Giant gastrointestinal stromal tumor of the proximal ileum
We report a case of a 65-years-old male patient who presented a mass in the proximal ileum found by exploratory laparotomy. The patient underwent a segmental enterectomy with total resection of the tumor and free surgical margins with the pathological diagnosis of GIST, confirmed by immunohistochemistry (CD117).RESUMEN Los tumores del estroma gastrointestinal (GIST) son raros, consisten en neoplasias de origen mesod érmico del tracto gastrointestinal y pueden acometer cualquier parte del tracto gastrointestinal, siendo más frecuentes en el estómago. Reportamos el caso de un paciente varón, de 65 años de edad, con una ...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - September 3, 2019 Category: Pathology Source Type: research

Rastreabilidade em medicina laboratorial: um estímulo global para resultados exatos no cuidado com o paciente
RESUMO Os resultados da medicina laboratorial influenciam uma alta porcentagem das decis ões tomadas pelos médicos. A globalização requer que os resultados obtidos por métodos diferentes sejam concordantes, garantindo a segurança do paciente. É necessário haver colaboração internacional para difundir essa exigência. Essa colaboração deve basear-se na rastreabilidade da medi cina laboratorial, bem como na adoção de procedimentos de medição e materiais de referência de alta hierarquia metrológica e que sejam comutáveis internacionalmente. A aplicação da cadeia de rastreabilidade metrológica facilita es...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - September 3, 2019 Category: Pathology Source Type: research

Clinical, laboratorial diagnosis and prophylaxis of measles in Brazil
ABSTRACT Measles is an acute febrile exanthematic disease of viral etiology, highly contagious, being the cause of morbidity and mortality of children in developing countries, whereas it has become rarer in developed countries due to vaccination. Its differential diagnosis should be made with other childhood viral respiratory diseases such as influenza, rhinovirus and adenovirus, and exanthematic febrile diseases such as rubella, roseola and varicella. In tropical regions, it should be performed with dengue, zika and chikungunya. Its clinical picture presents the following phases: incubation, usually asymptomatic; a prodro...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - September 3, 2019 Category: Pathology Source Type: research

Aquios CL flow cytometer performance in the automated quantification of lymphocyte subpopulations
In this study, the Aquios CL was validated, and quantification in frequency and absolute numbers of the lymphocyte subpopulations had an excellent correlation with the results obtained by the dual platform quantification performed in the Cytomics FC500 (BC) and automated Sysmex XE-2100 cell analyzer.RESUMEN La citometr ía de flujo (CF) es una herramienta importante para diagnóstico, pronóstico y seguimiento terapéutico de diversas neoplasias hematológicas. Además, posibilita la cuantificación de las subpoblaciones linfocitarias (SPL) para asistencia diagnóstica y monitoreo de las inmunodeficiencias primari as y adq...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - September 3, 2019 Category: Pathology Source Type: research

The influence of different types of fasting on lipid profile of volunteers from a city of Rio Grande do Sul, Brazil
Conclusion: These data suggest that TG and LDL-c levels are the fractions with greater susceptibility to variations when they are collected without prior fasting.RESUMEN Introducci ón: La determinación del perfil lipídico incluye los triglicéridos (TG), colesterol total y fracciones del colesterol de la lipoproteína de alta densidad (HDL-c) y colesterol de la lipoproteína de baja densidad (LDL-c). Eses parámetros son muy valiosos en la evaluación del riesgo cardiovascu lar. Sin embargo, algunos factores preanalíticos, como el estado de ayuno, pueden interferir en los resultados de esos exámenes. Objetivo: Evalu...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - September 3, 2019 Category: Pathology Source Type: research

Longitudinal analysis of laboratory tests in a population-based study
ABSTRACT Clinical laboratories must have quality management systems that guarantee the reliability of their results. Furthermore, in longitudinal studies, it is important that the generated data be analyzed over time, as an additional measure of quality control (QC), seeking to identify fluctuations not explainable by biological variables. Applying this strategy to the SHIP-Brazil study was the aim of this work. Thus, we analyzed the results of fasting glucose, post-load glucose and glycated hemoglobin in the participants of the SHIP-Brazil study, from July 2014 to November 2016, in relation to the following aspects: diffe...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - September 3, 2019 Category: Pathology Source Type: research

Comparative analysis of blood cell counters and free mobile applications in differential leukocyte count
ABSTRACT The inflammatory response represents a fundamental component of the tumor microenvironment and is responsible for mediating the biological communication network and the molecular signal flow that characterize the neoplastic tissue. Thus, influenced by the inflammatory process, neoplastic and non-neoplastic cells (recruited stromal and circulating cells) interact in a autocrine and paracrine mechanism to control, delineate and model the tumor growth, which is driven by a dynamic mechanism of production of cytokine, growth factors and remodeling enzymes of the extracellular matrix, creating a system of multidirectio...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 2, 2019 Category: Pathology Source Type: research

The unusual paradox of cancer-associated inflammation: an update
ABSTRACT The inflammatory response represents a fundamental component of the tumor microenvironment and is responsible for mediating the biological communication network and the molecular signal flow that characterize the neoplastic tissue. Thus, influenced by the inflammatory process, neoplastic and non-neoplastic cells (recruited stromal and circulating cells) interact in a autocrine and paracrine mechanism to control, delineate and model the tumor growth, which is driven by a dynamic mechanism of production of cytokine, growth factors and remodeling enzymes of the extracellular matrix, creating a system of multidirectio...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 2, 2019 Category: Pathology Source Type: research

Hyperplastic dental follicle: case report
ABSTRACT The dental follicle is characterized as a radiolucent area around an impacted tooth. It is believed that these follicles can originate cysts and tumors. The aim of this study was to report a clinical case of a 15-year-old female, normosystemic patient, with an increased dental follicle involving the crown of the tooth 48, which was removed and referred for histopathological examination. The diagnosis hypothesis was dentigerous cyst, but the histopathological report describes a definitive diagnosis of dental follicle. After six months of postoperative follow-up the patient presented no signs of relapse or complaint...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 2, 2019 Category: Pathology Source Type: research

Concomitance of Aids and cysticercosis in autopsies
The objective of the present study was to report the concomitance of cysticercosis and acquired immunodeficiency syndrome (Aids) in autopsied patients at a school hospital in Minas Gerais State, Brazil. Cysticercosis can be seen in patients with Aids, who may or may not present symptoms according to their immunological state. Therefore, it is necessary that cysticercosis be included in the list of opportunistic infections, and that more studies be carried out for a better understanding of this coinfection.RESUMEN El objetivo del presente trabajo es reportar la concomitancia entre cisticercosis y el s índrome de inmunodefi...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 2, 2019 Category: Pathology Source Type: research

Case report of staghorn calculi in a pediatric patient
This article reports a case of large volume asymptomatic staghorn calculus, and a brief revision of this rare pathology is done. A two-yearold male patient was diagnosed with staghorn calculus and hydronephrosis in the left kidney. The patient underwent surgical therapy with pyelolithotomy, pyeloplasty and placement of a double-J catheter, without complications. Staghorn calculi occupy the pelvis and renal calyces. Their incidence in children is lower than in adults. The average age at diagnosis is between 7 and 10 years. The etiology for calculi is diverse; in children under 4 years, it is especially related with infectio...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 2, 2019 Category: Pathology Source Type: research

Nodular fasciitis: case report
ABSTRACT Nodular fasciitis (NF) is a rare fibroblast proliferation of unknown etiology, with benign, rapid clonal growth, from a superficial fascia to the subcutaneous tissue or an adjacent muscular layer. Also known as pseudosarcomatous fasciitis, this clinical syndrome is characterized as a solitary mass of hardened consistency, painless palpation and no gender preference. The definitive diagnosis is made by immunohistochemistry and surgery is the treatment of choice.RESUMEN La fascitis nodular (FN) es una lesi ón proliferativa fibroblástica rara, de etiología desconocida, naturaleza benigna, crecimiento rápido y pro...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 2, 2019 Category: Pathology Source Type: research

Congenital granular cell epulis: case report and differential diagnosis
ABSTRACT A 16-days-old female patient exhibiting an exophytic nodular lesion located at anterior maxilla on the alveolar ridge since birth. The clinical hypothesis of congenital granular cell epulis (CGCE) was established, and the patient underwent excisional biopsy. Microscopically, a sheet-like proliferation of eosinophilic cells with granular cytoplasm was observed in a stroma of vascularized fibrous connective tissue. The immunohistochemical analysis for S100 evidenced the absence of immunostaining. The CGCE hypothesis was confirmed and, after six months, the patient showed no signs of recurrence of the lesion.RESUMEN ...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 2, 2019 Category: Pathology Source Type: research

Automated immature granulocyte count in patients of the intensive care unit with suspected infection
Conclusion: RI of IG% and IG# showed high sensitivity and are useful in screening for infection in ICU patients. The CVs demonstrated by the ROC curves showed high specificity and are helpful on the exclusion of sepsis diagnosis in ICU patients. IG was shown to be useful for screening and confirmation of infection in ICU patients.RESUMEN Introducci ón: Diagnosticar infecciones en pacientes de la unidad de cuidados intensivos (UCI) es de suma importancia para proporcionar el tratamiento adecuado. El contaje automatizado de granulocitos inmaduros (GI) en analizadores hematológicos es rápido y sin costes adicionales. La e...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 2, 2019 Category: Pathology Source Type: research

Assessment of cytological and biochemical parameters stability in cerebrospinal fluid
Conclusion: The results suggest that the storage of CSF samples for 12 hours at room temperature does not significantly compromise clinical interpretation. Future studies are still required in order to evaluate the behavior of these parameters in samples of cell counts closer to boundered values.RESUMEN Objetivo: El objetivo de este estudio fue evaluar la estabilidad, en 12 horas, de par ámetros citológicos y bioquímicos del líquido cefalorraquídeo (LCR). Métodos: Muestras del LCR fueron alicuotadas en cinco viales diferentes y almacenadas a temperatura ambiente. La primera alícuota fue inmediatamente analizada y ...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 2, 2019 Category: Pathology Source Type: research