Evaluation of Calretinin expression in Ameloblastoma and Non-Neoplastic Odontogenic Cysts - An immunohistochemical study

BACKGROUND

Calretinin a 29-kDa calcium binding protein is expressed widely in normal human tissue and tumours including amelobastoma. The objective of this study was to determine calretinin expression in heamatoxylin and eosin diagnosed cases of ameloblastoma and non-neoplastic odontogenic cysts.

MATERIALS & METHODS

The lining epithelium in 3 cases of radicular cysts, 5 cases of odontogenic keratocysts, 5 cases of dentigerous cysts and 11 cases of ameloblastomas were examined for expression of calretinin.

RESULTS

No positive epithelial staining was observed in radicular and dentigerous cysts. In comparison, however 100% of cases of ameloblastomas and 40% of cases of odontogenic karatocysts showed positive calretinin expression.

CONCLUSION

Calretinin may be a specific immunohistochemical marker for ameloblastoma. If there is any possible relation between calretinin expression and neural origin of the odontogenic epithelium and its neoplastic transformation and if calretinin could be used as an early marker to predict the tendency of neoplastic change of odontogenic epithelium could be answered through further researches. How to cite this article: D'Silva S, Sumathi MK, Balaji N, Shetty NK, Pramod KM, Cheeramelil J. Evaluation of Calretinin expression in Ameloblastoma and Non-Neoplastic Odontogenic Cysts - An immunohistochemical study. J Int Oral Health 2013; 5(6):42-8 .

Annexin v - affinity assay - apoptosis detection system in granular cell ameloblastoma

BACKGROUND

The aim of the study is to detect apoptosis in granular cell ameloblastoma by annexin v affinity assay, a novel technique.

MATERIALS & METHODS

Excitional biopsy of two patients with granular cell ameloblastoma were fixed in buffered formalin and later embedded in paraffin wax. Blocks were sliced into 3m thick sections for routine histological and subsequent immunohistochemical examinations. For electron microscopic examination tissues were fixed in 2.5% glutaraldehyde.electron microscopic examination was carried out to find the nature of granularity in granular cell ameloblastoma which was finally confirmed by annexin v technique.

RESULTS

Annexin v is a sensitive marker to detect early apoptosis. Fluorescence in granular cell clusters showed that apoptotic cell death is higher in granular cells. Both early and late events of apoptosis were identified in annexin v staining and electron microscopic study respectively.

CONCLUSION

Our study confirms that increased apoptotic cell death and subsequent phagocytosis is responsible for granular appearance of cells in granular cell ameloblastoma compared with that of conventional ameloblastoma. How to cite this article: Balaji N, Devy AS, Sumathi MK, Vidyalakshmi S, Kumar GS, D'Silva S. Annexin V - Affinity Assay - Apoptosis Detection System in Granular Cell Ameloblastoma. J Int Oral Health 2013; 5(6):25-30 .

Intracardiac needle in a man with self-injurious behaviour presenting with only a heart murmur

Symptoms of a heart murmur in a 48-year-old male schizophrenic patient with self-injurious behaviour were investigated. Immediately noticeable were multiple scars on his hands. Clinical evidence of subcutaneous needles and aortic regurgitation was found. Echocardiography revealed a linear metallic foreign body across the interventricular septum. He underwent surgery and via a right atriotomy, a needle from the same location was removed.