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  • Spremembe v stromi pri maligni preobrazbi polipoidnih adenomov širokega črevesa in danke : doktorska disertacija = The stromal changes associated with the malignant change of colorectal polypoid adenomas
    Vodopivec, Boris, 1951-
    Backround. Tumor stroma is a specialised tissue important for the tumor growthand nutrition. We have analysed stromal changes in early polypoid colorectal adenocarcinomas (PCRC). One of the main ... questions was the difference in the stroma composition between early PCRC and benign colorectal polyps. Methods and materials. A retrospective analysis was performed on biopsies of early colorectal polypoid adenocarcinoma (Dukes A, TI=72%, T2=28%). Adenomas with early malignant change (n=25), and three control groupsof polyps with stromal changes, adenomas (n=12), juvenile polyps (n=11) and polyps connected with rectal prolapse (n+11) were included in the study. Biopsy tissue specimens, fixed in neutral formalin and embedded in paraffin, were stained with haematoxilin and eosin, and Kreyberg methods. Stromal changes were analysed by immunohistochemical methods using the following antigensČ alpha-smooth muscle actin (alpha-SMA), von Willebrand factor (vWF), desmin, fibrinoctin, collagen III, collagen IV, laminin, Ki-67, CD68 and by the reaction with lectin Ulex Europaeus agglutinin-1 (UEA-1) for alpha-L-fucose. For statistical analysis, a nonparametric Wilcoxon rank sum test and Mann-Whitney test-U were used. The criterion for the statistical significance was P<0,05. Results. We have found the following stromal changes in the early PCRC, that were significantly different from the control groups of polypsČ The number of myofibroblasts and pericytes was increased. They werearranged in multiple layers around tumor glands. In the myofibroblast cytoplasm, alpha-SMA but no desmin, was found. The orientation of myofibroplasts, pericytes and smooth muscle cells was irregular. Small vesselswere increased in number and their morphology as well as architecture were altered in a characteristic way. The capillaries were arranged around carcinomatous glands in multiple layers and showed characteristic budding in all directions. (Abstract truncated at 2000 characteristics.)
    Type of material - dissertation ; adult, serious
    Publication and manufacture - Ljubljana : [B. Vodopivec], 1999
    Language - slovenian
    COBISS.SI-ID - 1976852

Library/institution City Acronym For loan Other holdings
MF, Central Medical Library, Ljubljana Ljubljana CMK outside loan 2 cop.
National and University Library, Ljubljana Ljubljana NUK reading room 1 cop.
University of Maribor Library Maribor UKM reading room 1 cop.
not for loan 1 cop.
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