Journal of Clinical Pathology
0021-9746
1472-4146
Anh Quốc
Cơ quản chủ quản: BMJ Publishing Group
Lĩnh vực:
Medicine (miscellaneous)Pathology and Forensic Medicine
Phân tích ảnh hưởng
Thông tin về tạp chí
Journal of Clinical Pathology (JCP) offers a mix of cutting-edge academic research and practical clinical advice. As one of the few broad scope pathology journals, it enables the busy pathologist to keep up to date with the latest developments in all disciplines of pathology. In addition to original research, JCP publishes a wide range of other content types aimed at the trainee or practising pathologist, including review articles on hot topics, best practice articles for clinical investigations, virtual cases featuring interactive images, in depth summaries of key genes and molecules in pathogenesis, and multi-disciplinary grand rounds cases. Selected articles have accredited online learning modules for self-assessment and CME.
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Parasite detection in patients with post kala-azar dermal leishmaniasis in India: a comparison between molecular and immunological methods
Tập 56 Số 11 - Trang 840-843 - 2003
Vimentin and laminin expression is associated with basal-like phenotype in both sporadic and<i>BRCA1</i>-associated breast carcinomas Aims: To determine whether basal-like phenotype and vimentin and/or laminin are related in both sporadic/familial (BRCA1 orBRCA2 mutated) tumours.Methods: 230 non-familial and 28 hereditary node-negative invasive breast carcinomas were immunohistochemically analysed for oestrogen receptors (ER), progesterone receptors (PR), cytokeratin 5/6 (CK5/6), epidermal growth factor receptors (EGFR), Ki67, p53, vimentin and laminin, using tissue microarrays. Tumours were considered to have basal-like phenotype if they were ER negative and HER2 negative, but positive for CK5/6 and/or EGFR.Results: In sporadic tumours, vimentin expression was found in 77.8% cases with basal-like phenotype and 15.5% of non-basal cases (p<0.001). In familial cases, vimentin was expressed in 83.3% basal-like cancers and 16.7% of non-basal tumours (p<0.001). Vimentin expression was more frequent inBRCA1 thanBRCA2 mutation carriers. Vimentin expressing tumours were associated with poor prognosis (p = 0.012) among patients not receiving adjuvant chemotherapy and showed a trend for local recurrence or visceral but not bone metastasis (p = 0.021). Laminin expression was also related to basal-like phenotype in both sporadic/familial cases (p<0.001 and p = 0.007, respectively), but neither with prognosis nor recurrence pattern in sporadic cancers.Conclusions: Vimentin and laminin expression is associated with basal-like phenotype in breast cancer. Expression of vimentin and laminin is characteristic ofBRCA1 associated tumours. Since vimentin and laminin staining is widely used by pathologists for diagnostic purposes, thus demonstrating the robustness of their specific antibodies, the immunohistochemical evaluation of these two molecules could be used in identification of basal-like breast tumours in both sporadic/familial cases.
Tập 60 Số 9 - Trang 1006-1012 - 2007
Myopericytoma: a unifying term for a spectrum of tumours that show overlapping features with myofibroma. A review of 14 cases Background: Myopericytoma (MPC) is a recently proposed term to describe a group of tumours that originate from perivascular myoid cells and show a range of histological growth patterns. Only a small number of series describing MPC have been reported. MPC is frequently misdiagnosed as a sarcoma.Aims: To document the clinical and histopathological findings of a series of MPCs, to describe the range of growth patterns and morphological spectrum, and to compare MPC with myofibroma (MF).Patients/Methods: Fourteen patients with features of MPC and/or MF were identified from the archival files of the department of anatomical pathology, Royal Prince Alfred Hospital, Sydney, Australia.Results: There were six female and eight male patients. The mean and median patient ages were 37 and 35.5 years, respectively. The tumours were located in the skin, subcutis, or superficial soft tissues of the distal extremities (13 patients) or the head and neck region (one patient), and showed a spectrum of morphological appearances. They were divided into two groups based upon the predominant growth pattern corresponding to MPC (seven cases) and MF (seven cases). The feature most suggestive of MPC was the presence of a concentric perivascular arrangement of plump spindle shaped cells. The presence of a zonation/biphasic appearance was most characteristic of MF.Conclusions: MPC exhibits a spectrum of growth patterns that overlap with MF. Tumours can be designated as MPC or MF depending on the predominant growth pattern.
Tập 59 Số 1 - Trang 67-73 - 2006
Urethral malignant melanoma closely mimicking urothelial carcinoma. Primary malignant melanoma of the urethra is very rare. In the male, the distal urethra is the most common site. The histopathology does not usually differ from that of melanoma at other body sites. This report describes a case of urethral malignant melanoma which closely resembled urethral carcinoma. It showed both papillary and solid growth, and the diagnosis only became apparent from special stains. Pathologists should be aware of this rare occurrence.
Tập 50 Số 3 - Trang 250-252 - 1997
Estimation of serum gentamicin by quenching fluoroimmunoassay. A new type of non-isotopic immunoassay, applied to the determination of serum gentamicin, is reported. The method is based on partial quenching of fluorescence observed when fluorescein-labelled gentamicin is bound by anti-gentamicin serum. The fluorescence intensity of the labelled gentamicin in an unseparated immunoassay incubation mixture therefore serves to indicate the extent of binding, which is related to the amount of competing unlabelled gentamicin present. Precision and accuracy are shown to be similar to those of the best existing methods for gentamicin, while the new assay is more rapid and technically simpler, and avoids the use of expensive radio-chemicals with their attendant health hazard. Assays of patient samples correlate with established bioassay and polarisation fluoroimmunoassay methods.
Tập 30 Số 6 - Trang 526-531 - 1977
Titres and cross reactions of commercial antisera for the capsular typing of Klebsiella species. Ninety commercially supplied sera for the capsular typing of Klebsiella species were tested in a full chequerboard against 72 type strains. Only four of 144 homologous reactions could not be detected. Of the 6336 possible heterologous reactions, 91 actual cross reactions were found. All positive reactions were titrated and working dilutions deduced. This provides essential information for the successful typing of unknown strains with these sera.
Tập 28 Số 1 - Trang 33-36 - 1975
Experiences in the use of commercial antisera for the capsular typing of klebsiella species.
Tập 25 Số 8 - Trang 734-737 - 1972
A new serotyping method for Klebsiella species: development of the technique. A new serotyping method for Klebsiella species using indirect immunofluorescence is described. Nonspecific fluorescence has been minimized by carrying out the capsular antigen-antibody reaction at pH 9.0. Commercial antisera have been tested with the 72 antigenic types of Klebsiella, and appropriate dilutions of each pool and specific antisera have been proposed for use in routine typing. Dilutions were chosen to allow strong fluorescence with each type and its specific antiserum and minimal fluorescence with cross reacting antisera. Where the pool antisera gave a weak reaction for one or more of the component types, it is recommended that the specific antisera for these types be added to the pool dilution. The few remaining cross reactions, with the pool and specific antisera in test dilution, are listed in a table. The unique cross reacting patterns of particular types have been found to be useful in identification. Typing Klebsiella by the fluorescent antibody technique is easy to perform and interpret; the results are reproducible, and it is less expensive than the existing capsular swelling method as it is more sensitive and requires less concentrated antisera. This new method of typing should facilitate detailed epidemiological studies of the mode of transmission of Klebsiella species in hospitals and thus allow more effective infection control measures to be instituted.
Tập 29 Số 4 - Trang 296-304 - 1976
Bacteriocine typing of Klebsiella spp One hundred and six strains of Klebsiella spp were examined for their ability to produce bacteriocine. Nine of these, together with one strain from the National Collection of Type Cultures, were selected and used to type Klebsiella strains from various sources. Strains were typed by testing their sensitivity to bacteriocines produced by the standard set of 10 strains. Eight hundred strains were tested and 77% of these were typable and could be divided into a relatively large number of groups, some of which occurred consistently more frequently than others. This simple method has been shown to have some value in epidemiological investigations.
Tập 24 Số 8 - Trang 712-716 - 1971
Epidemiological study of klebsiella infection in the special care baby unit of a London hospital Of the babies admitted to the Special Care Baby Unit of the Royal Free Hospital over 20 months, 10·2% were infected or colonised by klebsiella. The fluorescent antibody technique was used to identify epidemics caused by three strains: capsular type 8K. aerogenes, type 68K. oxytoca, or type 13K. aerogenes, each of which was predominant at a different time, exhibited a difference in virulence, and showed a predilection for different sites of infection. Intestinal colonisation was frequently followed by the presence of sepsis in other sites by the same capsular type. Antibiotic administration led to a higher incidence of klebsiella infection, while the widespread use of compounds containing hexachlorophane could have contributed to skin colonisation and infection by klebsiella. An environmental survey indicated that 1% Hycolin failed to disinfect the incubators, that the babies were the reservoirs of the organisms, and that transmission was due to inadequate hand-washing of nurses and mothers. The mothers were found to have been uninformed of hygienic techniques. They were observed in various practices which could have contributed to the spread of the organism, including contaminating communal areas and handling babies other than their own. It has been recommended that the mothers of premature infants be instructed in the hygienic measures required in dealing with this susceptible population and that the nursing and medical staff be more strict in their own observance of these procedures.
Tập 33 Số 4 - Trang 400-407 - 1980