Parosteal osteosarcoma mimicking osteochondroma: A radio-histologic approach on two cases

<p>Abstract</p> <p>Objective</p> <p>Parosteal osteosarcoma is a well-differentiated variant of osteosarcoma that affects the surface of the bone. The imaging pattern is very typical. We report two cases mimicking an osteochondroma, radiologically and histologically and propose an explanation.</p> <p>Material</p> <p>The review of 86 parosteal osteosarcomas of bone revealed this atypical pattern only once. A consultation case was received in the same time, and added to ours. Patients were 28 years old and 56 years old females. Imaging studies included two radiographs, two CTscans, one MRI examination and one bone scan and the results were compared to histology.</p> <p>Results</p> <p>On imaging, both lesions presented as ossified lobulated masses attached with a broad base to the underlying cortex. No radiolucent cleft separated the masses and the host bone and cortex continuity between the mass and the femur was seen, with medullary communication. The marrow of the mass had a different density and intensity compared to normal marrow. So, there were features of an osteochondroma (cortex and medullary continuity) and of a parosteal osteosarcoma (ossified marrow). Pathological assessment on the final specimen confirmed the presence of low-grade parosteal osteosarcomas, after an erroneous diagnosis of osteochondroma on the initial biopsy.</p> <p>Conclusions</p> <p>Parosteal osteosarcoma can be rarely confused with osteochondroma. A radiologic-pathologic correlation is essential. Cortex continuity is the most misleading imaging feature that may occur in parosteal osteosarcomas. A knowledge of this misleading pattern will help diagnose the lesion from the beginning.</p

Host Recognition and Acceptance Behavior In 2 Aphid Parasitoid Species - Aphidius-ervi and Aphidius-microlophii (hymenoptera, Braconidae)

The host preference and acceptance behaviour of populations of Aphidius ervi Haliday and A. microlophii Pennacchio & Tremblay from southern Italy was investigated. In no host-choice conditions, A. ervi females showed significantly higher attack and oviposition rates on the natural host Acyrthosiphon pisum (Harris) than on the non-host aphid Microlophium carnosum (Buckton) (Homoptera: Aphididae). In contrast, A. microlophii, which specifically parasitizes M. carnosum in the field, attacked both aphid species. However, dissections showed that oviposition of A. microlophii occurred only in a few of the attacked Acyrthosiphon pisum and was significantly less frequent than in M. carnosum. These results were confirmed in experimental host-choice conditions, suggesting that Aphidius microlophii oviposition is possibly regulated by a host haemolymphatic kairomone. Hybrids obtained by crossing A. ervi females with A. microlophii males attacked and oviposited in both aphid species, suggesting that these behavioural events have a strong genetic basis. The oviposition into host or non-host aphids did not elicit an immune defence reaction. The presence of the host's food-plant had no evident close-range effects on parasitoid attack and oviposition in non-host aphids. Aphidius microlophii reared on the non-host aphid Acyrthosiphon pisum produced a significant higher number of mummies after a few generations, suggesting a possible role of larval and early adult conditioning in the host selection process. These results, together with those from previous studies, suggest that Aphidius ervi is best considered as a complex of differentiated populations, characterized by a varying degree of genetic divergence

Cerebrospinal fluid neuron-specific enolase: a further marker of Alzheimer’s disease?

To investigate whether neuron-specific enolase (NSE) plays a role in dementia, we measured cerebrospinal fluid (CSF) concentrations of NSE, Abeta42 and total protein tau (h-tau) in different dementia patients. We studied 159 patients: 76 with Alzheimer’s disease (AD), 35 with mild cognitive impairment (MCI), 28 with fronto-temporal dementia (FTD), and 20 with Lewy body disease (LBD). Thirty healthy age-matched subjects were studied as controls. NSE was measured by immunoradiometric assay, Abeta42 and h-tau were dosed by ELISA assay. Mean CSF NSE was significantly higher in AD (15.1±9.9 ng/ml) than in controls (8.3±3.5 ng/ml, p<0.01), FTD (9.1±6.1 ng/ml, p<0.05) and MCI (9.7±7.8 ng/ml, p<0.05). Ab42 was significantly lower in AD (413.8±163.7 pg/ml) than in MCI (708.4±422.1 pg/ml, p<0.001) and controls (914.4±277.1 pg/ml, p<0.05); it was also significantly reduced in FTD (497.1±221.9 pg/ml) versus MCI (p<0.05) and controls (p<0.001); and in LBD patients (477.1±225.7 pg/ml) compared with MCI (p<0.05) and controls (p<0.001). H-tau concentration was significantly higher in AD (607.9±372.3 pg/ml, p<0.001) than in MCI (383.8±277.9 pg/ml, p<0.05), controls (176.6±43.9 pg/ml, p<0.001) and LBD (472.3±357.7 pg/ml, p<0.05); it was also increased in FTD (541.76±362.8 pg/ml) versus controls (176.6±43.9 pg/ml, p<0.001). Furthermore, NSE was inversely correlated with Ab42 (r=-0.333, p=0<0001) and directly correlated with h-tau (r=0.370, p=0<0001). In conclusion, CSF NSE emerged as a specific indicator of AD and showed the same behaviour as the other accepted markers of AD, being correlated with both biomarker

Use of Physical Activity and Exercise to Reduce Inflammation in Children and Adolescents with Obesity

Childhood obesity is a leading public health problem worldwide, as it is increasingly prevalent and therefore responsible for serious obesity-related comorbidities, not only in childhood but also in adulthood. In addition to cardio-metabolic obesity-related disorders, recent evidence suggests that excess adipose tissue in turn is associated with immune cell infiltration, increased adipokine release, and the development of low-grade systemic inflammation obesity. Exercise is considered a non-pharmacological intervention that can delay obesity-related comorbidities, improving cardiovascular fitness and modulating the inflammatory processes. It has been reported that the anti-inflammatory effect of regular exercise may be mediated by a reduction in visceral fat mass, with a subsequent decrease in the release of adipokines from adipose tissue (AT) and/or by the induction of an anti-inflammatory environment. In this narrative review, we discuss the role of AT as an endocrine organ associated with chronic inflammation and its role in obesity-related complications, focusing on the effect of exercise in reducing inflammation in children and adolescents with obesity. Regular physical exercise must be considered as a natural part of a healthy lifestyle, and promoting physical activity starting from childhood is useful to limit the negative effects of obesity on health. The crucial role of the immune system in the development of obesity-induced inflammatory processes and the efficacy of exercise as an anti-inflammatory, non-pharmacological intervention may provide possible targets for the development of new treatments and early preventive strategies

Incremental value of amyloid-PET versus CSF in the diagnosis of Alzheimer's disease

To compare the incremental diagnostic value of amyloid-PET and CSF (Aβ42, tau, and phospho-tau) in AD diagnosis in patients with mild cognitive impairment (MCI) or mild dementia, in order to improve the definition of diagnostic algorithm