1.Diaphragmatic Fibromatosis: A Diagnostic and Therapeutic Challenge: A Case Report and Review of the Literature
Omar HAMDY ; Reem AYMAN ; Randa ABDELAAL ; Ransy ELHADIDY ; Mariam TAREK ; Gehad Ahmad SALEH ; Sara RAFAT
Journal of Chest Surgery 2024;57(6):547-552
Diaphragmatic fibromatosis is an exceptionally rare condition, with only 2 previously reported cases in the literature. We present the case of a 23-year-old woman with a left hypochondrial swelling measuring 19×18×13 cm on computed tomography. An endoscopic ultrasound-guided biopsy indicated low-grade papillary proliferation. Surgical exploration revealed a large mass originating from the left hemidiaphragm. Complete excision of the mass and reconstruction of the diaphragm with double-layer mesh were performed.Microscopic examination of the mass revealed a bland-looking spindle cell proliferation.Immunohistochemical staining showed a positive nuclear reaction in tumor cells for β-catenin, a focal positive reaction for SMA, and negative reactions for S100, CD34, and desmin.Diaphragmatic fibromatosis is an extremely rare tumor for which complete excision and reconstruction of the diaphragm is the best suggested modality of treatment.
2.Diaphragmatic Fibromatosis: A Diagnostic and Therapeutic Challenge: A Case Report and Review of the Literature
Omar HAMDY ; Reem AYMAN ; Randa ABDELAAL ; Ransy ELHADIDY ; Mariam TAREK ; Gehad Ahmad SALEH ; Sara RAFAT
Journal of Chest Surgery 2024;57(6):547-552
Diaphragmatic fibromatosis is an exceptionally rare condition, with only 2 previously reported cases in the literature. We present the case of a 23-year-old woman with a left hypochondrial swelling measuring 19×18×13 cm on computed tomography. An endoscopic ultrasound-guided biopsy indicated low-grade papillary proliferation. Surgical exploration revealed a large mass originating from the left hemidiaphragm. Complete excision of the mass and reconstruction of the diaphragm with double-layer mesh were performed.Microscopic examination of the mass revealed a bland-looking spindle cell proliferation.Immunohistochemical staining showed a positive nuclear reaction in tumor cells for β-catenin, a focal positive reaction for SMA, and negative reactions for S100, CD34, and desmin.Diaphragmatic fibromatosis is an extremely rare tumor for which complete excision and reconstruction of the diaphragm is the best suggested modality of treatment.
3.Diaphragmatic Fibromatosis: A Diagnostic and Therapeutic Challenge: A Case Report and Review of the Literature
Omar HAMDY ; Reem AYMAN ; Randa ABDELAAL ; Ransy ELHADIDY ; Mariam TAREK ; Gehad Ahmad SALEH ; Sara RAFAT
Journal of Chest Surgery 2024;57(6):547-552
Diaphragmatic fibromatosis is an exceptionally rare condition, with only 2 previously reported cases in the literature. We present the case of a 23-year-old woman with a left hypochondrial swelling measuring 19×18×13 cm on computed tomography. An endoscopic ultrasound-guided biopsy indicated low-grade papillary proliferation. Surgical exploration revealed a large mass originating from the left hemidiaphragm. Complete excision of the mass and reconstruction of the diaphragm with double-layer mesh were performed.Microscopic examination of the mass revealed a bland-looking spindle cell proliferation.Immunohistochemical staining showed a positive nuclear reaction in tumor cells for β-catenin, a focal positive reaction for SMA, and negative reactions for S100, CD34, and desmin.Diaphragmatic fibromatosis is an extremely rare tumor for which complete excision and reconstruction of the diaphragm is the best suggested modality of treatment.
4.Natural antioxidants in the management of Parkinson's disease: Review of evidence from cell line and animal models.
Reem ABDUL-LATIF ; Ieva STUPANS ; Ayman ALLAHHAM ; Benu ADHIKARI ; Thilini THRIMAWITHANA
Journal of Integrative Medicine 2021;19(4):300-310
Parkinson's disease (PD) is a chronic progressive neurodegenerative disease. It results from the death of dopaminergic neurons. The pathophysiological mechanisms in idiopathic PD include the production of α-synuclein and mitochondrial respiratory function-affecting complex I, caused by reactive oxygen species. Therefore, the use of natural antioxidants in PD may provide an alternative therapy that prevents oxidative stress and reduces disease progression. In this review, the effects of hydroxytyrosol, Ginkgo biloba, Withania somnifera, curcumin, green tea, and Hypericum perforatum in PD animal and cell line models are compared and discussed. The reviewed antioxidants show evidence of protecting neural cells from oxidative stress in animal and cell models of PD. However, the clinical efficacy of these phytochemicals needs to be optimised and further investigated.
Animals
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Antioxidants/pharmacology*
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Cell Line
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Disease Models, Animal
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Models, Animal
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Neurodegenerative Diseases
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Oxidative Stress
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Parkinson Disease/drug therapy*