512 results match your criteria Lymphatic System Overview


Neutrophil trafficking to lymphoid tissues: physiological and pathological implications.

J Pathol 2018 Dec 25. Epub 2018 Dec 25.

William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Recent advances have provided evidence for the involvement of neutrophils in both innate and adaptive immunity, robustly challenging the old dogma that neutrophils are short-lived prototypical innate immune cells solely involved in acute responses to microbes and exerting collateral tissue damage. There is now ample evidence showing that neutrophils can migrate into different compartments of the lymphoid system where they contribute to the orchestration of the activation and/or suppression of lymphocyte effector functions in homeostasis and during chronic inflammation, such as autoimmune disorders and cancer. In support of this notion, neutrophils can generate a wide range of cytokines and other mediators capable of regulating the survival, proliferation and functions of both T and B cells. Read More

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http://dx.doi.org/10.1002/path.5227DOI Listing
December 2018

Diagnostic accuracy of endoscopic ultrasound, computed tomography, magnetic resonance imaging, and endorectal ultrasonography for detecting lymph node involvement in patients with rectal cancer: A protocol for an overview of systematic reviews.

Medicine (Baltimore) 2018 Oct;97(43):e12899

Gansu Provincial Hospital, Lanzhou, China.

Background: Rectal cancer is one of the most common tumors and is the leading cause of cancer-related deaths in developed countries. Lymph node involvement remains the strongest prognostic factor associated with a worse prognosis in patients with rectal cancer. Several systematic reviews have investigated the accuracy of endoscopic ultrasound, computed tomography, magnetic resonance imaging, and endorectal ultrasonography for lymph node involvement of rectal cancer and compared the diagnostic accuracy of different imaging techniques, but there are considerable differences in conclusions. Read More

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http://dx.doi.org/10.1097/MD.0000000000012899DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221605PMC
October 2018
6 Reads

The forensic spleen: Morphological, radiological, and toxicological investigations.

Forensic Sci Int 2018 Oct 18;291:94-99. Epub 2018 Aug 18.

Department of Forensic Pathology, LabPLUS, Auckland City Hospital, Auckland 1148, New Zealand.

The spleen is infrequently investigated in forensic pathology routine. Thorough examinations are performed in very specific situations such as splenic trauma (including iatrogenic trauma from cardiopulmonary resuscitation attempts), anaphylaxis-related deaths, drowning and sepsis. The purpose of this review article is to provide a general overview of available literature focusing on a few selected splenic diseases as well as available forensic investigation techniques performed on the spleen in order to summarize the most frequent situations of forensic interest in which this routinely unexplored organ may merit more extensive examination. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03790738183051
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http://dx.doi.org/10.1016/j.forsciint.2018.08.012DOI Listing
October 2018
9 Reads

Endothelial lineage-specific interaction of Mycobacterium tuberculosis with the blood and lymphatic systems.

Tuberculosis (Edinb) 2018 07 4;111:1-7. Epub 2018 May 4.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:

Mycobacterium tuberculosis (Mtb) has plagued humanity for tens of thousands of years, yet still remains a threat to human health. Its pathology is largely associated with pulmonary tuberculosis with symptoms including fever, hemoptysis, and chest pain. Mtb, however, also manifests in other extrapulmonary organs, such as the pleura, bones, gastrointestinal tract, central nervous system, and lymph nodes. Read More

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http://dx.doi.org/10.1016/j.tube.2018.04.009DOI Listing
July 2018
15 Reads

Targeting the intestinal lymphatic system: a versatile path for enhanced oral bioavailability of drugs.

Expert Opin Drug Deliv 2018 Aug 26;15(8):787-804. Epub 2018 Jul 26.

a Department of Pharmaceutics , Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education , Manipal Karnataka State , India.

Introduction: The major challenge of first pass metabolism in oral drug delivery can be surmounted by directing delivery toward intestinal lymphatic system (ILS). ILS circumvents the liver and transports drug directly into systemic circulation via thoracic duct. Lipid and polymeric nanoparticles are transported into ILS through lacteal and Peyer's patches. Read More

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http://dx.doi.org/10.1080/17425247.2018.1503249DOI Listing
August 2018
4 Reads

Immunomodulatory Protein Hydrolysates and Their Application.

Nutrients 2018 Jul 14;10(7). Epub 2018 Jul 14.

Immunoendocrinology, Division of Medical Biology, Department of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands.

Immunomodulatory protein hydrolysate consumption may delay or prevent western immune-related diseases. In order to purposively develop protein hydrolysates with an optimal and reproducible immunomodulatory effect, knowledge is needed on which components in protein hydrolysates are responsible for the immune effects. Important advances have been made on this aspect. Read More

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http://dx.doi.org/10.3390/nu10070904DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6073538PMC
July 2018
1 Read

[Immuno-Oncology: A Brief Overview].

Dtsch Med Wochenschr 2018 Jul 13;143(14):1006-1013. Epub 2018 Jul 13.

Pioneering work has unraveled the role of the immune system in the development and control of cancer. This knowledge has set the basis for the successful implementation of immunotherapy into the standard of care for a large number of cancer types. Based on response rates and prolongation of overall survival, immunotherapeutic approaches have been approved in a growing number of tumor diseases. Read More

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http://dx.doi.org/10.1055/a-0623-9147DOI Listing
July 2018
36 Reads

The Glymphatic System and Waste Clearance with Brain Aging: A Review.

Gerontology 2018 Jul 11:1-14. Epub 2018 Jul 11.

Brain Research Imaging Centre, Centre for Clinical Brain Sciences, Dementia Research Institute at the University of Edinburgh, Edinburgh, United Kingdom.

The glymphatic system is a glial-dependent waste clearance pathway in the brain, in place of lymphatic vessels, dedicated to drain away soluble waste proteins and metabolic products. Specifically, the glymphatic network serves as a "front end" for waste clearance, and is connected downstream to an authentic lymphatic network, associated with dura covering the brain as well as cranial nerves and large vessels at the skull exits. The anatomical and functional interconnections between these two networks are not completely understood. Read More

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http://dx.doi.org/10.1159/000490349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329683PMC
July 2018
26 Reads
1 Citation
3.060 Impact Factor

500 Million Alveoli from 30,000 Feet: A Brief Primer on Lung Anatomy.

Methods Mol Biol 2018 ;1809:3-15

Division of Pulmonary, Critical Care, and Sleep Medicine, National Jewish Health, Denver, CO, USA.

The lungs are a complex organ that fulfill multiple life-sustaining roles including transfer of oxygen and carbon dioxide between the ambient environment and the bloodstream, host defense, and immune homeostasis. As in any biological system, an understanding of the underlying anatomy is prerequisite for successful experimental design and appropriate interpretation of data, regardless of the precise experimental model or procedure in use. This chapter provides an overview of human lung anatomy focused on the airways, the ultrastructure or parenchyma of the lung, the pulmonary vasculature, the innervation of the lungs, and the pulmonary lymphatic system. Read More

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http://dx.doi.org/10.1007/978-1-4939-8570-8_1DOI Listing
January 2018
1 Read

Connexins and Pannexins in Vascular Function and Disease.

Int J Mol Sci 2018 Jun 5;19(6). Epub 2018 Jun 5.

Institute for Cardiovascular & Metabolic Research, School of Biological Sciences, Harborne Building, University of Reading, Reading RG6 6AS, UK.

Connexins (Cxs) and pannexins (Panxs) are ubiquitous membrane channel forming proteins that are critically involved in many aspects of vascular physiology and pathology. The permeation of ions and small metabolites through Panx channels, Cx hemichannels and gap junction channels confers a crucial role to these proteins in intercellular communication and in maintaining tissue homeostasis. This review provides an overview of current knowledge with respect to the pathophysiological role of these channels in large arteries, the microcirculation, veins, the lymphatic system and platelet function. Read More

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http://dx.doi.org/10.3390/ijms19061663DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6032213PMC

Vascular Anomalies (Part I): Classification and Diagnostics of Vascular Anomalies.

Rofo 2018 Sep 6;190(9):825-835. Epub 2018 Jun 6.

Department for Radiology, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany.

Background:  Vascular anomalies are a diagnostic and therapeutic challenge. They require dedicated interdisciplinary management. Optimal patient care relies on integral medical evaluation and a classification system established by experts in the field, to provide a better understanding of these complex vascular entities. Read More

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http://dx.doi.org/10.1055/a-0620-8925DOI Listing
September 2018

Collection and Processing of Lymph Nodes from Large Animals for RNA Analysis: Preparing for Lymph Node Transcriptomic Studies of Large Animal Species.

J Vis Exp 2018 05 19(135). Epub 2018 May 19.

National Animal Disease Center, Agricultural Research Service, U.S. Department of Agriculture.

Large animals (both livestock and wildlife) serve as important reservoirs of zoonotic pathogens, including Brucella, Mycobacterium bovis, Salmonella, and E. coli, and are useful for the study of pathogenesis and/or spread of the bacteria in natural hosts. With the key function of lymph nodes in the host immune response, lymph node tissues serve as a potential source of RNA for downstream transcriptomic analyses, in order to assess the temporal changes in gene expression in cells over the course of an infection. Read More

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https://www.jove.com/video/57195/collection-processing-lymph
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http://dx.doi.org/10.3791/57195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6101277PMC
May 2018
22 Reads

Key molecules in lymphatic development, function, and identification.

Ann Anat 2018 Sep 26;219:25-34. Epub 2018 May 26.

Translational Cancer Biology Research Program, University of Helsinki, Finland; Wihuri Research Institute, Biomedicum Helsinki, Finland. Electronic address:

While both blood and lymphatic vessels transport fluids and thus share many similarities, they also show functional and structural differences, which can be used to differentiate them. Specific visualization of lymphatic vessels has historically been and still is a pivot point in lymphatic research. Many of the proteins that are investigated by molecular biologists in lymphatic research have been defined as marker molecules, i. Read More

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http://dx.doi.org/10.1016/j.aanat.2018.05.003DOI Listing
September 2018
5 Reads
2.080 Impact Factor

Incidental Findings on Lung Cancer Screening: Significance and Management.

Semin Ultrasound CT MR 2018 Jun 1;39(3):273-281. Epub 2018 Mar 1.

Department of Diagnostic Radiology, The University of Texas M.D. Anderson, Cancer Center, Houston, TX. Electronic address:

Incidental findings are commonly detected by computed tomography, but distinguishing which findings have little or no clinical consequence and which are significant enough to require further evaluation is not always clear. This distinction is important for patient care and to ensure appropriate use of health care resources. This article aims to highlight some of the incidental findings detected by low-dose CT (LDCT) performed for lung cancer screening and to present an overview of currently accepted management recommendations. Read More

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http://dx.doi.org/10.1053/j.sult.2018.02.005DOI Listing

Historical overview of lymphangiogenesis.

Authors:
Domenico Ribatti

Curr Opin Immunol 2018 Aug 19;53:161-166. Epub 2018 May 19.

Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari Medical School, National Cancer Institute "Giovanni Paolo II", Bari, Italy. Electronic address:

The investigation of the lymphatic system has a very long and intriguing history, with several medical figures which brought important contributions. Work on the lymphatic system began in the 17th century, and by the beginning of the 19th century the anatomy of most of the lymphatic system had been described. This system is an essential component of the immune system, as well as vital to the maintenance of fluid homeostasis within the body. Read More

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http://dx.doi.org/10.1016/j.coi.2018.04.027DOI Listing

Lymphedema following cancer therapy: overview and options.

Clin Exp Metastasis 2018 Aug 17;35(5-6):547-551. Epub 2018 May 17.

Division of Plastic Surgery, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.

This summit focusing on lymphedema following cancer therapy was held during the 7th International Symposium on Cancer Metastasis through the Lymphovascular System. It was unique for the inclusion of patients with lymphedema joining physicians, therapists, healthcare professionals, and researchers to highlight what is known and more importantly what is unknown about the current state of research and treatment in the United States. The session opened with an introduction to lymphedema and then explored the incidence of multiple cancer-related lymphedemas, imaging tools and techniques useful for the diagnosis of lymphatic system abnormalities, and the new findings concerning the genetics of cancer-related lymphedema. Read More

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http://dx.doi.org/10.1007/s10585-018-9899-5DOI Listing

Current understanding of neuroinflammation after traumatic brain injury and cell-based therapeutic opportunities.

Chin J Traumatol 2018 Jun 24;21(3):137-151. Epub 2018 Apr 24.

Department of Neurology, Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI, 48202, USA; Department of Physics, Oakland University, Rochester, MI, 48309, USA.

Traumatic brain injury (TBI) remains a major cause of death and disability worldwide. Increasing evidence indicates that TBI is an important risk factor for neurodegenerative diseases including Alzheimer's disease, Parkinson's disease, and chronic traumatic encephalopathy. Despite improved supportive and rehabilitative care of TBI patients, unfortunately, all late phase clinical trials in TBI have yet to yield a safe and effective neuroprotective treatment. Read More

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http://dx.doi.org/10.1016/j.cjtee.2018.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034172PMC
June 2018
1 Read

Second malignancy in young early-stage breast cancer patients with modern radiotherapy: A long-term population-based study (A STROBE-compliant study).

Medicine (Baltimore) 2018 Apr;97(17):e0593

Department of Surgery, Duke University Medical Center, Durham, NC, USA.

Second cancer is a leading cause of death in long-term survivors of younger early-stage breast cancer patients. To date, relationship of age, receipt of radiotherapy (RT), and estimated doses received by target organs have not yet been well elucidated. Using Surveillance, Epidemiology, and End Results database, patients aged 20 to 44, diagnosed with a first primary staging I-IIIA ipsilateral breast invasive ductal carcinoma, underwent surgery during 1988 to 2009 were identified, and those with a second malignancy at ≥1-year follow-up were analyzed to calculate cumulative incidences (CIs) of second malignancy in whole group and each subgroup. Read More

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http://dx.doi.org/10.1097/MD.0000000000010593DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944535PMC
April 2018
1 Read

The diagnosis and management of extramammary Paget's disease.

Expert Rev Anticancer Ther 2018 06 27;18(6):543-553. Epub 2018 Mar 27.

a Department of Dermatology, Graduate School of Medical Sciences , Kyushu University , Fukuoka , Japan.

Introduction: Extramammary Paget's disease (EMPD) is a rare neoplastic condition that commonly affects the anogenital area in the elderly. Owing to its low incidence, limited data regarding EMPD's diagnosis and treatment have been available. This review article aims to explore the current knowledge of EMPD to improve the management of this disease. Read More

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http://dx.doi.org/10.1080/14737140.2018.1457955DOI Listing

Vascularized lymph node transfer for treatment of extremity lymphedema: An overview of current controversies regarding donor sites, recipient sites and outcomes.

J Surg Oncol 2018 Jun 24;117(7):1420-1431. Epub 2018 Mar 24.

Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taoyuan, Taiwan.

As lymphatic microsurgery has become more common, vascularized lymph node transfer ascended to the forefront in many centers for the surgical management of advanced stages of lymphedema showing substantial clinical improvement. However, no consensus has been reached among experts regarding many details of the procedures, including patient selection criteria, type of treatment, donor, and recipient sites and postoperative evaluation of the outcome. Here, we will review these issues and provide the current results of this procedure. Read More

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http://dx.doi.org/10.1002/jso.25034DOI Listing
June 2018
3 Reads

Lymph node metastases: importance of detection and treatment strategies.

Expert Opin Drug Deliv 2018 05 6;15(5):459-467. Epub 2018 Mar 6.

b Department of Chemistry and Pharmacy , University of Sassari , Sassari , Italy.

Introduction: Lymphatic vessels are the preferential route of most solid tumors to spread their metastases in the body. The onset of metastatic nests in draining lymph nodes (LNs) are a significant indicator of cancer progression and a dismaying sign of worsen staging. Therefore, the individuation and elimination of cancer cells within the lymphatic system (LS) are an important goal. Read More

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http://dx.doi.org/10.1080/17425247.2018.1446937DOI Listing
May 2018
3 Reads

Axillary Lymph Node Inclusions.

Surg Pathol Clin 2018 Mar 29;11(1):43-59. Epub 2017 Nov 29.

Department of Pathology, Johns Hopkins Hospital, 401 North Broadway Street, Weinberg 2242, Baltimore, MD 21287, USA. Electronic address:

Lymph node inclusions can occur in axillary lymph nodes, where they can mimic metastatic breast carcinoma. This article provides an overview of epithelial and nonepithelial lymph node inclusions, including mammary-type glandular inclusions, Mullerian-type glandular inclusions, squamous inclusions, mixed glandular-squamous inclusions, and nodal nevi. The discussion emphasizes the histologic and immunophenotypic features and differential diagnoses of each entity. Read More

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http://dx.doi.org/10.1016/j.path.2017.09.004DOI Listing
March 2018
1 Read

Local Radiotherapy Affects Drug Pharmacokinetics-Exploration of a Neglected but Significant Uncertainty of Cancer Therapy.

Technol Cancer Res Treat 2017 12 31;16(6):705-716. Epub 2017 Oct 31.

Institute of Traditional Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Purpose: Concurrent chemoradiation therapy is the mainstay of treatment for many types of malignancies. However, concurrent chemoradiation therapy is associated with a greater number of systemic adverse effects than radiotherapy or chemotherapy alone.

Summary: Pharmacokinetics is the study of a drug and/or its metabolite kinetics in the body, including absorption, distribution, metabolism, and elimination. Read More

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http://journals.sagepub.com/doi/10.1177/1533034617737011
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http://dx.doi.org/10.1177/1533034617737011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5762083PMC
December 2017
5 Reads

Effective management strategies for patients with marginal zone lymphoma.

Future Oncol 2018 May 20;14(12):1213-1222. Epub 2017 Dec 20.

Department of Hematology & Medical Oncology, Winship Cancer Institute of Emory University, Atlanta, GA 30322, USA.

Marginal zone lymphoma (MZL) is an uncommon indolent lymphoma classified into subtypes based on primary site of involvement: splenic, nodal and extranodal. MZLs' relative rarity has largely precluded adoption of a standard management strategy. Here, we provide an overview of the epidemiology, clinical behavior and therapeutic approaches for each subtype. Read More

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https://www.futuremedicine.com/doi/10.2217/fon-2017-0480
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http://dx.doi.org/10.2217/fon-2017-0480DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992567PMC
May 2018
22 Reads

An Overview of l-Amino Acid Oxidase Functions from Bacteria to Mammals: Focus on the Immunoregulatory Phenylalanine Oxidase IL4I1.

Molecules 2017 Dec 5;22(12). Epub 2017 Dec 5.

The Mondor Institute of Biomedical Research (IMRB), INSERM U955, Team 09, F-94010 Créteil CEDEX, France.

l-amino acid oxidases are flavin adenine dinucleotide-dependent enzymes present in all major kingdom of life, from bacteria to mammals. They participate in defense mechanisms by limiting the growth of most bacteria and parasites. A few mammalian LAAOs have been described, of which the enzyme "interleukin-4 induced gene 1" (IL4I1) is the best characterized. Read More

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http://dx.doi.org/10.3390/molecules22122151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149928PMC
December 2017
2 Reads

Platform for Lipid Based Nanocarriers' Formulation Components and their Potential Effects: A Literature Review.

Curr Pharm Des 2017 11 27. Epub 2017 Nov 27.

Department of Pharmaceutical Sciences, Faculty of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

Background: Lipid based nanocarriers have gained recently enormous interest for pharmaceutical application. They have the potential to provide controlled drug release and to target the drug to a specific area. In addition, lipid based nanocarriers can improve the bioavailability of drugs suffering from high hepatic first-pass metabolism, by enhancing their transport via the lymphatic system. Read More

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http://dx.doi.org/10.2174/1381612824666171128104814DOI Listing
November 2017
5 Reads

The role of sentinel lymph node mapping in small animal veterinary medicine: A comparison with current approaches in human medicine.

Vet Comp Oncol 2018 Jun 27;16(2):178-187. Epub 2017 Nov 27.

Clinic for Small Animal Surgery, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.

The relevance of regional lymph node (LN) assessment to quantify the metastatic spread of cancer is well recognized in veterinary oncology. Evaluation of LNs is critical for tumour staging. However, sampling the correct LN may not be possible without sentinel lymph node (SLN) mapping. Read More

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http://dx.doi.org/10.1111/vco.12372DOI Listing

Demographics and patient characteristics of 1209 patients with Gaucher disease: Descriptive analysis from the Gaucher Outcome Survey (GOS).

Am J Hematol 2018 02 12;93(2):205-212. Epub 2017 Dec 12.

Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

The Gaucher Outcome Survey (GOS) is an international Gaucher disease (GD) registry established in 2010 for patients with a confirmed GD diagnosis, regardless of GD type or treatment status, designed to evaluate the safety and long-term effectiveness of velaglucerase alfa and other GD-related treatments. As of February 25, 2017, 1209 patients had enrolled, the majority from Israel (44.3%) and the US (31. Read More

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http://doi.wiley.com/10.1002/ajh.24957
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http://dx.doi.org/10.1002/ajh.24957DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5814927PMC
February 2018
16 Reads

Gastrosplenic fistula occurring in lymphoma patients: Systematic review with a new case of extranodal NK/T-cell lymphoma.

World J Gastroenterol 2017 Sep;23(35):6491-6499

Department of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea.

Aim: To provide the overall spectrum of gastrosplenic fistula (GSF) occurring in lymphomas through a systematic review including a patient at our hospital.

Methods: A comprehensive literature search was performed in the MEDLINE database to identify studies of GSF occurring in lymphomas. A computerized search of our institutional database was also performed. Read More

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http://dx.doi.org/10.3748/wjg.v23.i35.6491DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643275PMC
September 2017
11 Reads

Nanoparticle Vaccines Adopting Virus-like Features for Enhanced Immune Potentiation.

Nanotheranostics 2017 9;1(3):244-260. Epub 2017 Jun 9.

Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.

Synthetic nanoparticles play an increasingly significant role in vaccine design and development as many nanoparticle vaccines show improved safety and efficacy over conventional formulations. These nanoformulations are structurally similar to viruses, which are nanoscale pathogenic organisms that have served as a key selective pressure driving the evolution of our immune system. As a result, mechanisms behind the benefits of nanoparticle vaccines can often find analogue to the interaction dynamics between the immune system and viruses. Read More

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http://dx.doi.org/10.7150/ntno.19796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5646730PMC
June 2017
8 Reads

Lymphatic Dysfunction, Leukotrienes, and Lymphedema.

Annu Rev Physiol 2018 Feb 13;80:49-70. Epub 2017 Oct 13.

Stanford University School of Medicine, Stanford, California 94305, USA; email:

The lymphatic system is essential for the maintenance of tissue fluid homeostasis, gastrointestinal lipid absorption, and immune trafficking. Whereas lymphatic regeneration occurs physiologically in wound healing and tissue repair, pathological lymphangiogenesis has been implicated in a number of chronic diseases such as lymphedema, atherosclerosis, and cancer. Insight into the regulatory mechanisms of lymphangiogenesis and the manner in which uncontrolled inflammation promotes lymphatic dysfunction is urgently needed to guide the development of novel therapeutics: These would be designed to reverse lymphatic dysfunction, either primary or acquired. Read More

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http://dx.doi.org/10.1146/annurev-physiol-022516-034008DOI Listing
February 2018
15 Reads

Lymphatic Endothelial Cell Plasticity in Development and Disease.

Physiology (Bethesda) 2017 11;32(6):444-452

Center for Vascular & Developmental Biology, Feinberg Cardiovascular Research Institute, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

The lymphatic vasculature is crucial for maintaining tissue-fluid homeostasis, providing immune surveillance and mediating lipid absorption. The lymphatic vasculature is tightly associated with the blood vasculature, although it exhibits distinct morphological and functional features. Endothelial cells (ECs) lineage fate specification is determined during embryonic development; however, accumulating evidence suggests that differentiated ECs exhibit remarkable heterogeneity and plasticity. Read More

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http://dx.doi.org/10.1152/physiol.00015.2017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5817163PMC
November 2017
2 Reads

Indocyanine green fluorescence imaging in colorectal surgery: overview, applications, and future directions.

Lancet Gastroenterol Hepatol 2017 10;2(10):757-766

Department of Surgery, University College London Hospital, University College London Hospitals NHS Trust, London, UK. Electronic address:

Indocyanine green fluorescence imaging is a surgical tool with increasing applications in colorectal surgery. This tool has received acceptance in various surgical disciplines as a potential method to enhance surgical field visualisation, improve lymph node retrieval, and decrease the incidence of anastomotic leaks. In colorectal surgery specifically, small studies have shown that intraoperative fluorescence imaging is a safe and feasible method to assess anastomotic perfusion, and its use might affect the incidence of anastomotic leaks. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24681253173021
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http://dx.doi.org/10.1016/S2468-1253(17)30216-9DOI Listing
October 2017
3 Reads

Mucosal immune system of the gastrointestinal tract: maintaining balance between the good and the bad.

Scand J Gastroenterol 2017 Nov 12;52(11):1185-1193. Epub 2017 Jul 12.

a Department of Microbiology and Immunology , Sahlgrenska Academy at University of Gothenburg , Gothenburg , Sweden.

The gastrointestinal tract (GI tract) is a unique organ inhabited by a range of commensal microbes, while also being exposed to an overwhelming load of antigens in the form of dietary antigens on a daily basis. The GI tract has dual roles in the body, in that it performs digestion and uptake of nutrients while also carrying out the complex and important task of maintaining immune homeostasis, i.e. Read More

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http://dx.doi.org/10.1080/00365521.2017.1349173DOI Listing
November 2017
5 Reads

A comprehensive overview on the surgical management of secondary lymphedema of the upper and lower extremities related to prior oncologic therapies.

BMC Cancer 2017 Jul 5;17(1):468. Epub 2017 Jul 5.

Division of Surgical Oncology, Department of Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute and Comprehensive Cancer Center, The Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.

Secondary lymphedema of the upper and lower extremities related to prior oncologic therapies, including cancer surgeries, radiation therapy, and chemotherapy, is a major cause of long-term morbidity in cancer patients. For the upper extremities, it is most commonly associated with prior oncologic therapies for breast cancer, while for the lower extremities, it is most commonly associated with oncologic therapies for gynecologic cancers, urologic cancers, melanoma, and lymphoma. Both non-surgical and surgical management strategies have been developed and utilized, with the primary goal of all management strategies being volume reduction of the affected extremity, improvement in patient symptomology, and the reduction/elimination of resultant extremity-related morbidities, including recurrent infections. Read More

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http://dx.doi.org/10.1186/s12885-017-3444-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497342PMC
July 2017
18 Reads

Overview of Nonoperative Blunt Splenic Injury Management with Associated Splenic Artery Pseudoaneurysm.

Am Surg 2017 Jun;83(6):554-558

The delayed development of splenic artery pseudoaneurysm (SAP) can complicate the nonoperative management of splenic injuries. We sought to determine the utility of repeat imaging in diagnosing SAP in patients managed nonoperatively without angioembolization. We hypothesized that a significant rate of SAPs would be found in this population on repeat imaging. Read More

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June 2017
13 Reads

Anatomic variations of the spleen: current state of terminology, classification, and embryological background.

Surg Radiol Anat 2018 Jan 19;40(1):21-29. Epub 2017 Jun 19.

Department of Anatomy, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague 5, Czech Republic.

A thorough understanding of the anatomy, physiology, and development of the spleen is essential for determining the pathophysiological mechanisms underpinning splenic diseases and congenital variations. The aim of this review is to briefly summarize current knowledge regarding the normal development of the spleen, and to provide an overview of clinically relevant congenital splenic variations. These include such variations as asplenia, polysplenia, hyposplenia, lobulation of spleen, accessory spleens, accessory splenic nodules, wandering spleen, splenogonadal and splenopancreatic fusion, splenic cysts, and cavernous haemangioma of the spleen. Read More

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http://link.springer.com/10.1007/s00276-017-1893-0
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http://dx.doi.org/10.1007/s00276-017-1893-0DOI Listing
January 2018
2 Reads

Limiting the morbidity of inguinofemoral lymphadenectomy in vulvar cancer patients; a review.

Expert Rev Anticancer Ther 2017 07 13;17(7):615-624. Epub 2017 Jun 13.

a Department of Obstetrics and Gynaecology , Radboud university medical center , Nijmegen , The Netherlands.

Introduction: Inguinofemoral lymphadenectomy (IFL) is performed in the treatment for vulvar cancer. One or more complications after IFL is reported in up to 85% of the patients. This review presents an overview of surgical techniques and peri- and post-operative care that has been studied in order to reduce the morbidity associated with IFL in vulvar cancer patients. Read More

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http://dx.doi.org/10.1080/14737140.2017.1337513DOI Listing
July 2017
4 Reads

Nonoperative Management of the Damaged Spleen: A Community Surgeon Looks Back.

Authors:
Mark L Walker

Am Surg 2017 May;83(5):502-506

Blunt spleen injury is usually managed nonoperatively. An 8-year retrospective analysis by one community surgeon was done to provide an overview of the role of CT, angiography, and transfusion in the management algorithm. A total of 2750 patients were screened and 125 patients were identified with spleen injury. Read More

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May 2017
2 Reads

Current approaches for avoiding the limitations of circulating tumor cells detection methods-implications for diagnosis and treatment of patients with solid tumors.

Transl Res 2017 07 26;185:58-84.e15. Epub 2017 Apr 26.

Department of Clinical Oncology, Hollycross Cancer Center, Kielce, Poland; Department of Prevention and Cancer Epidemiology, Faculty of Health Sciences of the Jan Kochanowski University in Kielce, Kielce, Poland.

Eight million people die of cancer each year and 90% of deaths are caused by systemic disease. Circulating tumor cells (CTCs) contribute to the formation of metastases and thus are the subject of extensive research and an abiding interest to biotechnology and pharmaceutical companies. Recent technological advances have resulted in greatly improved CTC detection, enumeration, expansion, and culture methods. Read More

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http://dx.doi.org/10.1016/j.trsl.2017.04.002DOI Listing
July 2017
35 Reads

Theranostic Probes for Targeting Tumor Microenvironment: An Overview.

Int J Mol Sci 2017 May 11;18(5). Epub 2017 May 11.

Lee Kong Chian School of Medicine, Nanyang Technological University, 59 Nanyang Drive, Singapore 636921, Singapore.

Long gone is the time when tumors were thought to be insular masses of cells, residing independently at specific sites in an organ. Now, researchers gradually realize that tumors interact with the extracellular matrix (ECM), blood vessels, connective tissues, and immune cells in their environment, which is now known as the tumor microenvironment (TME). It has been found that the interactions between tumors and their surrounds promote tumor growth, invasion, and metastasis. Read More

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http://dx.doi.org/10.3390/ijms18051036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5454948PMC
May 2017
24 Reads

[Castleman's Disease - A Case Series of a Rare Lymphoproliferative Disease].

Laryngorhinootologie 2017 Aug 9;96(8):522-527. Epub 2017 May 9.

Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Ulm.

Castleman's disease is a very rare and potentially severe lymphoproliferative disorder. First sign may be cervical lymphadenitis, requiring sufficient support in diagnosis and therapy by an ENT specialist. Based on a case series the current manuscript gives an overview of the symptoms, the course of disease and the therapy options. Read More

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http://dx.doi.org/10.1055/s-0043-102058DOI Listing
August 2017
5 Reads

[Low level laser therapy : A narrative literature review on the efficacy in the treatment of rheumatic orthopaedic conditions].

Z Rheumatol 2017 Nov;76(9):806-812

Abteilung für Orthopädie und Unfallchirurgie, St. Josef Krankenhaus Moers, Asberger Str. 4, 47441, Moers, Deutschland.

Background: In low level laser therapy (LLLT) low wattage lasers are used to irradiate the affected skin areas, joints, nerves, muscles and tendons without any sensation or thermal damage. Although the exact mechanism of its effect is still unknown, it seems beyond dispute that LLLT induces a variety of stimulating processes at the cellular level affecting cell repair mechanisms, the vascular system and lymphatic system. LLLT has been popular among orthopaedic practitioners for many years, whereas university medicine has remained rather sceptical about it. Read More

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http://dx.doi.org/10.1007/s00393-017-0309-1DOI Listing
November 2017
2 Reads

Imaging of Prostate Cancer Using Fluciclovine.

PET Clin 2017 Apr 23;12(2):145-157. Epub 2017 Jan 23.

Department of Radiology and Imaging Sciences, Emory University Hospital, Emory University, 1364 Clifton Road, Atlanta, GA 30322, USA.

Prostate cancer is the most common cancer and the second leading cause of cancer death in men in the United States. Despite high disease prevalence, diagnosis and surveillance of the disease with conventional imaging are limited typically because of indolent biology. Functional imaging with advanced molecular techniques improves the ability to detect disease. Read More

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http://dx.doi.org/10.1016/j.cpet.2016.11.005DOI Listing
April 2017
21 Reads

Transcriptome profiling of gene expression during immunisation trial against Fasciola hepatica: identification of genes and pathways involved in conferring immunoprotection in a murine model.

BMC Infect Dis 2017 01 23;17(1):94. Epub 2017 Jan 23.

Parasite and Molecular Immunology Laboratory, Tropical Disease Research Centre, (IBSAL-CIETUS), University of Salamanca, Salamanca, Spain.

Background: Fasciolosis remains a significant food-borne trematode disease causing high morbidity around the world and affecting grazing animals and humans. A deeper understanding concerning the molecular mechanisms by which Fasciola hepatica infection occurs, as well as the molecular basis involved in acquiring protection is extremely important when designing and selecting new vaccine candidates. The present study provides a first report of microarray-based technology for describing changes in the splenic gene expression profile for mice immunised with a highly effective, protection-inducing, multi-epitope, subunit-based, chemically-synthesised vaccine candidate against F. Read More

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http://dx.doi.org/10.1186/s12879-017-2205-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5259852PMC
January 2017
9 Reads

Inflammatory Manifestations of Lymphedema.

Int J Mol Sci 2017 Jan 17;18(1). Epub 2017 Jan 17.

The Department of Surgery, Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.

Lymphedema results from lymphatic insufficiency leading to a progressive inflammatory process that ultimately manifests as discomfort, recurrent infections, and, at times, secondary malignancy. Collectively, these morbidities contribute to an overall poor quality of life. Although there have been recent advances in microsurgical interventions, a conservative palliative approach remains the mainstay of treatment for this disabling disease. Read More

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http://dx.doi.org/10.3390/ijms18010171DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5297803PMC
January 2017
21 Reads

Anatomical templates of lymph node dissection for upper tract urothelial carcinoma: a systematic review of the literature.

Expert Rev Anticancer Ther 2017 Mar 6;17(3):235-246. Epub 2017 Feb 6.

a Department of Urology , Careggi Hospital, University of Florence , Florence , Italy.

Introduction: Indications and techniques of lymph node dissection (LND) for upper tract urothelial carcinoma (UTUC) are still controversial. Areas covered: In this study, a systematic review of the English-language literature was performed up to 1 July 2016 using the Medline, Scopus, Cochrane Library and Web of Sciences databases to provide a detailed overview of the most commonly dissected surgical templates of LND for UTUC according to laterality and location of the tumor. Overall, sixteen studies were analyzed. Read More

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http://dx.doi.org/10.1080/14737140.2017.1285232DOI Listing
March 2017
11 Reads

Role of spleen elastography in patients with chronic liver diseases.

World J Gastroenterol 2016 Sep;22(35):7857-67

Mariangela Giunta, Dario Conte, Mirella Fraquelli, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy.

The development of liver cirrhosis and portal hypertension (PH), one of its major complications, are structural and functional alterations of the liver, occurring in many patients with chronic liver diseases (CLD). Actually the progressive deposition of hepatic fibrosis has a key role in the prognosis of CLD patients. The subsequent development of PH leads to its major complications, such as ascites, hepatic encephalopathy, variceal bleeding and decompensation. Read More

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http://dx.doi.org/10.3748/wjg.v22.i35.7857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5028802PMC
September 2016
1 Read

Follicular Helper T Cells in Systemic Lupus Erythematosus: Why Should They Be Considered as Interesting Therapeutic Targets?

J Immunol Res 2016 22;2016:5767106. Epub 2016 Aug 22.

CNRS, Immunopathologie et Chimie Thérapeutique/Laboratory of Excellence MEDALIS, Institut de Biologie Moléculaire et Cellulaire, 67084 Strasbourg, France.

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by B cell hyperactivity leading to the production of autoantibodies, some of which having a deleterious effect. Reducing autoantibody production thus represents a way of controlling lupus pathogenesis, and a better understanding of the molecular and cellular factors involved in the differentiation of B cells into plasma cells could allow identifying new therapeutic targets. Follicular helper T cells (TFH) represent a distinct subset of CD4(+) T cells specialized in providing help to B cells. Read More

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http://dx.doi.org/10.1155/2016/5767106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011227PMC
March 2017
3 Reads

Lymph node staging in prostate cancer: perspective for the pathologist.

J Clin Pathol 2016 Dec 23;69(12):1039-1045. Epub 2016 Aug 23.

Department of Pathology, Laboratory Medicine Program, University Health Network, Toronto, Ontario, Canada.

Pelvic lymph node dissection (PLND) currently represents the gold standard method for nodal staging in the setting of localised prostate cancer and may also have a therapeutic benefit in certain patients. The histopathological evaluation of PLND specimens plays a critical role in accurate lymph node staging, however there is currently a lack of consensus regarding the optimum approach and no quality parameters are in place. In addition, there are no guidelines as to the handling of less commonly encountered nodal specimens such as those identified within the anterior fat pad. Read More

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http://dx.doi.org/10.1136/jclinpath-2016-203643DOI Listing
December 2016
3 Reads