806 results match your criteria: "Institute of Pathological Anatomy[Affiliation]"

Article Synopsis
  • - The study investigates the expression of nectin-4 (N4) in various genitourinary (GU) cancers, particularly focusing on its relevance as a potential target for antibody-drug conjugates, given its aberrant expression in malignancies like urothelial carcinoma of the bladder (UBC).
  • - A systematic review analyzed 25 studies on N4 positivity across different GU tumors, finding that N4 positivity is generally higher in bladder cancers, especially in metastatic and non-muscle-invasive stages, compared to other types like upper tract urothelial carcinoma and non-urothelial cancers.
  • - The findings suggest that non-urothelial malignancies have lower rates of N4 positivity compared to bladder cancer,
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The anti-glypican 1 AT101 antibody as targeting agent to effectively deliver chitosan nanobubbles to glioblastoma cells.

Nanomedicine (Lond)

January 2025

Experimental and Clinical Pharmacology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Aviano, Italy.

Background: Recently, we developed AT101, an IgM-class mouse monoclonal antibody directed against glypican-1 (GPC1), a proteoglycan that can be considered as useful target for glioblastoma multiforme (GBM) treatment being specifically and highly expressed on GBM cell surface. Here, we proposed the use of AT101 as targeting agent in a drug delivery nanoplatfom to effectively deliver chitosan nanobubbles (NBs) for GBM treatment.

Methods: Chitosan NBs were prepared and conjugated with AT101 or left unconjugated as control.

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Article Synopsis
  • - The study compares two decellularization methods (enzyme-detergent and detergent-detergent) to see how they affect the structure and mechanics of human urethral tissue, using samples from 18 individuals.
  • - Both methods successfully removed cellular content while maintaining essential extracellular matrix components like collagen and elastic fibers, indicating they preserved the tissue's structural integrity.
  • - Biomechanical tests showed that the detergent-detergent method resulted in lower stress levels compared to native tissues, and both methods had reduced elasticity, but none were toxic to stem cells, suggesting they are viable for tissue engineering and biobanking.
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Sarcoid Nodule or Lung Cancer? A High-Resolution Computed Tomography-Based Retrospective Study of Pulmonary Nodules in Patients with Sarcoidosis.

Diagnostics (Basel)

October 2024

Lung Transplant Unit, Department of Medical, Surgical and Neuro-Sciences, Azienda Ospedaliero-Universitaria Senese, University of Siena, 53100 Siena, Italy.

: The objective of this retrospective study was to compare the characteristics of sarcoid nodules and neoplastic nodules using high-resolution computed tomography (HRCT) in sarcoidosis patients. : This is a single-center retrospective study. From 2010 to 2023, among 685 patients affected by pulmonary sarcoidosis, 23 patients developed pulmonary nodules of a suspicious malignant nature.

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Objectives: Roofless individuals represent the most severe category of homelessness. Their clinical characteristics and mortality patterns in Central and Eastern Europe are little known.

Methods: A single-center retrospective case-control study at the internal medicine department in Bratislava, Slovakia was conducted.

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Lung damage in SARS-CoV-2 patients: An autopsy study in the era of vaccination.

Eur J Clin Invest

January 2025

Institute of Pathological Anatomy and Histology, Azienda Sanitaria Universitaria Giuliano-Isontina, University of Trieste, Trieste, Italy.

Aims: The contribution of SARS-CoV-2 infection on lung damage and the effect of vaccination on either containing the number of deaths or mitigating lung damage has not been systematically investigated.

Methods: Post-mortem analysis was performed among consecutive in-patients with COVID-19 deceased in the Province of Trieste (2020-2022). The outcomes of the study were (i) rates of in-hospital mortality, (ii) contribution of COVID-19 to death, (iii) histological extent of lung injury and (iv) impact of vaccination.

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The European Association of Urology (EAU), National Comprehensive Cancer Network, and European Society for Medical Oncology guidelines recommend PD-L1 and FGFR testing for patients with locally advanced bladder cancer or upper tract urothelial cancer (UTUC) according to specific eligibility criteria; positive results indicate therapy with immune checkpoint inhibitors or erdafitinib, respectively. The EAU guidelines recommend PD-L1 testing for subsequent adjuvant therapy in high-risk UC, and germline DNA sequencing in patients with UTUC positive for DNA mismatch repair alterations.

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Malignant pleural mesothelioma (MPM) represents a significant clinical challenge due to limited therapeutic options and poor prognosis. Beyond mere survivorship, setting up an effective framework to improve functioning and quality of life is an urgent need in the comprehensive management of MPM patients. Therefore, this study aims to review the current understanding of MPM sequelae and the effectiveness of rehabilitative interventions in the holistic approach to MPM.

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Pathologists have closely collaborated with clinicians, mainly urologists, to update the Gleason grading system to reflect the current practice and approach in prostate cancer diagnosis, prognosis, and treatment. This has led to the development of what is called patient advocacy and patient information. Ten common questions asked by patients to pathologists concerning PCa grading and the answers given by the latter are reported.

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Bladder cancer (BC) is the tenth most commonly diagnosed malignancy worldwide. In approximately 25% of cases, it presents as a muscle-invasive disease, requiring a radical treatment. Traditionally, the mainstay of treatment has been radical cystectomy (RC), but in the last decade, bladder-sparing treatments have been gaining growing interest.

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Giant cell carcinoma of the urinary bladder : Clinicopathologic analysis and oncological outcomes.

Virchows Arch

September 2024

Department of Pathology and Laboratory Medicine, Department of Surgery/Urology, Warren Alpert Medical School of Brown University, Lifespan Health, and The Legorreta Cancer Center at Brown University, Providence, RI, USA.

Article Synopsis
  • The study analyzes 23 cases of giant cell urothelial carcinoma, a rare type of bladder cancer noted for its distinctive features classified by the World Health Organization.
  • Histologically, the tumors displayed a range of structures, often containing a significant giant cell component, alongside other types of differentiated cancers.
  • Patients diagnosed with this subtype had a higher incidence of advanced disease and showed differing survival rates compared to conventional urothelial carcinoma, suggesting a poorer prognosis overall.
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'Hot phase' non-dilated left ventricular cardiomyopathy with atypical onset and recurrence: a case report.

ESC Heart Fail

December 2024

Department of Cardiothoracovascular, Azienda Sanitaria Universitaria Integrata Giuliana Isontina (ASUGI), University of Trieste, Trieste, Italy.

Non-dilated left ventricular cardiomyopathy (NDLVC) is a newly categorized cardiomyopathy phenotype includingseveral aetiologies with a linking characteristic represented by the normal left ventricular volume. Inflammatory heart disease (InHD) is a heterogeneous process with variegate clinical manifestations, sometimes in overlap with NDLVC. A 26-year-old woman was admitted forcomplete heart block (CHB) and persistently raised troponin.

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Objective: Molecular features are essential for estimating the risk of recurrence and impacting overall survival in patients with endometrial cancer. Additionally, the surgical procedure itself could be personalized based on the molecular characteristics of the tumor. This study aims to assess the feasibility of obtaining reliable molecular classification status from biopsy specimens collected during hysteroscopy to better modulate the appropriate surgical treatment.

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Cancer patients often undergo rounds of trial-and-error to find the most effective treatment because there is no test in the clinical practice for predicting therapy response. Here, we conduct a clinical study to validate the zebrafish patient-derived xenograft model (zAvatar) as a fast predictive platform for personalized treatment in colorectal cancer. zAvatars are generated with patient tumor cells, treated exactly with the same therapy as their corresponding patient and analyzed at single-cell resolution.

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Comprehensive genomic and transcriptomic characterization of high-grade gastro-entero-pancreatic neoplasms.

Br J Cancer

July 2024

First Pathology Unit, Department of Pathology and Laboratory Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Background: High-grade gastro-entero-pancreatic neoplasms (HG GEP-NENs) can be stratified according to their morphology and Ki-67 values into three prognostic classes: neuroendocrine tumors grade 3 (NETs G3), neuroendocrine carcinomas with Ki-67 < 55% (NECs <55) and NECs with Ki-67 ≥ 55% (NECs ≥55).

Methods: We analyzed a cohort of 49 HG GEP-NENs by targeted Next-Generation Sequencing (TrueSight Oncology 500), RNA-seq, and immunohistochemistry for p53, Rb1, SSTR-2A, and PD-L1.

Results: Frequent genomic alterations affected TP53 (26%), APC (20%), KRAS and MEN1 (both 11%) genes.

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Current status of undergraduate teaching in forensic & legal medicine in Europe.

Int J Legal Med

September 2024

Department of Forensic Medicine, University of Helsinki, PO BOX 21 (Haartmaninkatu 3), 00014, Helsinki, Finland.

Article Synopsis
  • The European Council of Legal Medicine (ECLM), established in 1992, represents forensic and legal medicine practitioners across 34 member countries and aims to assess and improve undergraduate forensic medicine training in these nations.
  • A study was conducted through a detailed questionnaire, which received responses from 21 of the 33 contacted countries, revealing a strong focus on teaching forensic medicine, with notable exceptions in Belgium and the UK.
  • The survey results will serve as a foundation for creating harmonized guidelines for undergraduate forensic medicine education, enabling the ECLM to form a working group that tailors a modern core curriculum to fit the needs and resources of each member country.
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How To Report the Minor Component of a High-grade Pattern in Radical Prostatectomy Specimens: Time To Abandon the "Tertiary" Terminology?

Eur Urol

October 2024

Department of Pathology and Laboratory Medicine, Department of Surgery/Urology, Brown University Warren Alpert Medical School, Lifespan Academic Medical Center; Legorreta Cancer Center at Brown University, 222 Richmond St, Providence, RI, 02903, USA. Electronic address:

The International Society of Urological Pathology and Genitourinary Pathology Society differ in their recommendations for reporting of minor components of high-grade pattern in prostatectomy specimens. This can affect the grade group assigned, particularly when there are only two Gleason patterns in a cancer nodule. We therefore argue that the term "tertiary" should be changed to "minor" component.

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TROP-2, NECTIN-4 and predictive biomarkers in sarcomatoid and rhabdoid bladder urothelial carcinoma.

Pathologica

February 2024

Medical and Translational Oncology, Department of Oncology, Azienda Ospedaliera S. Maria, Terni, Italy.

Article Synopsis
  • This study investigates the expression of TROP-2 and NECTIN-4 in undifferentiated bladder urothelial carcinoma (BUC), specifically focusing on sarcomatoid and rhabdoid subtypes, which are less understood compared to common forms of BUC.
  • Out of 35 undifferentiated BUC cases, TROP-2 was expressed in 20% and NECTIN-4 in 29%, with various other biomarkers such as HER-2 and PD-L1 also evaluated, showing diverse expression rates across cases.
  • The findings suggest that while TROP-2 and NECTIN-4 can be present in some sarcomato
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Apoptosis, a useful marker in the management of hot-phase cardiomyopathy?

Eur J Heart Fail

March 2024

Cardiovascular Department, Center for Diagnosis and Treatment of Cardiomyopathies, Azienda Sanitaria Universitaria Giuliano-Isontina, University of Trieste, Trieste, Italy.

Article Synopsis
  • The study investigates 'hot phases' of cardiomyopathy, which involve chest pain and troponin release, and aims to distinguish this condition from acute myocarditis.
  • Researchers analyzed 17 patients who had suspected 'hot-phase cardiomyopathy', assessing them through endomyocardial biopsy (EMB) and genetic tests over a median follow-up of 18 months.
  • The findings revealed that while significant inflammation was rare, apoptosis was common, especially in those with genetic variants linked to cardiomyopathies, suggesting that detecting apoptosis during EMB can inform genetic testing and treatment options.
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Multiple bronchial carcinoids associated with Cowden syndrome.

Endocrine

June 2024

Department of Medicine and Oncology, ENETS Center of Excellence, Faculty of Medicine, Semmelweis University, Budapest, Hungary.

Article Synopsis
  • Cowden syndrome (CS) is a rare genetic disorder linked to mutations in the PTEN tumor suppressor gene, increasing the risk of various tumors, including thyroid and breast cancers.
  • A case study highlights a 46-year-old man with a history of testicular seminoma and thyroid cancer who was diagnosed with CS through genetic testing that confirmed a PTEN mutation.
  • This patient also exhibited multiple pulmonary carcinoid tumors, marking him as the first reported case of CS linked to these specific tumors, suggesting CS may predispose individuals to multifocal pulmonary lesions.
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Alterations in kinase genes such as NTRK1/2/3, RET, and BRAF underlie infantile fibrosarcoma (IFS), the emerging entity 'NTRK-rearranged spindle cell neoplasms' included in the latest WHO classification, and a growing set of tumors with overlapping clinical and pathological features. In this study, we conducted a comprehensive clinicopathological and molecular analysis of 22 cases of IFS and other kinase gene-altered spindle cell neoplasms affecting both pediatric and adult patients. Follow-up periods for 16 patients ranged in length from 10 to 130 months (mean 38 months).

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