63 research outputs found
Computer-assisted sacral tumor resection. A case report
Resection of sacral tumors is one of the most difficult
operations in orthopaedic oncology because complex imaging modalities is that intraoperative identification can
increase the accuracy of surgical resection. We report a case of
sacral chondrosarcoma in which computer-assisted surgery
provided intraoperative real-time imaging, thereby allowing us
to achieve adequate surgical margins while preserving the sacral
nerve roots. Additionally, the tumor resection was carried
out through a posterior approach only. The patient was informed
that data concerning the case would be submitted for
publication, and he consented.
anatomy and important internal organs in the pelvic
area make it difficult to achieve wide surgical margins1. Wide
resection of sacral tumors may lead to serious functional impairments
due to injury to important internal organs and/or
the lumbosacral nerve roots or through the disruption of loadbearing
through the sacroiliac joint.
Recent advances in diagnostic modalities facilitate better
surgical planning and can help in the performance of surgeries
as planned. Computer-assisted surgery has been used in orthopaedic
operations such as cruciate ligament reconstruction,
hip and knee arthroplasty, and pedicle screw placement. The
main advantage of computer-assisted navigation over othe
Spatially resolved penetration depth measurements and vortex manipulation in the ferromagnetic superconductor ErNi2B2C
We present a local probe study of the magnetic superconductor,
ErNiBC, using magnetic force microscopy at sub-Kelvin temperatures.
ErNiBC is an ideal system to explore the effects of concomitant
superconductivity and ferromagnetism. At 500 mK, far below the transition to a
weakly ferromagnetic state, we directly observe a structured magnetic
background on the micrometer scale. We determine spatially resolved absolute
values of the magnetic penetration depth and study its temperature
dependence as the system undergoes magnetic phase transitions from paramagnetic
to antiferromagnetic, and to weak ferromagnetic, all within the superconducting
regime. In addition, we estimate the absolute pinning force of Abrikosov
vortices, which shows a position- and temperature dependence as well, and
discuss the possibility of the purported spontaneous vortex formation
EMMPRIN expression is associated with metastatic progression in osteosarcoma
Background
Extracellular matrix metalloproteinase inducer (EMMPRIN), a cell-surface glycoprotein, is overexpressed in several cancer types. EMMPRIN induces a metastatic phenotype by triggering the production of matrix metalloproteinase proteins (MMPs) such as MMP1 and MMP2, and vascular endothelial growth factor (VEGF) in cancer cells and the surrounding stromal cells. The purpose of this study was to investigate the expression and role of EMMPRIN in osteosarcoma.
Methods
The level of EMMPRIN expression was evaluated using reverse transcriptase polymerase chain reaction (RT-PCR) in 6 tumor-derived osteosarcoma cell lines and compared with that in normal osteoblasts. To study the prognostic significance of EMMPRIN expression, immunohistochemistry was carried out in prechemotherapy biopsies of 54 patients. siRNA knockdown of EMMPRIN in SaOS-2 cells was conducted to explore the role of EMMPRIN. To study the role of EMMPRIN in tumor-stromal interaction in MMP production and invasion, co-culture of SaOS-2 cells with osteoblasts and fibroblasts was performed. Osteosarcoma 143B cells were injected into the tail vein of BALB/c mice and lung metastasis was analyzed.
Results
EMMRIN mRNA expression was significantly higher in 5 of 6 (83%) tumor-derived cells than in MG63 cells. 90% of specimens (50/54) stained positive for EMMPRIN by immunohistochemistry, and higher expression of EMMPRIN was associated with shorter metastasis-free survival (pā=ā0.023). Co-culture of SaOS-2 with osteoblasts resulted in increased production of pro-MMP2 and VEGF expression, which was inhibited by EMMPRIN-targeting siRNA. siRNA knockdown of EMMPRIN resulted in decreased invasion. EMMPRIN shRNA-transfected 143B cells showed decreased lung metastasis in vivo.
Conclusions
Our data suggest that EMMPRIN acts as a mediator of osteosarcoma metastasis by regulating MMP and VEGF production in cancer cells as well as stromal cells. EMMPRIN could serve as a therapeutic target in osteosarcoma.The authors declare that they have nothing to disclose. This study was supported by National Research Foundation of Korea Grant funded by the Korean Government (Grant no. 2009ā0136) and Doosan Yonkang Foundation (Grant no. 30ā2014-0120). The funding body had no role in the design of the study and collection, analysis, and interpretation of data and in writing this manuscript
Preoperative Factors Associated with Infiltrative Histologic Growth Patterns in Extremity Soft Tissue Sarcoma
Soft Tissue Reconstruction of the Foot Using the Distally Based Island Pedicle Flap after Resection of Malignant Melanoma
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