malignant melanotic neuroectodermal tumor of infancy.
Alveolar Process ; Cytoplasm ; Diagnosis ; Eosinophils ; Epithelioid Cells ; Female ; Humans ; Incisor ; Infant ; Keratins ; Maxilla ; Maxillary Sinus ; Nasal Cavity ; Neuroectodermal Tumor, Melanotic* ; Neuroectodermal Tumors ; Orbit ; Tomography, X-Ray Computed ; Vimentin

The melanotic neuroectodermal tumor of infancy is a rare neoplasm arising in the first year of life. A 33-day-old female infant had an enlarged alveolar ridge on the right anterior maxilla. Intraoral examination revealed a nonulcerative swelling at the site. An intraoral radiograph showed an ill-defined radiolucency on the right anterior maxilla and displacement of primary incisors from their alveolar sockets. CT scans revealed an expansion of the surrounding bone and partial destruction of the anterior wall of the premaxilla. Histopathologic examination showed the cytoplasm of neuroblastic cells and eosinophilic, epithelioid cells frequently contained a dark brown granular pigment that stained positively to vimentin and HMB45, focally positive to NSE and cytokeratin. Four weeks after the operation, CT scans showed a rapidly growing soft tissue mass occupying right maxillary sinus encroaching to the orbit and nasal cavity. The final diagnosis was made as a malignant melanotic neuroectodermal tumor of infancy.
Alveolar Process ; Cytoplasm ; Diagnosis ; Eosinophils ; Epithelioid Cells ; Female ; Humans ; Incisor ; Infant ; Keratins ; Maxilla ; Maxillary Sinus ; Nasal Cavity ; Neuroectodermal Tumor, Melanotic* ; Neuroectodermal Tumors ; Orbit ; Tomography, X-Ray Computed ; Vimentin

PURPOSE: To characterize the effects of 2-deoxy-D-glucose (2DG) and quercetin (QCT) on cytokine secretion of IL-6, TGF-beta and gene expression of Col I in irradiated MC3T3-E1 cells. MATERIALS AND METHODS: The MC3T3-E1 cells were cultured in an alpha-MEM supplemented with 5 mM 2DG or 10 mM QCT and then the cells were incubated 12h before irradiation with 2, 4, 6, and 8 Gy X-ray using a linear accelerator delivered at a dose rate of 1.5 Gy/min. Level of IL-6 and TGF-beta was determined by ELISA. Also expression of Col I was examined by RT-PCR. RESULTS: In accordance with the radiation dose, the amount of TGF-beta was not different in RA+QCT, but it showed a peak value in control and RA+2DG at 4Gy on the 3rd day. However, all groups showed a decreasing tendency dose-dependently in RA+QCT on the 7th day (p< 0.01). In accordance with the radiation dose, the amount of IL-6 increased dose-dependently in all groups on the 3rd day. On the 7th and 21st day, all groups showed peak values at 4Gy. RA+QCT showed a slightly increased amount of IL-6 at 2 Gy, but it showed a slightly decreased amount at 4, 6, and 8 Gy. In accordance with the period of culture after irradiation, the expression of Col I increased dosedependently in RA+QCT. CONCLUSIONS: The result showed that QCT acted as radiosensitizer in the secretion of TGF-beta and gene expression of Col I during differentiation in irradiated MC3T3-E1 cells at the cellular level.
Collagen Type I* ; Deoxyglucose* ; Enzyme-Linked Immunosorbent Assay ; Gene Expression* ; Interleukin-6 ; Osteoblasts* ; Particle Accelerators ; Quercetin* ; Transforming Growth Factor beta

PURPOSE: To evaluate the relationship between internal derangement and osteoarthrosis in the temporomandibular joint (TMJ) using magnetic resonance imaging (MRI). MATERIALS AND METHODS: One hundred and six MR images of TMJs in 53 patients were evaluated. Disc displacements and osseous changes of the TMJs were assessed. Lateral and rotational disc displacements were also evaluated on coronal images. RESULTS: No significant differences in the frequency of osseous changes of the TMJs between disc displacement with reduction and disc displacement without reduction groups were found. The erosion of the condylar head and the sclerosis of the articular eminence were more frequent in the internal derangement group than in the no disc displacement group. The flattening was the most frequently observed osseous change of both the condylar head and articular eminence. CONCLUSION: The relationship between internal derangement and osteoarthrosis is obscure, but it is thought that both disorders adversely affect each other.
Head ; Humans ; Magnetic Resonance Imaging* ; Osteoarthritis* ; Sclerosis ; Temporomandibular Joint Disc ; Temporomandibular Joint*