Approximately 3% of all head and neck neoplasms originate in the parotid gland and less than 1% are oncocytic. We present the rare case of a 63-year-old woman with oncocytic carcinoma of the parotid gland with facial nerve invasion and discuss the characteristics of this rare entity. Based on the results of medical history, physical examination, computed tomography and postoperative histopathological diagnosis, oncocytic carcinoma of the parotid gland was diagnosed. Treatment involved complete parotid gland removal and right neck dissection. Adjuvant radiotherapy and chemotherapy were followed by operation. As of 9 months following surgery, no recurrence has been identified, but long-term results are undefined.
Adenocarcinoma ; pathology ; therapy ; Facial Nerve ; Female ; Humans ; Middle Aged ; Neck Dissection ; Neoplasm Recurrence, Local ; Parotid Gland ; pathology ; Parotid Neoplasms ; pathology ; therapy ; Radiotherapy, Adjuvant ; Tomography, X-Ray Computed

Ear Neoplasms ; diagnosis ; Endolymphatic Sac ; pathology ; Humans

Thiols, which are components of many proteins and simple molecules, play an important role in the cellular antioxidant defense system. The quantitative determination of thiols is important in biochemistry and clinical chemistry. Fluorescent probes, which have its apparent advantages in sensitivity and, most importantly, in imaging thiols in vivo, even in single living cells, appear to be particularly attractive. In this review, we classify the fluorescent probes based on their different reaction mechanisms with thiols and summarize the recent progresses of thiols fluorescent probes with fifty-one

Aim To establish method and main evaluation indexes of collagen induced arthritis ( CIA) model in DBA/1 mice. Methods CIA was induced by chicken type Ⅱcollagen ( C Ⅱ) in DBA/1mice. Arthritis was evaluated by arthritis index. X-ray of the paws was taken. Histology pathology of ankles and spleen was observed and scored. Results Immunization d31,the paws of CIA mice appeared red and swelling,the scores of arthritis index increased,the period of swelling peak was from d40 to d60; immunization d35,the weight of CIA mice began to decrease. X-ray of paws showed that the paw joints of CIA mice deformed,and there was osteophyte formation associated with osteolysis. Histo-logical pathology of ankle joints showed that the synovium of CIA mice were hyperplasia,cartilage was destroyed,pannus was formed,and inflammatory cells infiltrated into synovium. Histological pathology of spleen showed more germinal centers and lymphoid follicular hyperplasia were observed,cell density of lymphatic sheath increased,scores of ankle joints and spleen histological pathology in CIA mice were higher than those in normal mice significantly. Conclusions The methods of CIA model induced by chicken C Ⅱ in DBA /1 mouse were reliable and reproducible. CIA incidence was high. Arthritis index,X-ray of paws,ankle joints and spleen histological pathology and so on were the principal indexes of evaluation for CIA model.

Hemangioendothelioma, Epithelioid ; pathology ; Humans ; Lung Neoplasms ; pathology

Adenoma, Oxyphilic ; Carcinoma, Renal Cell ; Humans ; Kidney Neoplasms

Objective: To explore the effect of enhancing the rate of programmed intermittent epidural bolus (PIEB) on the labor analgesia and the dosage of ropivacaine supplement in the lying-in women, and to provide the basis for studing labor analgesia. Methods: One hundred and twenty-six women with a singleton pregnancy received labor analgesia with PIEB method and were randonly divided into low-rate group (n=60) and high-rate group (n= 66). Epidural infusion was given the initial loading dose of 10 mL (0.09 % ropivacaine+0.4 mg · L-1 sufentanil), followed by 100 mL pulse injection pump (0.09 % ropivacaine + 0.4 mg · L-1 sufentanil). Every 60 min, intermittent bolus of 10 mL was given; the patient were administered with the rates of 100 mL · L-1 (low-rate group) or 200 mL · L-1 (high-rate group). The drug administration time of patient-controlled epidural analgesia (PCEA) was set as 5 mL, and the locking time was set as 30 min. The initial pain visual analog scale (VAS) score, duration of labor, delivery mode, supplementary amount and frequency of ropivacaine, first supplementary time of ropivacaine, a mount of PCEA pump, maternal satisfaction score, maximum sensory block level, as well as the incidence of adverse events, such as nausea and vomiting, hypotension, respiratory depression and fever of the lying-in women in the analgesia period were recorded. Results: The initial pain VAS scores, duration of labor, natural delivery rates, assisted vaginal delivery rates and cesarean section rates of the patients in two groups had no significant differences (P> 0.05). There were no significant differences in the amount and frequency of supplementary, the first supplement time of ropivacaine, the amount of PCEA pump between two groups (P> 0.05). The satisfaction scores of the lying-in women in two groups had no significantly difference (P<0.05). The highest analgesia level in two groups was T7-T8, and no adverse events, such as nausea and vomiting, hypotension, respiratory depression and fever, were observed in all the lying-in women. Conclusion: Compared with low-rate PIEB labor analgesia, the effect of labor analgesia, times of need for supplemental analgesia and the consumption of ropivacaine per hour are not improved by high-rate PIEB.

Objective: To analyze the clinical data and surgical treatment procedures of a patient vyith rare huge serous cystadenoma of broad ligament, to clarify its diagnostic and treatment characteristics, and to explore the present situation and advantages of laparoscope in the operation of broad ligament tumor. Methods: The patient vyas admitted to hospital due to abdominal distension for 2 years and aggravated ulness for 2 months. The diagnosis result vyas pelvic and abdominal mass arising from ovarian according to the preoperative color Doppler ultrasound and physical examination. Based on the laparotomy and intraoperative rapid pathological results, the patient was diagnosed as huge serous cystadenoma of broad ligament. The location of ureter and uteri artery and vein were carefully identified during the operation and they were ligated for hemostasis at the basal part of tumor. The operation was successful Results: The ultrasonography image of the huge serous cystadenoma of broad ligament was very similar to that of large ovarian tumor. The misdiagnosis rate of ultrasound was high, and CT and MRI were important for the identification of large broad ligament tumor; the accuracy rate of preoperative diagnosis could be improved by CT and MRI Carefully blunt separation close to the tumor surface during the operation could avoid the ureteral injury. The patient recovered well and discharged from hospital. Conclusion: The symptoms of huge serous cystadenoma of broad ligament patient are lack of specificity. The accuracy rate of preoperative diagnosis should be improved in combination with the medical history and imageological findings of the patient The operation plan should be chosen reasonably and the operation should be carefully performed to avoid the occurrence of secondary injuries.

Objective To analyze the expressions of osteopontin (OPN)and chemokine (CXC-subfamily)receptor 4 (CXCR4)in different ovarian tissues,and to explore the role of OPN and CXCR4 in occurrence,development and metastasis of human ovarian cancer.Methods The expressions of OPN and CXCR4 in normal ovarian tissue (n=20),benign ovarian epithelial tumor (n=20)and epithelial ovarian cancers tissues (n=40)were detected by immunohistochemical SP method,and the expression rates of OPN and CXCR4 in epithelial ovarian cancer tissue with different clinical characteristics were analyzed.Results The positive expressions rate of OPN in epithelial ovarian cancer tissue was significantly higher than those in normal ovarian tissue and benign ovarian tumor tissue, and there were significant differences in the positive expression rates of OPN between different pathological stages (G1 ,G2 ,G3 )of epithelial ovarian cancer (P <0.05).Meanwhile,the positive expression rate of OPN in Ⅲ-Ⅳepithelial ovarian cancer tissue was significantly higher than that in Ⅰ-Ⅱ epithelial ovarian cancer tissue (P <0.05). However,there were no significant differences of the positive expression rates of OPN among different histological types of epithelial ovarian cancer tissue (P >0.05).There was no positive expression of CXCR4 protein in normal ovarian tissue and benign ovarian tumor tissues , but there was positive expression in epithelial ovarian cancer tissue.Besides,the expressions of CXCR4 protein were not significantly different among different pathological grades,different clinical stages and different histological types (P > 0.05).Conclusion The OPN and CXCR4 expression levels are correlated with the degrees of malignancy in epithelial ovarian tumor,therefore the CXCR4 and OPN expression pathways may be the new targets for ovarian cancer therapy.