No abstract available.
Urinary Incontinence*

No abstract available.
Chest Pain* ; Thorax*

No abstract available.
Humans ; Male* ; Osteoporosis*

No abstract available.
Humans ; Male*

No abstract available.
Cardiovascular System*

No abstract available.
Cardiovascular System*

The morphologic development of the liver in the embryonic period is described in serial sections of 18 human embryos representative of Horizons 12 to 23 . In the earliest specimen of horizon 12, the liver is seen as branching cord of endodermal cells originating from the hepatic diverticulum and invading into the loose stroma of septum transversum, transforming the surrounding stromal cells into primitive blood spaces and blood cells. Thereafter, the parenchymal cells rapidly proliferated so that the size of the organ was reaching a fifth of the CR length in horizon 23. The vascular system of the liver was in a symmetric configuration in horizon 12, which is composed of umbilical and vitelline veins and hepatocardiac channels on both sides. The evolution of the vascular system includes intergration of the vitelline veins into the portal vein, obliteration of the right umbilical vein and left hepatocardiac channel, and creation of the ductus venosus. The intrahepatic biliary tract is found to be formed by the "in situ transformation" mechanism, which involves transformation of the parenchymal cells, adjacent to the fibrous tissue surrounding the portal and umbilical veins, to networks of cuboidal epithelial cells lining the ductal lumen. These intrahepatic duct systems were found to communicate with the extrahepatic system at the porta hepatis.
Humans

Exfoliative cytology of synovial fluid is less stressed in medical practice, but it can be a very useful tool for the differential diagnosis of various joint diseases. This report describes a case of juvenile rheumatoid arthritls in a 7 year old girl, who showed characteristic ragocytes in joint fluid. Synovial biopsy specimen confirmed the diagnosis of rheumatoid arthritis.
Diagnosis, Differential ; Biopsy

The intestinal nematode Enterobius vermicularis is the most common metazoan endoparasite in humans, with humans being the only host. But complicated perianal granulomas due to Enterobius are unusual. The literature reports only 13 previous cases of enterobiasis presenting as perianal mass or abscess. We describe an additional case of a perianal mass caused by granulomatous inflammation containing Enterobius vermicularis eggs and dead bodies in a 7-year-old boy. The lesion was located in the anus and measured 2 1 cm. Clinical impression was lipoma and excisional biopsy was done. Microscopic examination revealed necrotizing granuloma which contained several 50~60 20~30 micrometer sized eggs which were identified as those of Enterobius vermicularis. The adult worm could not be identified with clarity due to necrosis.
Abscess ; Adult ; Anal Canal ; Biopsy ; Child ; Eggs ; Enterobiasis ; Enterobius* ; Female* ; Granuloma* ; Humans ; Inflammation ; Lipoma ; Male ; Necrosis ; Ovum

Pleomorphic xanthoastrocytoma is a rare tumor, presenting superficially over the cerebral hemispheres of young subjects. We report a case of Pleomorphic xanthoastrocytoma of the cervical cord in view of its unusual location. The patient is a 20-year-old female, presenting with left neck pain radiating to the left shoulder one month before the admission. Magnetic resonance imaging revealed a high signal lesion in the upper cervical cord lower brainstem in T2 weighted image. On operation, intramedullary tumor was present and it was relatively well delineated. Near-total removal of the spinal cord mass was done. Microscopically, the tumor was composed of pleomorphic astrocytes, which were spindle-shaped with cytoplasmic processes and hyperchromatic nuclei. Other cells were round with vesicular nuclei and abundant eosinophilic cytoplasm. A few giant cells were seen. Despite the marked pleomorphism, mitosis or necrosis was not encountered. Scattered foamy cells were also seen, which showed negative staining in GFAP immunostaining in contrast to other GFAP-positive tumors cells.
Female ; Humans