1
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Keteyian AJ, Shem D, Shupak RP, Peters SM. Diffusely erythematous and hemorrhagic gingiva. J Am Dent Assoc 2024; 155:349-352. [PMID: 37318398 DOI: 10.1016/j.adaj.2023.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 04/17/2023] [Accepted: 04/18/2023] [Indexed: 06/16/2023]
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2
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Rosen AS, Sarmiento HL, Rosen PS, Peters SM. Multifocal mixed radiolucent-radiopaque lesions in an adult. J Am Dent Assoc 2024; 155:184-188. [PMID: 36543654 DOI: 10.1016/j.adaj.2022.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 10/31/2022] [Accepted: 11/01/2022] [Indexed: 12/24/2022]
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3
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Trinh K, Lee KC, Eisig SB, Peters SM. Progressively enlarging midline cystic mass of the floor of the mouth in an infant. J Am Dent Assoc 2024; 155:74-78. [PMID: 36526452 DOI: 10.1016/j.adaj.2022.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 09/02/2022] [Accepted: 10/14/2022] [Indexed: 12/15/2022]
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4
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Clarkson E, Hadioonzadeh R, Peters SM. Treatment of Oral Dysplasia. Dent Clin North Am 2024; 68:133-149. [PMID: 37951630 DOI: 10.1016/j.cden.2023.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2023]
Abstract
Oral epithelial dysplasia refers to a premalignant lesion of the oral cavity. The diagnosis of dysplasia is rendered via pathologic assessment of diseased tissue. There are many different premalignant conditions identified in the oral cavity. These include leukoplakias, erythroplakias, proliferative verrucous leukoplakia, oral submucosal fibrosis, actinic cheilitis, and lichen planus. This article will discuss these different conditions and how they are diagnosed. It will also review the treatment for these entities.
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Affiliation(s)
- Earl Clarkson
- Oral and Maxillofacial Surgery, Woodhull Medical Center, Brooklyn, NY, USA
| | - Reza Hadioonzadeh
- Oral and Maxillofacial Pathology, Geisinger Medical Center, Wilkes-Barre, PA, USA
| | - Scott M Peters
- Oral and Maxillofacial Surgery, Woodhull Medical Center, Brooklyn, NY, USA.
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5
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Sahu A, Koutrakis NE, Vasilyeva D, Peters SM. Painless lip sore in a young male. J Am Dent Assoc 2023; 154:948-952. [PMID: 35970672 DOI: 10.1016/j.adaj.2022.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 06/27/2022] [Accepted: 07/04/2022] [Indexed: 11/16/2022]
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6
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Abstract
Ulcerated and inflammatory lesions of the oral mucosa are not rare. A detailed patient medical and social history including habits and abuses, as well as the duration, location, focality and presence, or lack of local and/or systemic symptoms is critical in establishing a proper diagnosis. This article discusses the clinical presentation, management, and histopathologic characteristics of a variety of ulcerative and inflammatory lesions seen in the oral cavity.
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Affiliation(s)
- Elizabeth M Philipone
- Division of Oral and Maxillofacial Pathology, Columbia University Irving Medical Center, New York, NY 10032, USA.
| | - Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University Irving Medical Center, New York, NY 10032, USA
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7
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Peters SM, Hill NB, Halepas S. Oral Manifestations of Monkeypox: A Report of 2 Cases. J Oral Maxillofac Surg 2022; 80:1836-1840. [PMID: 36055370 PMCID: PMC9528233 DOI: 10.1016/j.joms.2022.07.147] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 07/20/2022] [Accepted: 07/27/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Scott M Peters
- Assistant Professor, Oral & Maxillofacial Pathology, Columbia University Irving Medical Center, New York, NY.
| | - Nicholas B Hill
- Private Practice, Oral & Maxillofacial Surgery, Washington, District of Columbia
| | - Steven Halepas
- Resident, Oral & Maxillofacial Surgery, Columbia University Irving Medical Center, New York, NY
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8
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Lee KC, Peters SM. Bilateral Linear Oral Ulcerations and Facial Swelling in a Young Woman. JAMA Otolaryngol Head Neck Surg 2022; 148:371-372. [PMID: 35113144 DOI: 10.1001/jamaoto.2021.4212] [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: 11/14/2022]
Affiliation(s)
- Kevin C Lee
- Department of Oral and Maxillofacial Surgery, Columbia University Irving Medical Center, New York, New York
| | - Scott M Peters
- Department of Oral and Maxillofacial Surgery, Columbia University Irving Medical Center, New York, New York
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9
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Koutrakis NE, Sahu A, Vasilyeva D, Peters SM. Orofacial sarcoidosis: report of three cases. J Oral Med Oral Surg 2022. [DOI: 10.1051/mbcb/2022009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Introduction: Sarcoidosis is a systemic non-caseating granulomatous disorder of unknown etiology that may affect multiple organ systems. Head and neck involvement can present in unusual and often nonspecific ways. Observations: We report three cases of sarcoidosis with orofacial manifestations: one African American patient with an existing diagnosis who presented with perioral cutaneous involvement by sarcoidosis, and two Caucasian patients with cases where the initial oral presentation – diffusely affected gingiva in one and intraosseous jaw involvement with resultant dental implant failure in the other – led to workup and establishment of the diagnosis of sarcoidosis. The patients were referred to rheumatology and dermatology for appropriate treatment. Conclusion: Although oral lesions of sarcoidosis are not common, they may be the first clinical manifestation of sarcoidosis. The practitioner should be aware of the possible manifestations and be able to formulate an informed clinical differential diagnosis.
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10
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Yaminian JB, Peters SM. Ulcerated gingival mass in a 45-year-old woman. J Am Dent Assoc 2021; 153:1006-1009. [PMID: 34656293 DOI: 10.1016/j.adaj.2021.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 06/09/2021] [Accepted: 07/08/2021] [Indexed: 11/17/2022]
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11
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Silver E, Lazow SK, Peters SM, Solomon M, Yusupov S. Secretory Carcinoma of the Salivary Gland - Systematic Review of the Literature and Report of 2 Cases. J Oral Maxillofac Surg 2021; 80:101-112. [PMID: 34653372 DOI: 10.1016/j.joms.2021.08.155] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 08/19/2021] [Accepted: 08/19/2021] [Indexed: 01/16/2023]
Abstract
PURPOSE Secretory carcinoma (SC) of the salivary gland, formerly known as mammary analogue secretory carcinoma, is an uncommon and fairly newly described low grade malignant neoplasm of the salivary gland. Given the small number of cases reported in the literature to date, treatment guidelines are scarce. This study aimed to describe the clinical characteristics of SC, discuss prior management strategies, and provide recommendations for future treatment. METHODS We performed a systematic review of all the cases of SC reported in the literature since it was first recognized in 2010. Using Pubmed, Crossref, and Google Scholar, we identified all articles reporting cases of SC. RESULTS We identified 657 cases of SC in 109 articles. In addition, we provided 2 new cases, for a total of 659 cases in 110 articles. To our knowledge, this is the largest review of cases of SC in the literature to date. We summarized the clinical characteristics of SC, as well as the nodal status, clinical management, recurrence rate, and death rate. CONCLUSIONS SC occurs on average in middle age (with a large age range), presents most often initially as localized disease without metastasis, and has a low but not insignificant recurrence rate. Deaths have been reported. The generalized recommendations for treatment of SC are in line with those of other low-grade salivary gland malignancies.
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Affiliation(s)
- Eric Silver
- Resident, Oral and Maxillofacial Surgery, Kings County Hospital Center, Brooklyn, NY.
| | - Stewart K Lazow
- Professor and Vice-Chairman, Oral Maxillofacial Surgery Program Director, Retired, Kings County Hospital Center/SUNY Brooklyn, Brooklyn, NY
| | - Scott M Peters
- Assistant Professor, Oral Pathology, Columbia University, New York, NY
| | - Marshall Solomon
- Professor Emeritus, Oral Maxillofacial Pathology, Kings County Hospital Center, Brooklyn, NY
| | - Steve Yusupov
- Director, Oral and Maxillofacial Oncology, Staten Island University Hospital/Northwell Health, Staten Island, NY
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12
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Larmie J, Vasilyeva D, Peters SM. Palatal swelling in an 84-year-old woman. J Am Dent Assoc 2021; 153:894-898. [PMID: 34489070 DOI: 10.1016/j.adaj.2021.06.013] [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] [Received: 03/10/2021] [Revised: 06/03/2021] [Accepted: 06/19/2021] [Indexed: 10/20/2022]
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13
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Stanbouly D, Canterbury CR, Peters SM. A Pigmented Lesion on the Palate. JAMA Otolaryngol Head Neck Surg 2021; 146:758-759. [PMID: 32584378 DOI: 10.1001/jamaoto.2020.1268] [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: 11/14/2022]
Affiliation(s)
- Dani Stanbouly
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, New York
| | - Carleigh R Canterbury
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, New York
| | - Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, New York
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14
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Stanbouly D, Shackelford AJ, Peters SM. Diffuse palatal pigmentation. J Am Dent Assoc 2021; 152:1054-1057. [PMID: 33461730 DOI: 10.1016/j.adaj.2020.10.004] [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] [Received: 07/29/2020] [Revised: 09/25/2020] [Accepted: 10/12/2020] [Indexed: 10/22/2022]
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15
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Peters SM, Lee KC, Perrino MA. Diffuse Palatal Swelling in a Woman in Her 60s. JAMA Otolaryngol Head Neck Surg 2021; 146:304-305. [PMID: 31895440 DOI: 10.1001/jamaoto.2019.3993] [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: 11/14/2022]
Affiliation(s)
- Scott M Peters
- Division of Oral and Maxillofacial Pathology, Department of Oral and Maxillofacial Surgery, Columbia University Irving Medical Center, New York, New York
| | - Kevin C Lee
- Department of Oral and Maxillofacial Surgery, Columbia University Irving Medical Center, New York, New York
| | - Michael A Perrino
- Department of Oral and Maxillofacial Surgery, Columbia University Irving Medical Center, New York, New York
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16
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Halepas S, Lee KC, Myers A, Yoon RK, Chung W, Peters SM. Oral manifestations of COVID-2019-related multisystem inflammatory syndrome in children: a review of 47 pediatric patients. J Am Dent Assoc 2020; 152:202-208. [PMID: 33632409 PMCID: PMC7832615 DOI: 10.1016/j.adaj.2020.11.014] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 10/21/2020] [Accepted: 11/23/2020] [Indexed: 12/20/2022]
Abstract
Background Although much is still unknown about the full effects of COVID-19, literature from the early stages of the COVID-19 pandemic (spring and summer 2020) supports a postviral immunologic reaction resulting in a multisystem inflammatory syndrome in children (MIS-C). The purpose of this study was to report the rates of documented oral and oropharyngeal manifestations among these patients and to determine the association of these findings with other MIS-C symptoms. Methods The authors conducted a retrospective review of pediatric patients with COVID-19 who were admitted to the Morgan Stanley Children’s Hospital of NewYork-Presbyterian. Patients fulfilling the Centers for Disease Control and Prevention criteria for MIS-C were included in this study. The documented signs, symptoms, and laboratory values were collected and compared with the presence of oral or oropharyngeal findings. Results The mean (standard deviation) age of MIS-C patients was 9.0 (5.0) years (range, 1.3-20.0 years), and there was no obvious sex difference (51.1% male, 48.9% female). With respect to oral findings, 23 patients (48.9%) had red or swollen lips, whereas only 5 (10.6%) had a strawberry tongue. Oral or oropharyngeal findings were associated significantly with the presence of systemic rash (P = .04) and conjunctivitis (P = .02). Conclusions The presence of oral or oropharyngeal changes may be an early indicator of MIS-C and should be considered suggestive of MIS-C in the setting of COVID-19 infection. Practical Implications Dental care providers may play an integral role both in the early detection of oral manifestations of MIS-C and in the identification of oral lesions in hospitalized patients with confirmed MIS-C.
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17
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Vasilyeva D, Lee KC, Alex G, Peters SM. Painful palatal lesion in a 90-year-old female. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 131:626-630. [PMID: 33032939 DOI: 10.1016/j.oooo.2020.08.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 08/20/2020] [Accepted: 08/24/2020] [Indexed: 12/26/2022]
Affiliation(s)
- Daria Vasilyeva
- Resident, Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY, USA
| | - Kevin C Lee
- Resident, Department of Oral and Maxillofacial Surgery, Columbia University Medical Center, New York, NY, USA
| | | | - Scott M Peters
- Assistant Professor, Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY, USA.
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18
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Shackelford AJ, Canterbury CR, Perrino MA, Wang J, Philipone EM, Peters SM. Oral Pseudomyogenic Hemangioendothelioma: Case Report and Review of the Literature. Head Neck Pathol 2020; 14:1134-1138. [PMID: 32016785 PMCID: PMC7669923 DOI: 10.1007/s12105-020-01137-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Accepted: 01/27/2020] [Indexed: 11/27/2022]
Abstract
Pseduomyogenic hemangioendothelioma (PMH) is a vascular neoplasm of intermediate biological potential first described by Hornick and Fletcher (Am J Surg Pathol 35:190-201, 2011). Despite its initial categorization as a malignant entity, PMH often demonstrates an indolent behavior profile, and thus was classified as a rarely metastasizing endothelial neoplasm in the 2013 WHO Classification of Tumors of Soft Tissue and Bone. It is a tumor primarily of skin and soft tissue, with most reported cases involving the trunk or extremities. To date, only one case of PMH involving the oral cavity has been reported. Herein, we present a case of PMH involving the mandibular gingiva and vestibule of a 33-year-old female and discuss the salient features of this entity.
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Affiliation(s)
- Austin J Shackelford
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, 630 West 168th Street, PH15-1562W, New York, NY, 10032, USA
| | - Carleigh R Canterbury
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, 630 West 168th Street, PH15-1562W, New York, NY, 10032, USA
| | - Michael A Perrino
- Department of Oral and Maxillofacial Surgery, Columbia University Medical Center, New York, NY, USA
| | - Joseph Wang
- Department of Periodontics, Columbia University Medical Center, New York, NY, USA
| | - Elizabeth M Philipone
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, 630 West 168th Street, PH15-1562W, New York, NY, 10032, USA
| | - Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, 630 West 168th Street, PH15-1562W, New York, NY, 10032, USA.
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19
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Yoon AJ, Wang S, Kutler DI, Carvajal RD, Philipone E, Wang T, Peters SM, LaRoche D, Hernandez BY, McDowell BD, Stewart CR, Momen-Heravi F, Santella RM. MicroRNA-based risk scoring system to identify early-stage oral squamous cell carcinoma patients at high-risk for cancer-specific mortality. Head Neck 2020; 42:1699-1712. [PMID: 31981257 PMCID: PMC7369212 DOI: 10.1002/hed.26089] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 01/04/2020] [Accepted: 01/10/2020] [Indexed: 12/12/2022] Open
Abstract
Background For early‐stage oral squamous cell carcinoma (OSCC), there is no existing risk‐stratification modality beyond conventional TNM staging system to identify patients at high risk for cancer‐specific mortality. Methods A total of 568 early‐stage OSCC patients who had surgery only and also with available 5‐year clinical outcomes data were identified. Signature microRNAs (miRNAs) were discovered using deep sequencing analysis and validated by qRT‐PCR. The final 5‐plex prognostic marker panel was utilized to generate a cancer‐specific mortality risk score using the multivariate Cox regression analyses. The prognostic markers were validated in the internal and external validation cohorts. Results The risk score from the 5‐plex marker panel consisting of miRNAs‐127‐3p, 4736, 655‐3p, TNM stage and histologic grading stratified patients into four risk categories. Compared to the low‐risk group, the high‐risk group had 23‐fold increased mortality risk (hazard ratio 23, 95% confidence interval 13‐42), with a median time‐to‐recurrence of 6 months and time‐to‐death of 11 months (vs >60 months for each among low‐risk patient; p < .001). Conclusion The miRNA‐based 5‐plex marker panel driven mortality risk score formula provides clinically practical and reliable measures to assess the prognosis of patients assigned to an early‐stage OSCC.
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Affiliation(s)
- Angela J Yoon
- Division of Oral and Maxillofacial Pathology, Department of Pathology & Cell Biology, Columbia University College of Dental Medicine, Columbia University Irving Medical Center, New York, New York
| | - Shuang Wang
- Department of Biostatistics, Columbia University Mailman School of Public Health, New York, New York
| | - David I Kutler
- Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, New York, New York
| | - Richard D Carvajal
- Department of Medical Hematology and Oncology, Columbia University Irving Medical Center, New York, New York
| | - Elizabeth Philipone
- Division of Oral and Maxillofacial Pathology, Department of Pathology & Cell Biology, Columbia University College of Dental Medicine, Columbia University Irving Medical Center, New York, New York
| | - Tian Wang
- Department of Biostatistics, Columbia University Mailman School of Public Health, New York, New York
| | - Scott M Peters
- Division of Oral and Maxillofacial Pathology, Department of Pathology & Cell Biology, Columbia University College of Dental Medicine, Columbia University Irving Medical Center, New York, New York
| | | | - Brenda Y Hernandez
- Hawaii Tumor Registry, University of Hawaii Cancer Center, Honolulu, Hawaii
| | | | - Claire R Stewart
- Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, New York, New York
| | - Fatemeh Momen-Heravi
- Division of Periodontics, Columbia University College of Dental Medicine, New York, New York
| | - Regina M Santella
- Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, New York
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20
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Lee KC, Chen JX, Furmanek K, Eisig SB, Peters SM. Teardrop-shaped radiolucency of the mandible. J Am Dent Assoc 2020; 152:72-76. [PMID: 31973790 DOI: 10.1016/j.adaj.2019.11.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 11/18/2019] [Accepted: 11/20/2019] [Indexed: 11/16/2022]
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21
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Halepas S, Peters SM, Goldsmith JL, Ferneini EM. Vascular Compromise After Soft Tissue Facial Fillers: Case Report and Review of Current Treatment Protocols. J Oral Maxillofac Surg 2019; 78:440-445. [PMID: 31730758 DOI: 10.1016/j.joms.2019.10.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 10/13/2019] [Accepted: 10/13/2019] [Indexed: 11/29/2022]
Abstract
The use of facial fillers for soft tissue augmentation is becoming a mainstream treatment modality for patients. Owing to the relative ease of administration, as well as the lucrative nature of such procedures, the number of providers offering facial fillers has been expanding. Although many adverse effects of facial fillers are minor and localized to the site of injection, 1 potential serious, albeit uncommon, adverse effect of facial filler treatment is avascular necrosis. In this article, we review soft tissue filler complications and describe the case of a 52-year-old female patient in whom vascular compromise developed after facial filler administration. In addition to reviewing complications and best practices for treatment management, we discuss anatomic considerations, present an overview of the most common filler materials, describe histologic changes with dermal fillers, and discuss litigation consequences with the use of these minimally invasive procedures. Although facial filler treatment is regarded as a minimally invasive and extremely safe procedure, it is not without complications. Avascular necrosis after soft tissue augmentation with facial fillers is exceedingly rare, with only a few cases reported in the literature, but practitioners who offer this procedure need to be well versed in treatment protocols.
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Affiliation(s)
- Steven Halepas
- Resident, Department of Oral and Maxillofacial Surgery, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY
| | - Scott M Peters
- Assistant Professor, Division of Oral and Maxillofacial Pathology, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY
| | | | - Elie M Ferneini
- Director, Beau Visage Med Spa, Cheshire, CT; Private Practice, Greater Waterbury OMS, Cheshire, CT; and Associate Clinical Professor, University of Connecticut, Farmington, CT.
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22
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Lee KC, Peters SM, Pradhan JS, Alfi DM, Koslovsky DA, Philipone EM. Destructive maxillary radiolucency in a 20-year-old female. Oral Surg Oral Med Oral Pathol Oral Radiol 2019; 131:3-8. [PMID: 32173397 DOI: 10.1016/j.oooo.2019.10.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 10/04/2019] [Accepted: 10/08/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Kevin C Lee
- Division of Oral and Maxillofacial Surgery, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
| | - Scott M Peters
- Division of Oral and Maxillofacial Pathology, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
| | - Jaya S Pradhan
- Division of Oral and Maxillofacial Pathology, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA
| | - David M Alfi
- Department of Clinical Surgery (Oral and Maxillofacial Surgery), Weill Medical College, Cornell University, New York, NY, USA; Institute for Academic Medicine, Houston Methodist Hospital, Houston, TX, USA
| | - David A Koslovsky
- Division of Oral and Maxillofacial Surgery, Department of Surgery, Weill Cornell Medical Center, New York, NY, USA
| | - Elizabeth M Philipone
- Division of Oral and Maxillofacial Pathology, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
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23
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Lee KC, Chuang SK, Philipone EM, Peters SM. Which Clinicopathologic Factors Affect the Prognosis of Gingival Squamous Cell Carcinoma: A Population Analysis of 4,345 Cases. J Oral Maxillofac Surg 2019; 77:986-993. [DOI: 10.1016/j.joms.2019.01.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 01/06/2019] [Accepted: 01/06/2019] [Indexed: 10/27/2022]
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24
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Canterbury CR, Walton DM, Shackelford AJ, Bergen MS, Peters SM. 84-year-old woman with a right cheek mass. Oral Surg Oral Med Oral Pathol Oral Radiol 2019; 130:130-135. [PMID: 32173386 DOI: 10.1016/j.oooo.2019.04.002] [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] [Received: 02/01/2019] [Revised: 03/25/2019] [Accepted: 04/02/2019] [Indexed: 11/25/2022]
Affiliation(s)
- Carleigh R Canterbury
- Resident, Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA
| | - David M Walton
- DDS Candidate, Class of 2021, Columbia University College of Dental Medicine, New York, NY, USA
| | - Austin J Shackelford
- Resident, Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA
| | - Michele S Bergen
- Assistant Professor, Department of Oral and Maxillofacial Surgery, Columbia University College of Dental Medicine, New York, NY, USA
| | - Scott M Peters
- Assistant Professor, Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA.
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Lee KC, Lee JJ, Peters SM, Mandel L. Facial paralysis of unknown etiology. J Am Dent Assoc 2019; 150:624-628. [PMID: 30905374 DOI: 10.1016/j.adaj.2018.11.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Revised: 10/26/2018] [Accepted: 11/15/2018] [Indexed: 02/07/2023]
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Peters SM, Turk AT. Salivary gland anlage tumor: molecular profiling sheds light on a morphologic question. Oral Surg Oral Med Oral Pathol Oral Radiol 2019; 127:e108-e113. [PMID: 30598408 DOI: 10.1016/j.oooo.2018.11.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Revised: 11/19/2018] [Accepted: 11/27/2018] [Indexed: 01/19/2023]
Abstract
OBJECTIVE Salivary gland anlage tumor (SGAT), previously described as a squamous proliferative lesion or "congenital pleomorphic adenoma," is a rare, benign entity that presents within the first months of life. It occurs almost exclusively in the nasopharynx or posterior nasal cavity and demonstrates a biphasic composition of epithelial and mesenchymal elements. Although the clinical and histologic features of SGAT are well described, its etiology remains poorly understood. SGAT is currently considered a hamartoma rather than a neoplasm, partly because of its benign behavior and lack of reported recurrence after treatment. However, investigators have not yet evaluated this concept by using genomic methods. STUDY DESIGN Here, we present 3 SGAT cases where we performed whole-exome sequencing. RESULTS Examination of sequence data, with specific attention to variants affecting 964 cancer-related genes, showed no plausible driver-type alterations. CONCLUSIONS The lack of apparent driver mutations supports the classification of this entity as a hamartomatous (nonneoplastic) process.
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Affiliation(s)
- Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY, USA.
| | - Andrew T Turk
- Department of Pathology and Cell Biology, Columbia University Medical Center, New York, NY, USA
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Lee KC, Chuang SK, Philipone EM, Peters SM. Characteristics and Prognosis of Primary Head and Neck Angiosarcomas: A Surveillance, Epidemiology, and End Results Program (SEER) Analysis of 1250 Cases. Head Neck Pathol 2018; 13:378-385. [PMID: 30357539 PMCID: PMC6684669 DOI: 10.1007/s12105-018-0978-3] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Accepted: 10/19/2018] [Indexed: 01/10/2023]
Abstract
Head and neck angiosarcomas (HN-AS) are rare malignancies with a poor prognosis relative to other soft tissue sarcomas. To date, the HN-AS literature has been limited to short reports and single-institution experiences. This study evaluated patients registered with the Surveillance, Epidemiology, and End Results (SEER) program who had been diagnosed with a primary HN-AS. Predictors were drawn from demographic and baseline tumor characteristics. Outcomes were survival months and cause of death. Kaplan-Meier analyses were used to estimate overall (OS) and disease-specific survival (DSS) rates. Cox proportional hazards regression models were used for multivariate analyses. A total of 1250 patients (mean age 73.3 years) were identified, and nearly all lesions (93.5%) were cutaneous. Two- and 5-year OS rates were 47.3% (95% CI 44.3-50.3) and 26.5% (95% CI 23.7-29.3), while 2- and 5-year DSS rates were 66.6% (95% CI 63.6-69.6) and 48.3% (95% CI 44.5-52.1). In the univariate analyses, age, race, tumor grade, tumor size, AJCC stage, SEER historic stage, and surgery were significant predictors of both OS and DSS. Multivariate regression revealed that independent predictors of poor OS and DSS were older age [OS: HR 1.04 (95% CI 1.02-1.05), p < 0.01; DSS: HR 1.03 (95% CI 1.01-1.05), p < 0.01], increased tumor size [OS: HR 1.01 (95% CI 1.01-1.01), p < 0.01; DSS: HR 1.01 (95% CI 1.01-1.02), p < 0.01], and distant disease [OS: HR 2.97 (95% CI 1.65-5.34), p < 0.01; DSS: HR 4.99 (95% CI 2.50-9.98), p < 0.01]. Age, tumor size, and disease extent were determinants of HN-AS survival. When all other factors were controlled, lower histologic grade and surgery did not improve the risk of death.
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Affiliation(s)
- Kevin C. Lee
- 0000000419368729grid.21729.3fDivision of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY USA
| | - Sung-Kiang Chuang
- 0000 0004 1936 8972grid.25879.31Department of Oral and Maxillofacial Surgery, University of Pennsylvania, Philadelphia, PA USA ,0000 0004 0458 7945grid.413190.eBrockton Oral and Maxillofacial Surgery Inc., Department of Oral and Maxillofacial Surgery, Good Samaritan Medical Center, Brockton, MA USA
| | - Elizabeth M. Philipone
- 0000000419368729grid.21729.3fDivision of Oral and Maxillofacial Pathology, NewYork-Presbyterian/Columbia University Irving Medical Center, 630 West 168th Street PH15-1562W, New York, NY 10032 USA
| | - Scott M. Peters
- 0000000419368729grid.21729.3fDivision of Oral and Maxillofacial Pathology, NewYork-Presbyterian/Columbia University Irving Medical Center, 630 West 168th Street PH15-1562W, New York, NY 10032 USA
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Peters SM, Park M, Perrino MA, Cohen MD. Lingual cyst with respiratory epithelium: report of 2 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 126:e279-e284. [PMID: 29929866 DOI: 10.1016/j.oooo.2018.05.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 05/26/2018] [Accepted: 05/27/2018] [Indexed: 12/26/2022]
Abstract
The lingual cyst with respiratory epithelium, a congenital cyst of the tongue or floor of the mouth, is lined predominately by respiratory-type epithelium. The terminology for this lesion was first proposed in 1999 by Manor et al., who stated that a descriptive term is best for this cyst of debatable pathogenesis. Although it is a cyst of foregut origin, the lingual cyst with respiratory epithelium is distinguished from the traditional enteric (foregut) duplication cyst in that the latter contains gastric and/or intestinal-type mucosa and has smooth muscle within the cyst wall. This article presents 2 new cases of this entity, as well as reviews the 19 cases that have been reported in the literature and were found to fulfill the histologic criteria of an lingual cyst with respiratory epithelium.
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Affiliation(s)
- Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY, USA
| | - Mark Park
- Department of Oral and Maxillofacial Surgery, Columbia University Medical Center, New York, NY, USA
| | - Michael A Perrino
- Department of Oral and Maxillofacial Surgery, Columbia University Medical Center, New York, NY, USA
| | - Molly D Cohen
- Division of Oral and Maxillofacial Pathology, The Mount Sinai Hospital, New York, NY, USA.
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Will BM, Peters SM, Eisig SB, Grbic JT, McKenzie MA, Yoon AJ, Philipone EM. Gingival ulceration in a 63-year-old lung transplant recipient. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 127:364-371. [PMID: 29545078 DOI: 10.1016/j.oooo.2018.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Revised: 01/25/2018] [Accepted: 02/01/2018] [Indexed: 12/15/2022]
Affiliation(s)
- Brian M Will
- DDS Candidate, Class of 2019, Columbia University College of Dental Medicine, New York, NY, USA
| | - Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA
| | - Sidney B Eisig
- Chair, Section of Hospital Dentistry, New York, NY, USA; Director, Division of Oral and Maxillofacial Surgery, New York, NY, USA; Chief, Hospital Dental Service, New York Presbyterian/Columbia University Medical Center, New York, NY, USA
| | - John T Grbic
- Professor, Dental Medicine and Director, Division of Foundational Sciences, Columbia University College of Dental Medicine, New York, NY, USA
| | - Michael A McKenzie
- Instructor, Dental Medicine, Columbia University College of Dental Medicine, New York, NY, USA
| | - Angela J Yoon
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA
| | - Elizabeth M Philipone
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA.
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Vasilyeva D, Peters SM, Philipone EM, Yoon AJ. Renal cell carcinoma metastatic to the maxillary gingiva: A case report and review of the literature. J Oral Maxillofac Pathol 2018; 22:S102-S107. [PMID: 29491617 PMCID: PMC5824500 DOI: 10.4103/jomfp.jomfp_69_17] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Tumor metastasis to the oral cavity is rare and is usually an indication of late-stage disease and poor prognosis. While, there are reports of renal cell carcinoma (RCC) metastatic to oral cavity, vast majority of them are to the jaw. Herein, we present a case of a 78-year-old woman with RCC metastasis limited to the oral soft tissue without any bone involvement. As the lesion solely involved maxillary gingiva, it clinically mimicked that of a pyogenic granuloma, which is a reactive, nonneoplastic condition. This case was further complicated as the patient was unaware of primary cancer and appeared to be in good physical health. Her oral metastasis marked the initial manifestation of an otherwise silent primary renal cancer.
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Affiliation(s)
- Daria Vasilyeva
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, USA
| | - Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, USA
| | - Elizabeth M Philipone
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, USA
| | - Angela J Yoon
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, USA
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Peters SM, Pastagia J, Yoon AJ, Philipone EM. Langerhans Cell Histiocytosis Mimicking Periapical Pathology in a 39-year-old Man. J Endod 2017; 43:1909-1914. [DOI: 10.1016/j.joen.2017.05.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Revised: 03/22/2017] [Accepted: 05/30/2017] [Indexed: 12/23/2022]
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Khan A, Peters SM, Han C, Yoon AJ, Philipone EM. A 23-year-old female with a painless left mandibular swelling. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 124:519-524. [PMID: 28964765 DOI: 10.1016/j.oooo.2017.08.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 08/04/2017] [Accepted: 08/18/2017] [Indexed: 01/10/2023]
Affiliation(s)
- Alia Khan
- Columbia University College of Dental Medicine, New York, NY, USA
| | - Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA
| | - Chang Han
- Private Practice, Hackensack, NJ, USA
| | - Angela J Yoon
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA
| | - Elizabeth M Philipone
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA.
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Peters SM, Kunkle T, Perrino MA, Philipone EM, Yoon AJ. Mandibular embryonal rhabdomyosarcoma with cartilaginous metaplasia: report of a case and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 124:e288-e293. [PMID: 29029988 DOI: 10.1016/j.oooo.2017.08.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2017] [Revised: 08/11/2017] [Accepted: 08/23/2017] [Indexed: 10/18/2022]
Abstract
Rhabdomyosarcoma (RMS) is a malignant tumor of skeletal muscle origin and frequently involves the head and neck region. It represents the second most common pediatric soft tissue sarcoma and accounts for 3% of all childhood cancers. Here, we report a case of embryonal RMS presenting as a right-sided facial swelling in a 7-year-old boy. Histologically, the tumor consisted of classic embryonal rhabdosarcomatous areas with metaplastic cartilage, in both initial biopsy and final resection specimens. Cartilaginous metaplasia arising in the background of RMS is a rare finding, thus raising a diagnostic challenge. To the best of our knowledge, this represents the first case of RMS with cartilaginous metaplasia in the oral cavity.
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Affiliation(s)
- Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY, USA
| | - Tim Kunkle
- Division of Oral and Maxillofacial Surgery, Columbia University Medical Center, New York, NY, USA
| | - Michael A Perrino
- Division of Oral and Maxillofacial Surgery, Columbia University Medical Center, New York, NY, USA
| | - Elizabeth M Philipone
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY, USA
| | - Angela J Yoon
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY, USA.
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34
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Peters SM, Perrino MA, Yoon AJ, Philipone EM. Alveolar soft part sarcoma metastatic to the mandible: A report and review of literature. J Stomatol Oral Maxillofac Surg 2017; 118:379-382. [PMID: 28774857 DOI: 10.1016/j.jormas.2017.07.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2017] [Revised: 05/26/2017] [Accepted: 07/11/2017] [Indexed: 11/19/2022]
Abstract
Alveolar soft part sarcoma (ASPS) is a rare neoplasm constituting less than 1% of all soft tissue sarcomas. It tends to occur in the deep soft tissues of the lower extremities, however approximately 5-12% of cases are primary to the head and neck region. ASPS metastatic to the oral cavity is rare, with only four documented cases in the literature. Here, we present the case of a 29-year-old woman with ASPS metastatic to the mandible. To the best of our knowledge, this represents only the 5th documented case of ASPS metastatic to the oral cavity, and more specifically, the 3rd documented case of mandibular metastasis.
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Affiliation(s)
- S M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, 630, West 168th Street, PH15W-1562, 10032 New York, NY, United States
| | - M A Perrino
- Division of Oral and Maxillofacial Surgery, Columbia University College of Dental Medicine, 630, West 168th Street, PH15W-1562, 10032 New York, NY, United States
| | - A J Yoon
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, 630, West 168th Street, PH15W-1562, 10032 New York, NY, United States
| | - E M Philipone
- Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, 630, West 168th Street, PH15W-1562, 10032 New York, NY, United States.
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Affiliation(s)
- Scott M Peters
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, New York
| | | | - Elizabeth M Philipone
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, New York
| | - Angela J Yoon
- Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, New York
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Abstract
Streptococcus pasteurianus is part of the normal flora of the intestine. It has also been isolated from various infection sites. However, to date it has not been reported as a cause of fulminant septicemia and death. We report the post-mortem findings in a splenectomized hemophiliac patient with cirrhosis and concurrent human immunodeficiency virus (HIV), hepatitis B and hepatitis C infections.
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Affiliation(s)
- D Alex
- Department of Pathology and Laboratory Medicine, Georgetown University Hospital/MedStar Health, Washington, USA
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Peters SM, Jovell AJ, García-Altes A, Serra-Prat M. Screening and clinical management of prostate cancer. A cross-national comparison. Int J Technol Assess Health Care 2001; 17:215-21. [PMID: 11446133 DOI: 10.1017/s0266462300105070] [Citation(s) in RCA: 3] [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: 11/06/2022]
Abstract
OBJECTIVES The objectives of the study were to identify the current standards of clinical practice regarding prostate cancer screening in western Europe, Canada, and the United States, and to highlight major characteristics of current prostate cancer screening programs or patterns of practice. METHODS We performed a semi-structured interview by means of a self-administered questionnaire sent by fax to 26 institutes pertaining to the International Network of Agencies for Health Technology Assessment. RESULTS None of the countries surveyed had a formal national screening policy. Despite that, all the countries answering the questionnaire had discretionary, public-financed screening practices. Moreover, some scientific and professional organizations recommended population screening for prostate cancer, and few of the surveyed countries offered it as experimental practice within a randomized controlled trial. Survey results showed variation regarding screening policies, in particular test of choice, age cut-off points, and treatment prescribed for positive test results. CONCLUSIONS Despite the lack of conclusive evidence on the benefits of prostate cancer screening, the availability of simple and easy-to-administer tests has lead to an enormous variation on screening policies around the world. Practice variations also affect prostate cancer therapy.
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Peters SM, Bryan J, Cole MF. Enterobacterial repetitive intergenic consensus polymerase chain reaction typing of isolates of Enterobacter cloacae from an outbreak of infection in a neonatal intensive care unit. Am J Infect Control 2000; 28:123-9. [PMID: 10760220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
BACKGROUND Enterobacter cloacae has become a common cause of nosocomial infections. This study was designed to investigate the pattern of spread of E cloacae during an outbreak in a neonatal intensive care unit. METHODS Enterobacterial repetitive intergenic consensus polymerase chain reaction was used to examine 111 E cloacae isolates from 17 patients, including 81 from surveillance cultures, 23 from endotracheal tubes, 3 from eyes, and 1 each from blood, urine, skin, and throat. Antibiotic susceptibility profiles were also obtained. RESULTS Infection with E cloacae resulted from endogenous bacteria and from horizontal transmission. One group of 61 isolates, a third of which were obtained from clinical specimens, was uniformly susceptible to imipenem and ciprofloxacin only. A second group of 50 isolates, only 18% of which were obtained from clinical specimens, was susceptible to all antibiotics tested except for aminopenicillins and first-generation cephalosporins. CONCLUSION These data indicate that (1) patient-to-patient spread is an important cause of E cloacae infection in the neonatal intensive care unit and (2) highly antibiotic-resistant E cloacae may emerge during an outbreak.
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Affiliation(s)
- S M Peters
- Department of Microbiology and Immunology, Georgetown University Medical Center, Washington, DC 20007, USA
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Affiliation(s)
- R A Sacher
- Department of Medicine, Georgetown University Medical Center, Washington, DC 20007, USA
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Pearce CL, Evans MK, Peters SM, Cole MF. Clonal diversity of vancomycin-resistant enterococci from an outbreak in a tertiary care university hospital. Am J Infect Control 1998; 26:563-8. [PMID: 9836839 DOI: 10.1053/ic.1998.v26.a91614] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Enterococci have become important nosocomial pathogens and now account for approximately 12% of nosocomial infections. Enterococci can be transferred from patient to patient and from health care personnel to patient. We investigated the clonal diversity of vancomycinresistant enterococci (VRE) causing an outbreak of infections and attempted to determine the patterns of spread of these bacteria in a university hospital. METHODS Ribotyping was used to examine the clonal diversity of 50 VRE isolates, including 23 from wounds, 14 from urine, 8 from blood, 3 from the rectum, 1 from drainage, and 1 from the cornea. RESULTS Nine patients were infected with Enterococcus faecalis, 10 with Enterococcus faecium, 3 with both E faecalis and E faecium, and 1 with Enterococcus avium. The results suggest that the sources of the VRE infections included endogenous strains and strains acquired by transmission from attending staff or from the environment. Three patients were infected by both nosocomial and endogenous strains. CONCLUSIONS These data suggest that the collection and analysis of several isolates from repeated specimens is necessary to obtain a fuller understanding of the epidemiology and population structure of antibiotic-resistant enterococci.
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Affiliation(s)
- C L Pearce
- Department of Microbiology and Immunology and the Department of Laboratory Medicine, Georgetown University Medical Center, Washington, DC 20007, USA
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Abstract
To elucidate potential mechanisms of ischemic renal injury, investigators often use drugs that interfere with specific pathological pathways and study their protective efficacy in in vitro models of ischemia, such as isolated renal proximal tubules subjected to hypoxia. However, the protective effects of certain drugs may depend on non-specific membrane-stabilizing properties. We have studied the effects of several drugs on membrane integrity using osmotic lysis of erythrocytes as a model system. Freshly isolated rabbit erythrocytes were subjected to a hypotonic shock, and the protective effects of various calcium channel blockers, phospholipase inhibitors, free fatty acids, the NO-synthase inhibitor L-NAME, the amino acid glycine and its receptor-analogue strychnine, and two chloride channel blockers were examined. Most agents protected erythrocytes against hypotonic hemolysis when added to the medium in the same concentration range as used in suspensions of hypoxic proximal tubules. Only the protective agents that proposedly act via a blockade of chloride influx (glycine, strychnine and the chloride channel blockers), did not attenuate hypotonic hemolysis. The erythrocyte hemolysis assay may provide an easy and rapid method to screen for non-specific membrane-stabilizing effects of potentially cytoprotective agents.
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Affiliation(s)
- S M Peters
- Department of Cell Physiology, University of Nijmegen, The Netherlands
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Peters SM, Rauen U, Tijsen MJ, Bindels RJ, van Os CH, de Groot H, Wetzels JF. Cold preservation of isolated rabbit proximal tubules induces radical-mediated cell injury. Transplantation 1998; 65:625-32. [PMID: 9521195 DOI: 10.1097/00007890-199803150-00005] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.5] [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: 02/06/2023]
Abstract
BACKGROUND Reactive oxygen species (ROS) are involved in reperfusion injury after preservation. Recent studies in isolated endothelial cells and hepatocytes suggested the occurrence of ROS-mediated injury during the period of cold incubation. In the present study, formation of ROS and subsequent cell injury were studied in freshly isolated rabbit proximal tubules (PTs). METHODS PTs were incubated in University of Wisconsin (UW) solution, Euro-Collins solution, or a modified Krebs-Henseleit buffer under aerobic conditions for up to 94 hr at 4 degrees C. ROS formation and cell death were assessed as lipid peroxidation (formation of thiobarbituric acid-reactive substances [TBARS]) and release of lactate dehydrogenase, respectively. The involvement of ROS was further investigated in UW solution using compounds that might interfere with ROS formation. In addition, tubules were studied under anaerobic conditions (gassing with 95% N2/5% CO2). RESULTS Cold preservation of rabbit PTs in any of the solutions under aerobic conditions caused progressive lipid peroxidation and concomitant cell injury. Addition to UW solution of inhibitors of ROS formation, in particular 2,2'-dipyridyl, or removal of oxygen by gassing with 95% N2/5% CO2, prevented lipid peroxidation and protected rabbit PTs against cold injury. Both the nitric oxide (NO) synthase inhibitor L-NAME and dexamethasone, which blocks the inducible NO synthase, were ineffective. The cytoprotectant glycine affected neither TBARS formation nor lactate dehydrogenase release. CONCLUSIONS Cold preservation of renal PTs under aerobic conditions caused cell injury even in the specially designed preservation solution UW. Cell injury is caused by iron-dependent, NO synthase-independent ROS formation.
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Affiliation(s)
- S M Peters
- Department of Internal Medicine, University Hospital Nijmegen, The Netherlands
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Abstract
Renal ischemia results in adenosine triphosphate (ATP) depletion, particularly in cells of the proximal tubule (PT), which rely heavily on oxidative phosphorylation for energy supply. Lack of ATP leads to a disturbance in intracellular homeostasis of Na+, K+ and Cl-. Also, cytosolic Ca2+ levels in renal PTs may increase during hypoxia [1], presumably by a combination of impaired extrusion and enhanced influx [2]. However, Ca2+ influx was previously measured using radiolabeled Ca2+ and at varying partial oxygen tension [2]. We have now used to Mn2(+)-induced quenching of fura-2 fluorescence to study Ca2+ influx in individual rat PTs during normoxic and hypoxic superfusion. Normoxic Ca2+ influx was indeed reflected by the Mn2+ quenching of fura-2 fluorescence and this influx could be inhibited by the calcium entry blocker methoxyverapamil (D600; inhibition 50 +/- 2% and 35 +/- 3% for 10 and 100 mumol, respectively). La3+ completely blocked normoxic Ca2+ influx. Hypoxic superfusion or rat PTs did not induce an increase in Ca2+ influx, but reduced this influx to 79 +/- 3% of the normoxic control. We hypothesize that reducing Ca2+ influx during hypoxia provides the cell with a means to prevent cellular Ca2+ overload during ATP-depletion, where Ca2+ extrusion is limited.
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Affiliation(s)
- S M Peters
- Department of Cell Physiology, University of Nijmegen, The Netherlands
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Tijsen MJ, Peters SM, Bindels RJ, van Os CH, Wetzels JF. Glycine protection against hypoxic injury in isolated rat proximal tubules: the role of proteases. Nephrol Dial Transplant 1997; 12:2549-56. [PMID: 9430850 DOI: 10.1093/ndt/12.12.2549] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [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: 02/05/2023] Open
Abstract
BACKGROUND Isolated rat proximal tubules are frequently used as a model to study hypoxic injury. Glycine is a very effective protective agent against hypoxia-induced cell injury in this model. The mechanisms involved in hypoxic renal injury and glycine protection are still debated. We have focused on the role of proteolytic enzymes. METHODS Isolated rat proximal tubules in suspension were gassed with either 95%O2/5%CO2 or 95%N2/5%CO2 to create normoxic or hypoxic conditions. Cell injury was assessed by the release of LDH. Activity of proteolytic enzymes was measured by quantifying the release of fluorescent 7-amino-4-methylcoumarin from specific substrates, which were added to tubules in suspension or to cytosolic fractions of permeabilized tubules. RESULTS Fifteen minutes of hypoxia caused cell injury, which was completely prevented by glycine. Activities of serine-, aspartate-, and the calcium-dependent cysteine protease calpain were increased in these hypoxic tubules in suspension, but only calpain activity was attenuated by glycine. Cytosolic fractions obtained by digitonin-permeabilization of hypoxic (15 min) tubules showed increased proteolytic activity of all measured classes of proteases and glycine prevented these increases. In measurements performed at an earlier time point (7.5 min) neither changes in calpain activity nor effects of glycine were detected. Calpain activity was not inhibited directly by glycine. CONCLUSIONS Hypoxia increases the activity of several classes of proteases. The effects of glycine on protease activation are equivocal, and may merely reflect the potential of glycine to prevent hypoxia-induced lethal membrane injury.
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Affiliation(s)
- M J Tijsen
- Department of Medicine, University of Nijmegen, The Netherlands
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Peters SM. The effect of acrylic nails on the measurement of oxygen saturation as determined by pulse oximetry. AANA J 1997; 65:361-3. [PMID: 9281918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Pulse oximetry (Spo2) is a simple, noninvasive method that is widely used to determine oxygen saturation in patients undergoing surgical procedures. Artificial acrylic nails have recently become fashionable to strengthen and lengthen nails. This study investigates the effect of unpolished acrylic nails on the measurement of oxygen saturation by pulse oximetry. Data were collected during a 3-month period. Thirty women, average age 32 years (range 18 to 61 years), were recruited at a high-volume nail salon in northwestern Pennsylvania. A baseline pulse oximetry reading was obtained on each subject's natural, unpolished fingernail using a Nellcor N-20/N-20P portable pulse oximeter (Nellcor Incorporated, Hayward, California). A licensed nail technician applied the acrylic compound to the same finger. After the compound had hardened in approximately 5 minutes, a second reading was obtained on the unpolished acrylic nail. The mean pulse oximetry reading at baseline was 97.33% and after acrylic nail application, 97.58%. Using a paired Student's t test, no statistically significant differences existed between readings. This study demonstrates that unpolished acrylic nails do not affect pulse oximetry measurements of oxygen saturation. Patients may not need to remove unpolished acrylic nails before surgery.
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Affiliation(s)
- S M Peters
- Medical University of South Carolina, Charleston, USA
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Peters SM, Tijsen MJ, Bindels RJ, Van Os CH, Wetzels JF. Rise in cytosolic Ca2+ and collapse of mitochondrial potential in anoxic, but not hypoxic, rat proximal tubules. J Am Soc Nephrol 1996; 7:2348-56. [PMID: 8959624 DOI: 10.1681/asn.v7112348] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [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: 02/03/2023] Open
Abstract
It has been suggested that ischemic renal proximal tubular cell injury is mediated by an increase in cytosolic calcium concentrations ((Ca2+)i). However, measurements of (Ca2+)i in rat or rabbit proximal tubules exposed to hypoxia or anoxia have yielded ambiguous results. This study explored the possibility that the severity of oxygen deprivation and the energy state of the mitochondria are important determinants of (Ca2+)i. To this end, (Ca2+)i (measured with fura-2) and the mitochondrial membrane potential (measured with rhodamine 123) were studied simultaneously in individual rat proximal tubules in hypoxic and anoxic conditions. (Ca2+)i did not change during hypoxia, but increased rapidly during anoxia. Increases in (Ca2+)i were only observed in parallel with a decrease of rhodamine 123 fluorescence, which indicates a collapse of the mitochondrial membrane potential. The increase in (Ca2+)i during anoxia was prevented by incubating the tubules in a low Ca2+ medium, which did not interfere with the collapse of the mitochondrial membrane potential. Both hypoxic and anoxic incubation led to cell death, as assessed by the fluorescent dye propidium iodide. These results clearly demonstrate that the level of oxygen deprivation is critical in determining changes in (Ca2+)i. Because cell damage occurred in both hypoxic and anoxic conditions. It was concluded that an increase in (Ca2+)i is not a necessary prerequisite for the development of ischemic cell injury.
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Affiliation(s)
- S M Peters
- Department of Cell Physiology, University of Nijmegen, The Netherlands
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Peters SM, Tijsen MJ, Bindels RJ, van Os CH, Wetzels JF. Protection against hypoxic injury of rat proximal tubules by felodipine via a calcium-independent mechanism. Pflugers Arch 1995; 431:20-7. [PMID: 8584414 DOI: 10.1007/bf00374373] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [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: 01/31/2023]
Abstract
Most evidence for a key role of calcium entry in hypoxia-induced renal damage stems from studies with calcium channel blockers. In proximal tubules, a primary site of renal ischaemic injury, only phenyl-alkylamines, especially verapamil, have been studied. In the present study the effect of the dihydropyridine felodipine on hypoxic injury in isolated rat proximal tubules was investigated. To discriminate between the block of calcium entry and other effects, the enantiomers and a non-calcium blocking derivative of felodipine (H186/86) were included. Cell membrane injury was assessed by measuring the release of lactate dehydrogenase (LDH). At high concentrations (100 microM) felodipine, H186/86 and the two enantiomers all protected rat proximal tubules against hypoxia-induced injury to the same extent. Absence of extracellular calcium did not offer protection, but rather enhanced hypoxic injury. All dihydropyridines used increased the intracellular potassium concentration during normoxia. Felodipine attenuated the hypoxia-induced loss of cellular potassium. We have tried to mimic the effects of felodipine by using potassium channel blockers. The potassium channel blockers quinidine and glibenclamide afforded some protection against hypoxic injury, although their effects on cellular potassium were equivocal. We conclude that the dihydropyridine calcium channel blocker felodipine protects rat proximal tubules against hypoxic injury via a calcium-independent mechanism. We propose that high levels of intracellular potassium and attenuation of potassium loss during hypoxia are important in this protection.
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Affiliation(s)
- S M Peters
- Department of Nephrology, University Hospital Nijmegen, Nijmegen, The Netherlands
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Michejda M, Peters SM, Bacher J, Hernandez LF, Bellanti JA. Intrauterine xenotransplantation of bone marrow stem cells in nonhuman primates. Transplantation 1992; 54:759-62. [PMID: 1357795] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
Affiliation(s)
- M Michejda
- Department of Pediatrics, Georgetown University Medical Center, Washington, DC 20007
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Razzaque A, Peters SM, Gelmann EP, Sheridan MJ, Rosenthal LJ. Analysis of peripheral blood lymphocytes of AIDS and high-risk patients for human cytomegalovirus transforming DNA sequences. Intervirology 1991; 32:10-8. [PMID: 1849876 DOI: 10.1159/000150180] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [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: 12/29/2022] Open
Abstract
Investigation into the presence of human cytomegalovirus (HCMV) transforming mtrII and mtrIII sequences in peripheral blood lymphocyte (PBL) specimens of AIDS and high-risk patients was carried out by nucleic acid hybridization analyses. These probes were selected because they were viral-specific and lacked homology to normal cellular DNAs. In Southern blot hybridizations carried out under stringent conditions, we detected HCMV mtrII sequences associated with the high-molecular-weight DNAs of PBLs in 17 of 37 patients either with AIDS/Kaposi's sarcoma or at high risk for AIDS. In comparison, only 2 of 17 DNA specimens from PBLs of healthy blood donors showed hybridization to mtrII sequences. The inability to detect hybridization to the mtrIII region in most mtrII-positive specimens suggested a specific retention of mtrII sequences. Our study suggests that the retention of mtrII sequences in high molecular weight DNA may constitute a risk factor for the development/progression of AIDS. Alternatively, the retention of mtrII sequences may occur as a result of enhanced HCMV replication in patients with AIDS or at high risk for AIDS.
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Affiliation(s)
- A Razzaque
- Department of Microbiology, Georgetown University Medical Center, Washington, D.C. 20007
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Rogers MF, White CR, Sanders R, Schable C, Ksell TE, Wasserman RL, Bellanti JA, Peters SM, Wray BB. Lack of transmission of human immunodeficiency virus from infected children to their household contacts. Pediatrics 1990; 85:210-4. [PMID: 2296509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
The possibility of transmission of the human immunodeficiency virus (HIV) from infected children to their contacts has been confronted in households, schools, day-care centers, and other child care settings. Cases reported to the Centers for Disease Control and several studies of close contacts of HIV-infected patients suggested that the risk of transmission in these settings is extremely low. However, most of these studies involved infected adults or older children. Younger children, who drool, bite, mouth toys, and are incontinent, may be more likely to transmit HIV in these settings. To assess this possibility, the authors tested 89 members of households in which 25 children with HIV infection, most of whom were preschool-aged, resided. Household members had close personal contact with the infected children. They shared many items likely to be soiled with blood and body fluids, such as toys, toothbrushes, eating utensils, toilets, and bathtubs. Hugging, kissing, sharing a bed, and bathing together were common. Household members were tested no sooner than 4 months after initial contact with the infected child, to allow adequate time for sero-conversion. All 89 participating household members were anti-HIV seronegative, and 78 who were tested were serum p24 antigen negative. It was concluded from this study and other evidence that the risk of transmission from children to their contacts is extremely low and has not been clearly documented in the household setting.
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Affiliation(s)
- M F Rogers
- AIDS Program, Centers for Disease Control, Atlanta, GA 30333
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