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Mitsigiorgi R, Reif J, Anthuber C, Tympner C. Teratom der linken Tube – ein seltener Befund während einer Sectio. Geburtshilfe Frauenheilkd 2022. [DOI: 10.1055/s-0042-1749064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
| | - J Reif
- Frauenklinik, Klinikum Starnberg, Starnberg
| | - C Anthuber
- Frauenklinik, Klinikum Starnberg, Starnberg
| | - C Tympner
- Gemeinschaftspraxis Pathologie, Starnberg
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Siokou FS, Schweyer S, Tympner C, Walz C, Ganzer R. Burned-out testicular seminoma with retroperitoneal metastasis and contralateral sertoli cell-only syndrome. Asian J Urol 2021; 9:343-345. [PMID: 36035355 PMCID: PMC9399533 DOI: 10.1016/j.ajur.2021.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Jacoby D, Hübener C, Deppe C, Fürst S, Flemmer AW, Tympner C, Hasbargen U. Intrauteriner Fruchttod durch B-Streptokokken (GBS) Sepsis, Fallbericht. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Karl A, Buchner A, Tympner C, Kirchner T, Ganswindt U, Belka C, Ganzer R, Wieland W, Eder F, Hofstädter F, Schilling D, Sievert KD, Stenzl A, Scharpf M, Fend F, vom Dorp F, Rübben H, Schmid KW, Porres-Knoblauch D, Heidenreich A, Hangarter B, Knüchel-Clarke R, Rogenhofer M, Wullich B, Hartmann A, Comploj E, Pycha A, Hanspeter E, Pehrke D, Sauter G, Graefen M, Gratzke C, Stief C, Wiegel T, Haese A. Risk and timing of biochemical recurrence in pT3aN0/Nx prostate cancer with positive surgical margin – A multicenter study. Radiother Oncol 2015; 116:119-24. [DOI: 10.1016/j.radonc.2015.06.021] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2015] [Revised: 06/10/2015] [Accepted: 06/17/2015] [Indexed: 11/26/2022]
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Velroyen A, Bech M, Zanette I, Schwarz J, Rack A, Tympner C, Herrler T, Staab-Weijnitz C, Braunagel M, Reiser M, Bamberg F, Pfeiffer F, Notohamiprodjo M. X-ray phase-contrast tomography of renal ischemia-reperfusion damage. PLoS One 2014; 9:e109562. [PMID: 25299243 PMCID: PMC4192129 DOI: 10.1371/journal.pone.0109562] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2014] [Accepted: 09/02/2014] [Indexed: 01/28/2023] Open
Abstract
Purpose The aim of the study was to investigate microstructural changes occurring in unilateral renal ischemia-reperfusion injury in a murine animal model using synchrotron radiation. Material and Methods The effects of renal ischemia-reperfusion were investigated in a murine animal model of unilateral ischemia. Kidney samples were harvested on day 18. Grating-Based Phase-Contrast Imaging (GB-PCI) of the paraffin-embedded kidney samples was performed at a Synchrotron Radiation Facility (beam energy of 19 keV). To obtain phase information, a two-grating Talbot interferometer was used applying the phase stepping technique. The imaging system provided an effective pixel size of 7.5 µm. The resulting attenuation and differential phase projections were tomographically reconstructed using filtered back-projection. Semi-automated segmentation and volumetry and correlation to histopathology were performed. Results GB-PCI provided good discrimination of the cortex, outer and inner medulla in non-ischemic control kidneys. Post-ischemic kidneys showed a reduced compartmental differentiation, particularly of the outer stripe of the outer medulla, which could not be differentiated from the inner stripe. Compared to the contralateral kidney, after ischemia a volume loss was detected, while the inner medulla mainly retained its volume (ratio 0.94). Post-ischemic kidneys exhibited severe tissue damage as evidenced by tubular atrophy and dilatation, moderate inflammatory infiltration, loss of brush borders and tubular protein cylinders. Conclusion In conclusion GB-PCI with synchrotron radiation allows for non-destructive microstructural assessment of parenchymal kidney disease and vessel architecture. If translation to lab-based approaches generates sufficient density resolution, and with a time-optimized image analysis protocol, GB-PCI may ultimately serve as a non-invasive, non-enhanced alternative for imaging of pathological changes of the kidney.
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Affiliation(s)
- Astrid Velroyen
- Chair of Biomedical Physics, Department of Physics (E17), Munich, Bavaria, Germany
| | - Martin Bech
- Chair of Biomedical Physics, Department of Physics (E17), Munich, Bavaria, Germany
- Medical Radiation Physics, Lund University, Lund, Sweden
| | - Irene Zanette
- Chair of Biomedical Physics, Department of Physics (E17), Munich, Bavaria, Germany
| | - Jolanda Schwarz
- Chair of Biomedical Physics, Department of Physics (E17), Munich, Bavaria, Germany
| | - Alexander Rack
- European Synchrotron Radiation Facility, Grenoble, France
| | - Christiane Tympner
- Institute of Pathology, Ludwig-Maximilians-University Munich, Munich, Germany
| | - Tanja Herrler
- Department of General, Trauma, Hand, and Plastic Surgery, Ludwig-Maximilians-University Hospital Munich, Munich, Germany
| | - Claudia Staab-Weijnitz
- Institute for Clinical Radiology, University Hospitals Munich, Munich, Germany
- Comprehensive Pneumology Center, University Hospital, Ludwig-Maximilians-University and Helmholtz Zentrum Munich, Munich, Germany
| | - Margarita Braunagel
- Institute for Clinical Radiology, University Hospitals Munich, Munich, Germany
| | - Maximilian Reiser
- Institute for Clinical Radiology, University Hospitals Munich, Munich, Germany
| | - Fabian Bamberg
- Institute for Clinical Radiology, University Hospitals Munich, Munich, Germany
- Department of Radiology, University Hospital Tuebingen, Tuebingen, Germany
| | - Franz Pfeiffer
- Chair of Biomedical Physics, Department of Physics (E17), Munich, Bavaria, Germany
| | - Mike Notohamiprodjo
- Institute for Clinical Radiology, University Hospitals Munich, Munich, Germany
- Department of Radiology, University Hospital Tuebingen, Tuebingen, Germany
- * E-mail:
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Karl A, Buchner A, Stief C, Tympner C, Kirchner T, Ganswindt U, Belka C, Ganzer R, Wieland W, Eder F, Hofstädter F, Schilling D, Sievert KD, Stenzl A, Scharpf M, Fend F, Dorp FV, Hess J, Rübben H, Schmid KW, Porres-Knoblauch D, Heidenreich A, Hangarter B, Knüchel-Clarke R, Rogenhofer M, Wullich B, Hartmann A, Comploj E, Pycha A, Hanspeter E, Pehrke D, Sauter G, Greafen M, Haese A. MP51-17 IS EVERY PT3A-PROSTATE CANCER (PCA) WITH POSITIVE SURGICAL MARGIN A CANDIDATE FOR ADJUVANT RADIATION (ARTX)? INDIVIDUAL RISK ASSESSMENT BASED ON A PATHOLOGICAL GLEASON SCORE PREDICTIVE MODEL – A MULTICENTRE STUDY. J Urol 2014. [DOI: 10.1016/j.juro.2014.02.1673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Götzberger M, Bufler P, Häberle B, Tympner C, Schweinitz DV, Koletzko S, Eigler A. Raumforderung des Pankreaskopfes bei einem 15-jährigen Mädchen. Z Gastroenterol 2007. [DOI: 10.1055/s-2007-992705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Mühling O, El-Nounou M, Schäfer C, Mühlbayer D, Tympner C, Behr J. 52-jährige Patientin mit positivem Troponin, Eisenmangelanämie und bekannter Sarkoidose. Internist (Berl) 2006; 47:1279-82. [PMID: 17075708 DOI: 10.1007/s00108-006-1729-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
We report on a 52-year-old female patient with recurrent neurosarcoidosis and an "atypical" course of celiac disease, with mild clinic features, positive IgA-antibodies and histology. In our patient, the IgA-antibodies led to a false positive troponin I test, and we initially suspected an acute coronary syndrome. With dietary treatment of the celiac disease, the antibodies decreased and the troponin I test became negative. The coincidental occurrence of sarcoidosis and "potential" celiac disease (positive antibodies only) has been reported. The coincidence of an "atypical" celiac disease and sarcoidosis is rare.
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Affiliation(s)
- O Mühling
- Medizinische Klinik und Poliklinik I, Ludwig-Maximilians-Universität München, München.
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Schulmann K, Brasch FE, Kunstmann E, Engel C, Pagenstecher C, Vogelsang H, Krüger S, Vogel T, Knaebel HP, Rüschoff J, Hahn SA, Knebel-Doeberitz MV, Moeslein G, Meltzer SJ, Schackert HK, Tympner C, Mangold E, Schmiegel W. HNPCC-associated small bowel cancer: clinical and molecular characteristics. Gastroenterology 2005; 128:590-9. [PMID: 15765394 DOI: 10.1053/j.gastro.2004.12.051] [Citation(s) in RCA: 128] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND & AIMS The risk for small bowel cancer (SBC) is significantly increased in hereditary nonpolyposis colorectal cancer (HNPCC). HNPCC-associated SBCs are poorly characterized. METHODS Thirty-two SBCs were characterized according to clinical, pathologic, and germline mutation data. Histomorphologic characteristics, microsatellite instability (MSI) testing, mismatch repair (MMR) protein expression, and frameshift mutations of 7 coding mononucleotide repeats were investigated in 17 SBCs. RESULTS Median age at diagnosis was 39 years. Fifty percent of SBCs were located in the duodenum. The Amsterdam criteria were fulfilled in 50% of patients; 45% of patients had no personal history of previous malignancies. Two patients had a positive family history for SBC. Pathogenic germline mutations were identified in 81%; high MSI was detected in 95% and loss of MMR protein expression in 89% of cases. TGFBR2 , BAX , MSH3 , MSH6 , ACVR2 , AIM2 , and SEC63 frameshift mutations were detected in 69%, 59%, 59%, 35%, 82%, 56%, and 56%, respectively. An expansive growth pattern of the tumor border and an intense intratumoral lymphocytic infiltrate were present in 75%, respectively. CONCLUSIONS HNPCC-associated SBC often manifests at a young age and may be the first disease manifestation. Endoscopy may detect 50% of tumors. Considering recent data on gastric cancer, we propose endoscopic screening of mutation carriers starting at 30 years of age because clinical criteria cannot define a high-risk group. In addition, our study shows that histopathologic criteria, MSI, and MMR immunohistochemistry are often similar to these features in HNPCC.
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Affiliation(s)
- Karsten Schulmann
- Department of Medicine, Knappschaftskrankenhaus, Ruhr-University Bochum, Bochum, Germany
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Nickenig C, Schürmann M, Waggershauser T, Tympner C, Grabein B, Hiddemann W. [41-year-old patient after liver transplantation with acute abdominal pain]. Internist (Berl) 2002; 43:995-8. [PMID: 12243060 DOI: 10.1007/s00108-002-0532-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- C Nickenig
- Medizinische Klinik und Poliklinik III, Ludwig-Maximilians-Universität München, Grosshadern, Marchinoninistrasse 15, 81377 München
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