Nasser Rakhshani; Roshanak Derakhshandeh; Seyed Amir Mirbagheri; Farhad Zamani; Ahad Atef Vahid; Mitra Mehrazma
Volume 6, Issue 3 , June 2011, , Pages 117-123
Abstract
Background and Objectives: Involvement of lymph nodes is an important prognostic factor in the most cancers, including colorectal cancer. In the recent years, invasion to blood and lymphatic vessels has been shown to predict involvement of lymph nodes and the number of involved nodes has been less studied ...
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Background and Objectives: Involvement of lymph nodes is an important prognostic factor in the most cancers, including colorectal cancer. In the recent years, invasion to blood and lymphatic vessels has been shown to predict involvement of lymph nodes and the number of involved nodes has been less studied issue. The aim of this study was determination of the relationship between the size of colorectal adenocarcinoma and lymph node involvement. Materials & Methods: In this cross-sectional study, 116 patients were enrolled with colorectal cancer from Rasoul-e-Akram and Mehr Hospitals in 2002-2008. Data analysis was performed by SPSS-15 software. Results were expressed as frequency, percent, and mean ±SD. We used Chi2, student t-test and correlation tests for statistical analysis. Results: 54.3% of patients were male and 45.7% were female. Mean age of them was 59.4± 12.9 years. Mean of tumor size (longest diameter) was 5.4± 2.2 (range: 1.5 to 12) cm. Mean number of involved lymph nodes was 4.9± 3.5(range: 1-14). There was no correlation between number of lymph node involvement and tumor size. There was no correlation between lymph node involvement and tumor and age group, sex, location and depth of tumor. Poorly differentiated tumor significantly correlated to lymph node involvement (P=0.001). Conclusion: There is no correlation between tumor size and number of involved lymph node in colorectal cancer. However, poor histopathologic grade is associated with lymph node involvement.
Alireza Abdollahi; Mitra Mehrazma; Elham Talachian
Volume 3, Issue 4 , September 2008, , Pages 213-217
Abstract
Background and Objective: Celiac disease is an autoimmune disorder, characterized by inflammation, villous atrophy, and crypt hyperplasia of the small bowel mucosa. In this study we considered and compared sensitivity and specificity of serological tests in patients with celiac disease. Materials ...
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Background and Objective: Celiac disease is an autoimmune disorder, characterized by inflammation, villous atrophy, and crypt hyperplasia of the small bowel mucosa. In this study we considered and compared sensitivity and specificity of serological tests in patients with celiac disease. Materials and Methods: In this cross-sectional study we prospectively recruited children with suspected celiac disease. An intestinal biopsy specimen was obtained from all patients. Celiac disease diagnosed on the basis of histologic findings of Marsh classification. A serum sample was taken at the time of biopsy for serologic tests. Findings were analyzed using SPSS program, t-test, and chi-square tests. Results: Out of a total of 134 children in this study, seventy (52.21%) patients were boy and sixty four (47.8%) patients were girl. Celiac disease was diagnosed in 14 (10.4%) of the patients. In serologic tests, 11 patients (78.6%) were positive for antigliadin-Ab, 4 (28.6%) for anti tissue-transglutaminase Ab, and 9 (64.3%) for antiendomysial antibody. Sensitivity of antigliadin-Ab was 78.6% and its specificity was 95.9%. Sensitivity of anti tissue-transglutaminase Ab was 28% and its specificity was 95%. Sensitivity of antiendomysial Ab was 64% and its specificity was 96%. Conclusion: Positive serologic tests are supportive of the diagnosis in those with characteristic histopathologic changes on small intestinal biopsy. The best tests for this purpose are the IgA antiendomysial antibody or IgA anti tissue-transglutaminase, both of which are highly sensitive and specific.
Alireza Abdollahi; Mitra Mehrazma; Hossein Ghanaati
Volume 2, Issue 4 , September 2007, , Pages 49-153
Abstract
Background and Objective: Computerized tomography and fluoroscopic computerized tomography are amongst the methods used for guiding needle biopsy processes; however, fluoroscopic computerized tomography demonstrates the images during the process of biopsy. This study aims to compare and contrast the ...
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Background and Objective: Computerized tomography and fluoroscopic computerized tomography are amongst the methods used for guiding needle biopsy processes; however, fluoroscopic computerized tomography demonstrates the images during the process of biopsy. This study aims to compare and contrast the success of biopsy under guide of computerized tomography and fluoroscopic computerized tomography, independently and based on the location of the mass. Background and Objective: Computerized tomography and fluoroscopic computerized tomography are amongst the methods used for guiding needle biopsy processes; however, fluoroscopic computerized tomography demonstrates the images during the process of biopsy. This study aims to compare and contrast the success of biopsy under guide of computerized tomography and fluoroscopic computerized tomography, independently and based on the location of the mass. Results: In this study, among 206 subjects, 122 were examined under guide of fluoroscopic tomography and 84 under guide of conventional computerized tomography. In all anatomical locations of the mass except for mediastinum, negative cases of biopsy in conventional computerized tomography were more than fluoroscopic computerized tomography the total rate of success in fluoroscopic computerized tomography group was 86.1% and in conventional computerized tomography it was 76.2%. Conclusion: The results of this study showed that the fluoroscopic computerized tomography in biopsy is more successful than conventional computerized tomography in pelvis, abdomens, bone and liver and this might be the result of the feasibility of watching the biopsy needle during the procedure.
