Well-differentiated papillary mesothelioma (WDPM) of the peritoneum is considered to be a distinct subtype of peritoneal mesothelioma and has mostly behaved in a benign fashion. We report a case of WDPM in a 48-year-old-woman. It was incidentally found during a hysterectomy for a uterine cervical carcinoma. Grossly, the tumor was composed of multiple peritoneal nodules, measuring up to 2 cm. Microscopically, the nodules showed well-developed papillae lined by a single layer of cuboidal mesothelial cells. Immunohistochemical staining revealed a positive reaction for cytokeratin and a negative reacion for carcinoembryonic antigen and Leu-M1. Ultrastructurally, the tumor cells showed numerous long, slender microvilli and desmosomes.
Carcinoembryonic Antigen ; Desmosomes ; Hysterectomy ; Keratins ; Mesothelioma* ; Microvilli ; Peritoneum*

This experiment was designed to investigate the histochemical and ultrastructural changes of the proximal tubules and glomeruli of rabbits treated with cyclosporin A (CsA) or cyclosporin A and concomitant administration of prednisolone (PD). Rabbits were given with CsA for 1 week (CsAlW) and for 2 weeks (CsA2W) and CsA plus PD for 1 week (CsA +PDIW) and for 2 weeks (CsA+PD2W). The dose of CsA was 5mg/kg/day i.v. and PD was 1 mg/kg/day i.m. At 1 week and 2 weeks after the treatments, the following items were studied of alkaline phosphatase (ALPase). peroxidase, 5'-nucleotidase (SNU) with the ultrastructural enzymatic changes and electron microscopic changes. CsAlW, CsA2W and CsA +PD2W groups showed a decrease of ALPase activity and CsA+PD2W and CsA2W groups showed weakly increased peroxidase activity CsA2W and CsA+PD2W showed a decrease of 5NU activity. Ultrastructural changes of CsAlW CsA2W and CsA+PD2W groups revealed swollen and disrupted mitochondria, loss of brush border in the proximal tubules and thickening of basement membranes, edematous podocytes and fusion of root processes of podocytes in the glomeruli showing the early stage of nephrotoxicity. The concomitant treatment of PD with CsA eased the nephrotoxicity of CsA within 1 week after the treatment.
5'-Nucleotidase ; Alkaline Phosphatase ; Basement Membrane ; Cyclosporine* ; Kidney* ; Microvilli ; Mitochondria ; Peroxidase ; Podocytes ; Prednisolone* ; Rabbits

To study tubal adhesion, tubal patency and histologic difference under light, electronic microcopy in a site of anastomosis, authors performed three anastomosis surgery in rabbit fallopian tube;1-layer and 2-layer anastomosis in splint-not-used group(group 1) and in splint-used group(group 2) and laser anastomosis in splint-used group(group 3). 10 rabbits were used in each group, therefore the total number of experimental rabbits in 3 groups were 30. The results were as follows; 1. The degree of gross adhesion in group II was significantly high as compared with other groups but there was no difference between left and right tube in the degree of adh- esion in each group(Table 1). 2. The incidence of tubal patency in group I was significantly high(89%) as compared with group I(44%). Especially, the incidence of tubal patency in group III was significantly high(100%) but there was no difference between left and right tube in incidence of tubal patency in each group. 3. Inflammatory cell infiltration appeared in each group on optical microscopic examin- ation. Especially, fibrosis and inflammatory cell infiltration appeared more in group II but there was no statistically significant difference. And there was no significant difference between left and right tube in each group. 4. Transmission electron microscopic examination of group I, as compared with normal control group, showed increase of microvilli and secretory granules and decrease in size of epithelial cell. Epithelial cell was morphologically transformed but maintained the original structure comparatively. TEM examination of group II, as compared with normal control group, showed decrease of microvilli and secretory granules and flattening of epithelial cell. It showed that epithelial cell vanished in it's original structure. TEM examination of group III, as compared with normal control group, showed decrease of microvilli and increase of secretory granules and morphological transformation of epithelial cell. Group III showed the resemblence to normal control group. From the above results, in reversal tuboplasty and tubal factor infertility, it is consi- dered that simple splint-used anastomosis or splint-used anastomosis with Nd-YAG laser will improve the successful rate of tubal anastomosis.
Epithelial Cells ; Fallopian Tubes* ; Female ; Fibrosis ; Incidence ; Infertility ; Lasers, Solid-State* ; Microvilli ; Rabbits ; Secretory Vesicles ; Splints*

A 27-year-old female with low back pain and paresthesia on the left lower extremity had been treated. Lumbar myelography showed total block of the dye column at the L3 vertebral body level with a brush border. After myelography, total laminectomy on the L3 and L4 vertebrae was done. The result of operation and biopsy revealed an extradural meningioma of angioblastic type. 9 days after the surgery all neurological deficits were completely recovered.
Adult ; Biopsy ; Female ; Humans ; Laminectomy ; Low Back Pain ; Lower Extremity ; Meningioma* ; Microvilli ; Myelography ; Paresthesia ; Spine

The search for a less traumatic method of cataract removal through a small incision, is on going. One of the advantages of phacoemulsification is that it permits the removal of a cataract through a small incision than otherwise possible. The small incision allows the refractive error to be stabilized sooner and reduces the amount of induced postoperative astigmatism. But it may be traumatic to the endothelium, especially in cases with hard nucleus. There is a method using the Nd:YAG laser to preoperatively soften the nucleus of the cataract intracapsularly and thereby simplyfing the technique of phacoemulsification. The aim of this study is to evaluate the safety of softening lens nucleus by Nd:YAG laser application for cataract operation, and we observed the change of corneal endothleium and IOP and corneal thickness according to varied intensity, and time of laser application. The authors attempted to soften the nucleus using the Q-switched Nd:YAG laser without opening the anterior capsule. The laser was focused into the center of the nucleus and 100, 150 and 200 laser shots were made with the power of 5 mJ, 7 mJ, 10 mJ and 15 mJ. The results were as follows: 1. The corneal thickness was increased to the peak 24 hours after Nd:YAG laser application in cases of 150 and 200 laser shots with 15 mJ (P<0.05). 2. Intraocular pressure was not changed in any group after Nd:YAG laser application. 3. In morphological study with scanning electron microscope, the cases of 200 laser shots with 10 mJ and 150 laser shots with 15 mJ showed moderatly decreased the number of microvilli and partial seperation of the intercellular junctions. The cases of 200 laser shots with 15 mJ showed markedly decreased the number of microvilli and partial seperation of the intercellular junctions.
Astigmatism ; Cataract ; Endothelial Cells* ; Endothelium ; Intercellular Junctions ; Intraocular Pressure* ; Microvilli ; Phacoemulsification ; Refractive Errors

N-buty1-N-(4-hydroxybutyl)nitrosamine(BBN) is known to have a strong. specific carcinogenic action on the urinary bladder of rats. Rat bladder lesions induced by BBN are very similar to those of Pusan histopathologically. To investigate the surface change in the urinary bladder epithelium induced by 0.05% BBN scanning electron microscopic examination was done. Normal bladder epithelium was formed by relatively uniform sized. flat polygonal cells and clearly defined with intercellular ridges. in high magnification, the luminal surface of superficial cell consisted of hexagona1 areas and concave plaques between microridge giving a honeycomb appearance but no microvilli was visible. On BBN administration for 12 weeks, the superficial cells varied in size and shape and covered by numerous uniform round microvilli forming cobble stone appearance. On BBN administration for 12 weeks and water for 6 weeks, the superficial cells were covered with numerous microvilli completely. In some areas numerous pleomorphic microvilli were seen. Although pleomorphic microvilli are not a specific marker for neoplastic transformation, their presence is an indicator. of a markedly abnormal proliferative response.
Animals ; Busan ; Butylhydroxybutylnitrosamine* ; Epithelium* ; Microscopy, Electron, Scanning ; Microvilli ; Phenobarbital ; Rats* ; Urinary Bladder* ; Water

We report two cases of ectopic epididymal ducts and efferent ductules in the testicular appendices (TAs) of adult men with normally descended testes. In both cases, a sessile TA was incidentally found at the upper pole of the right testis during the scrotal hydrocelectomy. Microscopically, a few closely arranged tubules were detected within the TA. In the first case, the tubules were lined with a pseudostratified columnar epithelium with numerous, long microvilli, and were surrounded by a smooth muscle coat. In contrast, in the second case, the tubules had a wavy luminal surface, because ciliated columnar cells alternated with groups of cuboidal cells. In both cases, strong CD10 immunoreactivity was observed in the luminal border of the lining epithelium. Surgical pathologists should be aware of the presence of both ectopic epididymal ducts and efferent ductules that can occur in TAs, in order to avoid misinterpretation as transected, functional reproductive structures.
Adult ; Choristoma ; Epididymis ; Epithelium ; Female ; Humans ; Male ; Microvilli ; Muscle, Smooth ; Parovarian Cyst ; Phenobarbital ; Testis ; Wolffian Ducts

Although it has been known that seminal plasma (SP) modulates immune responses, the morphologic and functional effects of SP on mast cells have not been well documented. The purpose of this study was to determine the morphologic and functional effects of SP from the azoospermic (ASP), oligozoospermic (OSP) and normozoospermic (NSP) men on rat peritoneal mast cells (RPMC). By inverted microscopy, degranulation of RPMC occurred by treatment of OSP, NSP or compound 48/80. Treatment of RPMC with OSP and NSP resulted in increase in size and decrease in surface folds and bulged granules from the cell surface indicating that degranulating processes took place. Irregular cell surface with few microvilli and large degranulation channels filled with altered granules of various sizes were observed in OSP or NSP-treated RMPC. The degranulation index (DI) of RPMC treated with HBSS was 8.8+/-5.0. SP-induced DI was 11.9+/-6.2, 57.1+/-16.9 and 61.9+/-15.8, in ASP, OSP and NSP, respectively. The DI of RPMC treated with compound 48/80 (1 microgram/ml) was 83.5+/-21.4. These results indicated that the OSP, NSP but not ASP, induced the degranulation of RPMC. OSP and NSP induced histamine release (HR) from RPMC (4.5x105 cells). The HR of RPMC treated with HBSS was 1,030+/-196.6ng/ml, whereas ASP, OSP and NSP-induced HR was 1,010+/-204.7, 2,794+/-453.3 and 2,899 +/-366.7 ng/ml, respectively. The HR of RPMC treated with compound 48/80 was 6,300+/-476.2 ng/ml. Intracellular calcium level(ICL) of RPMC was also increased by OSP and NSP. The ICL of RPMC treated with HBSS was 6.1+/-1.0 pmole. ASP, OSP and NSP-induced ICL was 9.0+/-1.1, 81.2+/-18.5 and 76.6+/-18.0 pmole, respectively. The ICL of RPMC treated with compound 48/80 was 102.9+/-22.2 pmole. From the above results, it is suggested that OSP and NSP contain some factors to degranulate RPMC by the increase of intracellular calcium level.
Animals ; Calcium ; Histamine Release* ; Histamine* ; Humans ; Male ; Mast Cells* ; Microscopy ; Microvilli ; Rats* ; Semen* ; Viperidae

We have experienced two cases of extramammary Paget's disease. The first case was a 68-year-old male who showed erythematous, crusted, oozing, eczematoid patches on the scroturn, penile root and pubic area, and verrucous plaque on the left pubic area of 5 years' duration. The second case was a 60-year-old male who showed erythematous, oozing, hyperkeratotic plaque and nodular mass on the scrotum of 4 years' duration. In electron microscopic findings of the first case, the Paget's cells was suggested to be formed by pleuripotential germinative cells; well developed microvilli, numerous electron lucent secretory granules, a few electron dense granules, apocrine type secretion and well developed desmosome.
Aged ; Desmosomes ; Humans ; Male ; Microvilli ; Middle Aged ; Paget Disease, Extramammary ; Scrotum ; Secretory Vesicles

The effects of intravesical instillation of mitomycin-C(MMC) as inhibitor of development of experimental bladder tumors induced by N-butyl-N-(4-hydroxybutyl) nitrosamine(BBN) were morphologically studied. BBN was administered for 12 weeks orally and then MMC was instilled intravesically once a week with different concentration of 2 mg/ml and 5 mg/ml and doses of 4 and 8 times. There was a significant reduction in incidence if papilloma in group V which received MMC 2 mg/ml for 8 times and also there were significant reductions in incidence of carcinoma in all MMC treated groups except group III which received MMC 2 mg/ml for 4 times. These results indicate that intravesical instillation of MMC is an effective method to prevent bladder carcinogenesis. The ultrastructural effects of MMC were studied by transmission electron microscope. Partial nucleolar fragmentation and decrease in number and height of the surface microvilli of tumor cells resulting in overall increase in intercellular space and cellular detachment from the tumor surface might have played a role in reduction of cancerincidence.
Administration, Intravesical ; Animals ; Carcinogenesis ; Extracellular Space ; Incidence ; Microvilli ; Mitomycin* ; Papilloma ; Rats* ; Urinary Bladder Neoplasms* ; Urinary Bladder*