45 results on '"Bereza T"'
Search Results
2. Certain remarks on blood supply of normal human uterine corpus - corrosion casting and SEM study
- Author
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Wrona, A. N., Konarska, M., Aleksandrovych, V., Bereza, T., Sajewicz, M., Mróz, I., Michał P. Zarzecki, and Warchoł, Ł.
- Subjects
corrosion casting ,blood supply ,human uterus ,scanning electron microscopy - Published
- 2015
3. Application of Duracryl plus for preparation of corrosion casts of venous coronary tree of human heart
- Author
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Mazur, M., Walocha, K., Marcin Kuniewicz, Wandzel-Loch, B., Tomaszewska, I., Konarska, M., Lipski, M., Kucharska, A., and Bereza, T.
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coronary sinus ,Duracryl Plus ,injection study ,corrosion casts - Published
- 2015
4. Morphometric parameters of human coronary sinus - based on study of 80 human hearts
- Author
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Wandzel-Loch, B., Mazur, M., Walocha, K., Marcin Kuniewicz, Konarska, M., Bereza, T., and Kucharska, A.
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corrosion casting ,anatomy ,coronary sinus ,morphology - Published
- 2015
5. Inferior tibiofibular joint (tibiofibular syndesmosis) - own studies and review of the literature
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Mróz, I., Kurzydło, W., Bachul, P., Jaworek, J., Konarska, M., Bereza, T., Walocha, K., Mazur, M., Marcin Kuniewicz, Depukat, P., Mizia, E., Chmielewski, P., and Warchoł, Ł.
- Subjects
anatomy ,inferior tibiofibular joint ,tibiofibular syndesmosis - Published
- 2015
6. Quality of corrosion specimens prepared from material obtained during autopsies - a preliminary study
- Author
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Bereza, T., Tomaszewski, K., Skrzat, J., Klimek-Piotrowska, W., Sporek, M., Mizia, E., Lis, G., and Artur Pasternak
- Subjects
corrosion casting ,SEM ,human uterus - Abstract
Aim: Aim of this study was to assess the quality of the corrosion specimens obtained during autopsies of human body for scanning electron microscopy procedures. Materials and Method: Ninety seven uteri were obtained upon autopsy of women aged 25-56 years, deceased due to causes not related to disorders of the reproductive system. Fourty three of them contained large subserosal uterine leiomyomata. Twenty uteri were injected with acrylic emulsion Liquitex R via the arteries or veins. Five of these uteri were next dissected and cut into slides on a microtom. The remaining uteri were injected with 60–80 ml of Mercox CL-2R resin, next macerated and studied under scanning electron microscope (JEOL SEM 35-CF scanning electron microscope at 20-25 kV) Results: Best human specimens were obtained from the autopsies carried out possibly early after the decease, young aged (between 25 and 45) and died because of multitrauma not associated with the pelvic injury. Conclusions: Specimens obtained from autopsies can be used for scanning electron microscopy however under several conditions, specially the time between death and undertaking the injection procedures and the age of the individual, because of the process of artherosclerosis.
- Published
- 2013
7. Blood vessels of the intratumoral septa in uterine leiomyomata
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Bereza, T., Lis, G., Jerzy Mitus, Sporek, M., Chmielewski, P., Kolber, W., Mazur, M., Goncerz, G., and Kuniewicz, M.
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corrosion casting ,septa ,pseudocapsule ,immunohistochemistry ,uterine fibroids - Published
- 2013
8. Vascular structure of outer myometrial uterine leiomyomata - a preliminary sem and immunohistochemical study
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Bereza T, Skrzat J, Szczepanski W, Mitus J, Krzysztof Tomaszewski, and Depukat P
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urogenital system ,myometrium ,SEM ,microcorrosion ,leiomyomata ,blood supply ,female genital diseases and pregnancy complications - Abstract
Aim: The main goal of this study was assessment of vascular structure of uterine leiomyomata localized between outer myometrium and endometrium. Materials and Methods: The study was carried out on thirty two human uteri collected upon autopsy. Vessels were injected with synthetic resin, next corroded and coated with gold, finally observed using scanning electron microscope. Next ten uteri were injected with acrylic emulsion and studies using immunohistochemical staining for von Willebrandt’s factor. Results: Vascular structure of outer myometrial leiomyomata was quite similar to those observed in the middle of muscular layer of uterus, characterized by relatively dense ‘vascular capsule’, consisted of flattened vein, arterioles and capillaries. Conclusions: Structure of outer myometrial uterine leiomyomata was similar to those observed during growth within myometrium.
- Published
- 2013
9. Vascular architecture of the human uterine cervix, as assessed in light- and scanning electron microscopy
- Author
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Bereza T, Krzysztof Tomaszewski, Walocha J, Mizia E, Bachul P, and Chmielewski P
- Subjects
Adult ,Microscopy, Electron, Scanning ,Myometrium ,Humans ,Female ,Cervix Uteri ,Middle Aged ,Capillaries ,Veins - Abstract
The aim of this study was to visualise and describe the vasculature of the human uterine cervix.The material for this study was obtained from women (age between 20 to 45 years) during autopsy. The material was collected not later than 24 h post-mortem. This study was performed using uteri from cadavers of menstruating nulliparas (33 uteri) and menstruating multiparas (27 uteri). Collected uteri were perfused via the afferent vessels with Mercox resin (for corrosion-casting and SEM assessment) or acrylic paint solution (light microscopy assessment). The research protocol was approved by the Jagiellonian University Ethics Committee (registry KBET/121/8/2007).In all cases bilateral cervical branches (1-4), originating from the uterine artery, were found. Both in the vaginal and supravaginal parts of the cervix, four distinct vascular zones were found. In the pericanalar zone ran small veins, responsible for draining the mucosal capillaries. Both in the muscular layer, as well as in the pericanalar zone, arterioles, and venules passed close to each other, often adjoining.This study does not confirm the existence of a single cervicovaginal artery, but shows that the vascular supply of the cervix comes from several vessels. It also introduces the idea of two systems, responsible for draining blood from the mucosal capillaries. Neither assessment in light microscopy nor in SEM revealed any differences between multiparas and nulliparas, regarding the vascular architecture of the cervix.
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- 2012
10. ‘Venous lakes’ — a corrosion cast scanning electron microscopy study of regular and myomatous human uterine blood vessels
- Author
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Bereza, T., primary, Tomaszewski, K. A., additional, Lis, G. J., additional, Mizia, E., additional, Pasternak, A., additional, Mazur, M., additional, and Mituś, J., additional
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- 2014
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11. Vascular architecture of human uterine cervix visualized by corrosion casting and scanning electron microscopy
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Walocha, J. A., primary, Litwin, J. A., additional, Bereza, T., additional, Klimek-Piotrowska, W., additional, and Miodonski, A. J., additional
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- 2012
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12. Blood supply of human uterine cervix - a SEM study
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Bereza T, Janusz Skrzat, Brzozowska I, Maduzia D, Matuszyk A, Chmielewski P, Klimek-Piotrowska W, and Tomaszewski K
13. Blood vessels of the shin - posterior tibial artery - anatomy - own studies and review of the literature
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Chmielewski, P., Warchoł, Ł., Gala-Błądzińska, A., Mróz, I., Walocha, J., Malczak, M., Jaworek, J., Mizia, E., Walocha, E., Depukat, P., Bachul, P., Bereza, T., Kurzydło, W., Barbara Gach - Kuniewicz, Mazur, M., and Tomaszewski, K.
14. Blood vessels of the shin - anterior tibial artery - anatomy and embryology - own studies and review of the literature
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Mróz I, Kielczewski S, Pawlicki D, Kurzydło W, Bachul P, Konarska M, Bereza T, Walocha K, Ln, Kaythampillai, Depukat P, Pasternak A, Bonczar T, and Krzysztof Tomaszewski
15. Uterine fibroid: common features of widespread tumor (Review article)
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Aleksandrovych V, Bereza T, Sajewicz M, Ja, Walocha, and Krzysztof Gil
16. The anatomy of the uterine artery: A meta-analysis with implications for gynecological procedures.
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Ostrowski P, Bonczar M, Michalczak M, Gabryszuk K, Bereza T, Iwanaga J, Zarzecki M, Sporek M, Walocha J, and Koziej M
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- Humans, Female, Pelvis, Iliac Artery, Abdomen, Uterine Artery anatomy & histology, Embolization, Therapeutic
- Abstract
The uterine artery (UA) is an arterial branch of the internal iliac artery in women, usually arising from the anterior division of the internal iliac artery. However, due to the high variability in the anatomy of the UA, embolization of this vessel may be challenging. Therefore, the objective of this meta-analysis was to provide physicians with transparent data on the anatomy of the UA, using the available data in the literature. Databases such as PubMed, Scopus, Embase, Web of Science, and Google Scholar were searched to find all the relevant studies regarding the UA. A total of 16 articles met the required criteria. The UA was found to originate most frequently from the internal iliac artery as the pooled prevalence was set to be 61.72% (95% CI: 41.31%-80.31%). A pooled prevalence of the UA originating from the umbilical artery was established at 13.93% (95% CI: 2.76%-30.44%). A pooled prevalence of the UA originating from the inferior gluteal artery was set to be 5.22% (95% CI: 0.00%-15.44%). In conclusion, we believe that this is the most accurate and up-to-date study regarding the highly variable anatomy of the UA. The UA originates most frequently from the internal iliac artery (61.72%), however, other origins, such as from the umbilical artery (13.93%) or the inferior gluteal artery (5.22%) may occur. It is hoped that the results of the present meta-analysis will be a helpful tool for surgeons performing pelvic or gynecological surgeries., (© 2022 American Association of Clinical Anatomists and British Association of Clinical Anatomists.)
- Published
- 2023
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17. Oviductal Oxygen Homeostasis in Patients with Uterine Myoma: Correlation between Hypoxia and Telocytes.
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Wrona A, Aleksandrovych V, Bereza T, Basta P, Gil A, Ulatowska-Białas M, Mazur-Laskowska M, Pityński K, and Gil K
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- Animals, Estrogens metabolism, Female, Follicle Stimulating Hormone metabolism, Homeostasis, Humans, Hypoxia metabolism, Oviducts metabolism, Oxygen metabolism, Pregnancy, Progesterone metabolism, Infertility metabolism, Leiomyoma metabolism, Myoma metabolism, Myoma pathology, Telocytes pathology
- Abstract
Oxygen balance is crucial for angiogenesis, immunity, and tissue repair. The human oviduct is essential for reproductive function, and any imbalance in homeostasis leads to fertility disturbances and might be a reason for ectopic pregnancy development. Uterine myoma is a widespread benign tumour, which is often accompanied by infertility. Telocytes have been discussed in the contexts of motility, fibrosis development, and angiogenesis. We observed the oviducts from patients with and without uterine myoma, comparing the expression of HIF-1, HO, VEGF and its receptor, NOS, oestrogen, and progesterone receptors by immunolabeling. The myometrial and oviductal telocytes were also compared in both groups. Biochemical analyses were conducted for FSH, LH, AMH, sFlt, oestrogen, and progesterone in blood samples. Patients with uterine myoma have different expressions of sex steroid receptors and an increased number of telocytes. The decreasing VEFG expression was compensated by the rise in the HIF-1 and NOS expression. Blood biochemical analyses revealed a higher progesterone level and lower AMH in patients with uterine myoma. No differences in sFlt, FSH, and LF were observed. Uterine myoma impacts oviduct oxygen homeostasis and might cause fertility disturbances (uterine and oviductal infertility factors).
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- 2022
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18. Oviductal Telocytes in Patients with Uterine Myoma.
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Aleksandrovych V, Wrona A, Bereza T, Pityński K, and Gil K
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Tubal factor infertility occurs in 30-35% of infertile pairs and may be caused by impaired muscular contractility and ciliary beating as well as immunological imbalance and chronic inflammation. Newly discovered telocytes (TCs) have a wide palette of features, which play a role in oviduct physiology. We have observed tissue samples from human fallopian tubes in patients with and without uterine myoma by immunolabelling. According to the immunohistochemical co-expression of markers, it has been determined that TCs are engaged in a wide range of physiological processes, including local innervation, sensitivity to hypoxia, regulation of calcium, and sex steroid hormones balances. Due to the proximity of NOS- and ChAT-positive nerve fibers and the expression of ion channels markers, tubal TCs might be considered conductor cells. Additionally, their integration in contractions and cilia physiology in the context of fertility has been revealed. We have observed the difference in telocytes expression in the human oviduct between groups of patients and attempted to describe this population of cells specifically in the case of infertility development, a clinically relevant avenue for further studies.
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- 2021
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19. Identification of PDGFRα+ cells in uterine fibroids - link between angiogenesis and uterine telocytes.
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Aleksandrovych V, Bereza T, Ulatowska-Białas M, Pasternak A, Walocha JA, Pityński K, and Gil K
- Abstract
Introduction: Telocytes (TCs), also called interstitial Cajal-like cells (ICLC), CD34+ cells or PDGFRα+ cells (platelet-derived growth factor receptor α positive cells), a new type of cell of mesenchymal origin, were described over one decade ago. The unique nature of these cells still deserves attention from the scientific community. Telocytes make homo- and heterocellular contact with myocytes, immunocytes and nerves, have their own immunohistochemical and secretome profiles and thus might regulate local regenerative processes including angiogenesis and fibrosis. The aim of our study was to observe the missing link between angiogenesis and telocytes in leiomyoma, the most common benign tumors affecting women of reproductive age., Material and Methods: We observed uterine tissue samples from leiomyoma, adjacent myometrium and unchanged tissue from patients with leiomyoma and control subjects using routine histology, histochemistry, immunofluorescence (CD117, CD31, CD34, PDGFRα, tryptase, sFlt-1) and image analysis methods., Results: The decline of the telocyte density in the foci of fibroids correlated with poor vascularization inside the leiomyoma. Moreover, the expression of sFlt-1 (anti-angiogenic-related factor) significantly increased inside a fibroid. In leiomyoma the decrease of telocyte and blood micro-vessel density was accompanied by prevalence of collagen deposits, unlike the unchanged myometrium., Conclusions: Our results demonstrate TCs in human uterine fibroids and highlight their possible involvement in the pathogenesis of myometrial pathology in the context of angiogenesis., Competing Interests: The authors declare no conflict of interest., (Copyright: © 2019 Termedia & Banach.)
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- 2019
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20. The Autonomic Innervation and Uterine Telocyte Interplay in Leiomyoma Formation.
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Aleksandrovych V, Kurnik-Łucka M, Bereza T, Białas M, Pasternak A, Cretoiu D, Walocha JA, and Gil K
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- Adult, Aged, Antigens, CD34 analysis, Female, Humans, Middle Aged, Nitric Oxide Synthase analysis, Proto-Oncogene Proteins c-kit analysis, Receptor, Platelet-Derived Growth Factor alpha analysis, Uterus innervation, Leiomyoma pathology, Telocytes pathology, Uterine Neoplasms pathology, Uterus pathology
- Abstract
The autonomic innervation of the uterus is involved in multiple pathophysiological processes in both humans and animals. Pathological conditions such as adenomyosis or inflammatory pelvic disease are usually accompanied by significant alterations in uterine innervation. In the current study, we focused on autonomic innervation of uterine fibroids, the identification of recently described interstitial cells, telocytes, and the possible interplay between these structures. In this work, uterine telocytes were identified by immunopositivity for c-kit, CD34, and PDGFRα. Nerves were revealed by immunolabeling for neuronal markers: protein gene product PGP 9.5, inducible nitric oxide synthase (iNOS), choline acetyltransferase (ChAT), and tyrosine hydroxylase (TH). The gross organization of myometrial tissue has been analyzed by routine histology. The results demonstrated that the density of iNOS and ChAT-immunopositive neurons in the uterine fibroids was higher than that in the control samples. The density of telocytes in the fibrosis foci was lower than that in the normal myometrium. Our results suggest that autonomic innervation and telocytes are involved in the microenvironment imbalance characteristic of uterine leiomyoma. Since NOS-positive nerves play an important role in oxidative stress modulation, they might lead to a decrease in the number of telocytes, which are crucial components in the pathogenesis of leiomyoma formation.
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- 2019
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21. Cesarean scar pregnancy - various methods of treatment.
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Doroszewska K, Milewicz T, Bereza T, Horbaczewska A, Komenda J, Kłosowicz E, and Jach R
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- Adult, Female, Humans, Poland, Pregnancy, Pregnancy Complications diagnosis, Pregnancy Complications etiology, Cesarean Section adverse effects, Cicatrix complications, Laparoscopy methods, Pregnancy Complications therapy, Pregnancy, Ectopic diagnosis, Pregnancy, Ectopic etiology, Pregnancy, Ectopic therapy
- Abstract
Ectopic pregnancy constitutes 2% of all pregnancies. In the last decades, due to the rising amount of caesarean sections, new localization of ectopic pregnancy has been observed - caesarean scar pregnancy (CSP). Cesarean scar pregnancy is an iatrogenic disease and a life-threatening condition which frequency will systematically rise. Because of possible serious complications, CSP should be swiftly diagnosed and treated. The purpose of this retrospective study was to demonstrate different methods of CSP treatment performed between 2015-2018 in the Clinic of Endocrinological Gynaecology and Gynaecology Jagiellonian University Medical College in Cracow. The clinical characteristics, diagnosis, various methods of treatment and clinical outcomes were analysed. Definitive algorithm of CSP treatment is still not established. Pharmacological and operative methods are approved while expectant observation is considered unsafe due to possible risk of complications for the patient, including death.
- Published
- 2019
22. The thin red line - postmenopausal abnormal uterine bleeding with endometrial thickness less than 4 mm.
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Piróg M, Kacalska-Janssen O, Bereza T, and Jach R
- Abstract
Aim of the Study: To evaluate the risk of endometrial malignancy in postmenopausal women with abnormal uterine bleeding (AUB) with endometrial thickness ≤ 4 mm., Material and Methods: Histological assessment of endometrial samples obtained via hysteroscopy or curettage was performed in 57 women., Results: Women with premalignancy or malignancy (24.6%) had higher endometrial thickness (by 9.7%, p = 0.01) compared to women with benign condition. Out of 12 women with atypical hyperplasia (21.1%), 5 women (8.8%) were diagnosed with simple and 7 women (12.3%) had complex hyperplasia, whereas 2 (3.5%) were diagnosed with malignancy., Conclusions: Postmenopausal women with AUB and endometrial echo ≤ 4 mm are less likely to have a malignant condition. However, the role of histological evaluation cannot be undermined, especially in women at high risk of endometrial cancer, and routine endometrial biopsy should be considered. We recommend a change in the cut-off to 2 mm in routine practice., Competing Interests: The authors declare no conflict of interest.
- Published
- 2019
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23. Classification system of the tibiofibular syndesmosis blood supply and its clinical relevance.
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Mróz I, Bachul PJ, Tomaszewski KA, Bereza T, Gil K, Walocha JA, and Pasternak A
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- Adult, Aged, Ankle Injuries surgery, Dissection, Female, Fracture Fixation, Internal adverse effects, Fracture Fixation, Internal methods, Humans, Intraoperative Complications etiology, Intraoperative Complications prevention & control, Male, Middle Aged, Popliteal Artery anatomy & histology, Popliteal Artery injuries, Anatomic Variation, Ankle Joint blood supply
- Abstract
Due to the lack of anatomical studies concerning complexity of the tibiofibular syndesmosis blood supply, density of blood vessels with further organization of syndesmotic vascular variations is presented in clinically relevant classification system. The material for the study was obtained from cadaveric dissections. We dissected 50 human ankles observing different types of arterial blood supply. Our classification system is based on the vascular variations of the anterior aspect of tibiofibular syndesmosis and corresponds with vascular density. According to our study the mean vascular density of tibiofibular syndesmosis is relatively low (4.4%) and depends on the type of blood supply. The highest density was observed among ankles with complete vasculature and the lowest when lateral anterior malleolar artery was absent (5.8% vs. 3.5%, respectively). Awareness of various types of tibiofibular syndesmosis arterial blood supply is essential for orthopedic surgeons who operate in the ankle region and radiologists for the anatomic evaluation of this area. Knowledge about possible variations along with relatively low density of vessels may contribute to modification of treatment approach by the increase of the recommended time of syndesmotic screw stabilization in order to prevent healing complications.
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- 2018
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24. Autonomic nervous system of the pelvis - general overview.
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Sienkiewicz-Zawilińska J, Zawiliński J, Kaythampilla LN, Jankiel M, Urbaniak J, Bereza T, Kowalski W, Loukas M, and Walocha J
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- Education, Medical, Humans, Students, Medical, Autonomic Nervous System anatomy & histology, Pelvis innervation, Peripheral Nerve Injuries pathology
- Abstract
Autonomic nervous system of the pelvis is still poorly understood. Every year more and more pelvic procedures are carried out on patients suffering from different pelvic disorders what leads to numerous pelvic dysfunctions. Authors tried to review, starting from historical and clinical background, the most important reports on anatomy of the pelvic autonomic plexuses. We also pay attention to complete lack of knowledge of students of medicine on the autonomic nervous structures in the area studied. We present anatomical description of the pelvic plexuses including their visceral branches and anatomy of surrounding pelvic tissues which still remains unclear. More and more attention is paid to the topography of the plexuses specially because of new pain releasing techniques - neurolysies.
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- 2018
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25. Identification of uterine telocytes and their architecture in leiomyoma.
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Aleksandrovych V, Białas M, Pasternak A, Bereza T, Sajewicz M, Walocha J, and Gil K
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- Adult, Aged, Antigens, CD34 metabolism, Case-Control Studies, Female, Humans, Hysterectomy, Immunohistochemistry, Middle Aged, Proto-Oncogene Proteins c-kit metabolism, Receptor, Platelet-Derived Growth Factor alpha metabolism, Telocytes cytology, Telocytes metabolism, Tryptases metabolism, Cervix Uteri cytology, Leiomyoma pathology, Myometrium cytology, Telocytes pathology, Uterine Neoplasms pathology
- Abstract
Introduction: Uterine leiomyoma is the most widespread benign tumor affecting women of childbearing age. ere are still gaps in the understanding of its pathogenesiss. Telocytes are unique cells described in greater than 50 different locations inside the human body. The functional relationship of cells could clarify the pathogenesis of leiomyomata. In the current study, we focused on the identification of telocytes in all regions of the human uterus to explain their involvement in leiomyoma development., Materials and Methods: Tissue samples from a healthy and myomatous uterus were stained for c-kit, tryptase, CD34 and PDGFRα to identify telocytes. Routine histology was performed to analyze tissue morphology and collagen deposits., Results: Telocytes were detected in the cervix, corpus of the uterus and leiomyoma. The density of telocytes in fibroid foci was reduced compared with normal myometrium., Conclusions: Our results demonstrated the existence of telocytes in all parts of the human body affected and unaffected by leiomyoma of the uterus. In addition, telocytes were also present in leiomyoma foci. Our results suggest that the reduced density of telocytes is important for the pathomechanisms of myometrial growth, demonstrating its value as a main component of the myomatous architecture.
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- 2018
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26. Unusual branching pattern of celiac trunk associated with supernumerary hepatic arteries and abnormal adrenal venous drainage - case study and review of the literature.
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Juszczak A, Solewski B, Loukas M, Lis M, Kaythampillai LN, Witkowska K, Bereza T, Wajda J, Urbaniak J, Maduzia D, and Walocha J
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- Adrenal Glands blood supply, Aged, Cadaver, Humans, Male, Splenic Artery pathology, Adrenal Glands pathology, Aorta, Abdominal pathology, Celiac Artery pathology, Hepatic Artery pathology, Mesenteric Artery, Superior pathology
- Abstract
Celiac artery (trunk) is one of the three major arteries which arise from abdominal aorta. It's variations not seem to be very uncommon. A routine dissection of a male cadaver at Department of Anatomy Jagiellonian University revealed unusual branching pattern of the celiac trunk with numerous supernumerary hepatic arteries. Additionally unusual venous drainage of the adrenal glands was found. A review of current literature has shown that a changed branching pattern may be important from clinical point of view, with special respect to endovascular procedures, laparoscopic surgery or radiology.
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- 2017
27. Ludwik Karol Teichmann (1823-1895).
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Musiał A, Zarzecki M, Gryglewski R, Urbaniak J, Bereza T, and Walocha J
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- History, 19th Century, Humans, Poland, Anatomy history, Schools, Medical history, Specimen Handling history
- Abstract
Ludwik Karol Teichmann was the last of gross anatomists. His magnificent work on the lymphatic system gained him appreciation of the whole current scientific world. Based on the unpublished materials authors wanted to commemorate one of the greatest Polish and world anatomists with special regard to coming soon 150th anniversary of Theatrum Anatomicum of Jagiellonian University Medical College.
- Published
- 2017
28. Angiogenesis and pro-angiogenic factors in uterine fibroids - facts and myths.
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Konarska M, Wrona AN, Aleksandrovych V, Bereza T, Sajewicz M, Gach-Kuniewicz B, Lis M, Komnata K, Paziewski M, Maleszka A, Depukat P, Solewski B, and Warchoł Ł
- Subjects
- Female, Humans, Intercellular Signaling Peptides and Proteins metabolism, Neovascularization, Pathologic, Vascular Endothelial Growth Factors metabolism, Angiogenesis Inducing Agents metabolism, Leiomyoma blood supply, Myometrium blood supply, Uterine Neoplasms blood supply, Uterus blood supply
- Abstract
Uterine leiomyomata present major problem for females. Although they are benign tumors their frequency is associated with many symptoms like infertility, abdominal pain, menorrhagia. Authors based on their own morphological studies and review of the literature try to indicate main factors causing angiogenesis within leiomyomata and its influence on tumor growth. The strongest proangiogenic factor seems to be hypoxia, which stimulates up- and down-regulation of numerous genetically determined substances. Also mechanical pressure acting upon newly growing vessels is one of the factors which may determine formation of so called "vascular pseudocapsule" around the lesion.
- Published
- 2016
29. Blood vessels of the shin - anterior tibial artery - anatomy and embryology - own studies and review of the literature.
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Mróz I, Kielczewski S, Pawlicki D, Kurzydło W, Bachul P, Konarska M, Bereza T, Walocha K, Kaythampillai LN, Depukat P, Pasternak A, Bonczar T, Chmielewski P, Mizia E, Skrzat J, Mazur M, Warchoł Ł, and Tomaszewski K
- Subjects
- Autopsy, Humans, Skin blood supply, Tibial Arteries surgery, Leg anatomy & histology, Leg blood supply, Muscle, Skeletal anatomy & histology, Muscle, Skeletal blood supply, Tibial Arteries anatomy & histology
- Abstract
Injuries of the lower leg are rather frequent in every day orthopedic routine. Process of healing takes quite a long time and is commonly dependent on the proper vasculature. e study was carried out on 50 human lower legs obtained during autopsies. The anatomy of the vascular system of the leg was studied using classical anatomical dissection methods. Based also on literature we have reviewed the current knowledge on the vascularization of the lower leg and its embryological background.
- Published
- 2016
30. Blood vessels of the shin - posterior tibial artery - anatomy - own studies and review of the literature.
- Author
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Chmielewski P, Warchoł Ł, Gala-Błądzińska A, Mróz I, Walocha J, Malczak M, Jaworek J, Mizia E, Walocha E, Depukat P, Bachul P, Bereza T, Kurzydło W, Gach-Kuniewicz B, Mazur M, and Tomaszewski K
- Subjects
- Autopsy, Humans, Skin blood supply, Tibial Arteries surgery, Leg anatomy & histology, Leg blood supply, Muscle, Skeletal anatomy & histology, Muscle, Skeletal blood supply, Tibial Arteries anatomy & histology
- Abstract
Anatomy of the vascular system of the leg was studied using classical anatomical dissection methods. Based also on literature we have reviewed the current knowledge on the vascularization of the lower leg and its embryological background with special respect toward the posterior tibial artery and its branches.
- Published
- 2016
31. Vascular density, angiogenesis and pro-angiogenic factors in uterine fibroids.
- Author
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Sajewicz M, Konarska M, Wrona AN, Aleksandrovych V, Bereza T, Komnata K, Solewski B, Maleszka A, Depukat P, and Warchoł Ł
- Subjects
- Female, Humans, Intercellular Signaling Peptides and Proteins metabolism, Vascular Endothelial Growth Factors metabolism, Angiogenesis Inducing Agents metabolism, Leiomyoma etiology, Myometrium metabolism, Neovascularization, Pathologic, Uterine Neoplasms etiology, Uterus blood supply
- Abstract
Angiogenesis is a process of development of new vessels from the preexisting vascular network of a host. This is process which is seen in many physiological situations but it accompanies also a development of different lesions, i.e. neoplasms. Uterine fibroids are one of the most frequent lesions which affect human internal female genital tracts. Authors briefly review most important pro-angiogenic factors, based on their own observation as well as reviewing current literature. They pay much attention to vascular density which is significantly changed in the uterine tumors.
- Published
- 2016
32. Reduction in the level of antibodies against heat shock proteins 60 during different hormonal protocols in postmenopausal women.
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Rajtar-Ciosek A, Kacalska-Janssen O, Zmaczyński A, Wyroba J, Tomczyk R, Wiatr J, Gałuszka-Bednarczyk A, Bereza T, Milewicz T, and Krzysiek J
- Abstract
Introduction: In current literature, the immune-inflammatory theory of atherosclerosis is widely discussed. The role of how heat shock proteins 60 (HSP60) lead to the development of the atheromatous plaque is especially underlined. The aim of the study is to estimate the influence of three hormonal protocols on behavior of antibodies against HSP60. It determines the state of endothelium in postmenopausal women., Material and Methods: The study was carried out on 90 women between 2007 and 2012. All the women were in their menopausal age (51 ± 3 years), from the south region of Poland, with a follicle stimulating hormone (FSH) level above 25 mIU/ml, and with menopausal symptoms disturbing their normal daily activity. The study was done for a period of 6 months. Three groups of 30 randomized patients were formed. In the first group we used transdermal estrogen therapy in a 37.5 µg/24 h dose combined with a 10 mg dose of dydrogesterone. In the second group we applied transdermal estrogen therapy in a 50 µg/24 h dose with 2.5 mg of oral medroxyprogesterone. In both these groups, gestagens were administered continuously. In the third group, we prescribed continuous, oral, low-dose combined estrogen-gestagen therapy with 1 mg of ethinyl estradiol and 0.5 mg of norethisterone acetate. The control group consisted of 30 volunteers who were also from the south region of Poland, in good health, with menopausal symptoms, no menstrual period for the last 12 months, selected considering their age and weight, with an FSH level above 25 mIU/ml and with normal levels of thyroid stimulating hormone (TSH) and prolactin. All patients treated and in the control group were seronegative to Chlamydia pneumonia for the entire duration of the study. In the analysis conducted, nonparametric tests were used (Mann-Whitney U test, Wilcoxon test, Kruskal-Wallis test - ANOVA)., Results: After 6 months of hormonal therapy, we found that all schemes of treatment promote a significant reduction in antibodies against HSP60 in all treated groups vs. the control group., Conclusions: All of the investigated estrogen protocols have a favorable impact on the blood level of HSP60 antibodies in early postmenopausal women who have no cardiovascular risk factors. It triggers a better condition of endothelium.
- Published
- 2015
- Full Text
- View/download PDF
33. Application of Duracryl plus for preparation of corrosion casts of venous coronary tree of human heart.
- Author
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Mazur M, Walocha K, Kuniewicz M, Wandzel-Loch B, Tomaszewska I, Konarska M, Lipski M, Kucharska A, and Bereza T
- Subjects
- Blood Vessels, Coronary Circulation, Hemodynamics physiology, Humans, Models, Cardiovascular, Acrylic Resins therapeutic use, Coronary Sinus pathology, Coronary Vessels pathology, Corrosion Casting methods, Plaque, Atherosclerotic therapy
- Abstract
Duracryl Plus is a synthetic resin, self-polymerizing copolymer of methyl methacrylate and acrylate, which is widely used in dental practice. The aim of this study was to apply it to fill the venous vascular beds of human hearts to obtain corrosion cast ready to describe wanted parameters of venous coronary vessels.
- Published
- 2015
34. Morphometric parameters of human coronary sinus - based on study of 80 human hearts.
- Author
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Wandzel-Loch B, Mazur M, Walocha K, Kuniewicz M, Konarska M, Bereza T, and Kucharska A
- Subjects
- Adult, Age Factors, Aged, Anthropometry methods, Cadaver, Coronary Vessels anatomy & histology, Female, Humans, Male, Middle Aged, Models, Cardiovascular, Sex Factors, Young Adult, Coronary Sinus anatomy & histology, Heart Atria anatomy & histology, Sex Characteristics
- Abstract
The study was carried out on 80 human hearts (64 male and 16 female). The whole material has been divided into 4 groups: I - aged 19-40; II - aged 41-50; III - aged 51-60 and IV - aged 61-70. The venous vascular bed of 80 hearts was injected through the coronary sinus with Duracryl plus (Spofa Dental, Czech Republic) and next corroded. Thus obtained specimens were measured using electronic caliper (MAU-a E 0-150, Horex, Poland). The length of the coronary sinus varied from 15-50 mm (with the mean value of 30 mm in male hearts and 25 mm in female hearts). The caliber of the vessels varied from 7-13 mm. The length of the coronary sinus is not age-dependent, however it is longer in male than female hearts. Generally the caliber of male coronary sinus is bigger than in the female, although it isn't statistically significant.
- Published
- 2015
35. Certain remarks on blood supply of normal human uterine corpus - corrosion casting and SEM study.
- Author
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Wrona AN, Konarska M, Aleksandrovych V, Bereza T, Sajewicz M, Mróz I, Zarzecki M, and Warchoł Ł
- Subjects
- Female, Humans, Microcirculation, Neovascularization, Pathologic pathology, Uterus physiology, Blood Vessels ultrastructure, Corrosion Casting methods, Microscopy, Electron, Scanning methods, Uterus blood supply
- Abstract
Corrosion casting and scanning electron microscopy are currently best available technique which allows observation of microvascular bed of different anatomical structures and obtaining quasi 3-D pictures, necessary for reconstruction of microvessels. Application of synthetic resins, which fill practically the whole vascular bed enables profound analysis of such obtained specimens.
- Published
- 2015
36. Inferior tibiofibular joint (tibiofibular syndesmosis) - own studies and review of the literature.
- Author
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Mróz I, Kurzydło W, Bachul P, Jaworek J, Konarska M, Bereza T, Walocha K, Mazur M, Kuniewicz M, Depukat P, Mizia E, Chmielewski P, and Warchoł Ł
- Subjects
- Arthroscopy methods, Autopsy, Female, Humans, Ligaments, Articular anatomy & histology, Male, Ankle Joint anatomy & histology, Fibula anatomy & histology, Tibia anatomy & histology
- Abstract
The study was carried out on 50 human lower legs obtained during autopsies. The anatomy of the joint was studied using classical anatomical description methods. Based also on literature we have reviewed the current knowledge on the inferior tibiofibular joint.
- Published
- 2015
37. Uterine fibroid: common features of widespread tumor (Review article).
- Author
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Aleksandrovych V, Bereza T, Sajewicz M, Walocha JA, and Gil K
- Subjects
- Adult, Female, Humans, Leiomyoma classification, Leiomyoma diagnosis, Middle Aged, Prognosis, Risk Assessment, Uterine Neoplasms classification, Uterine Neoplasms diagnosis, Leiomyoma epidemiology, Leiomyoma pathology, Uterine Neoplasms epidemiology, Uterine Neoplasms pathology, Women's Health
- Abstract
Leiomyoma is the most frequent benign monoclonal tumor (cells behave identically in culture) of the female reproductive system. It affected almost 50% of childbearing age women, deteriorating the quality of life and may cause infertility. The unique features of this pathology is the absence of detailed understanding of pathogenic mechanisms and continuous morbidity among any age groups. Despite the huge amount of articles and studies related to leiomyoma, review pretend to depict herein actual and non-trivial information. This review assemble a versatile description of medical and biological aspects of leiomyomas. Explanation of genetic, molecular, pathophysiological mechanisms of uterine fibroid growing predetermine marked clinical symptoms of pathology. Mentioned model systems show multivariation of leiomyomas in human and animals. Review gives an opportunity analyze separate facets and collect it in one deep understanding of leiomyomas.
- Published
- 2015
38. Blood supply of human uterine cervix - a SEM study.
- Author
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Bereza T, Skrzat J, Brzozowska I, Maduzia D, Matuszyk A, Chmielewski P, Klimek-Piotrowska W, and Tomaszewski K
- Subjects
- Adult, Autopsy, Blood Vessels ultrastructure, Corrosion Casting methods, Female, Humans, Microscopy, Electron, Scanning, Specimen Handling methods, Young Adult, Cervix Uteri blood supply, Cervix Uteri ultrastructure
- Abstract
Aim: The main goal of this study was assessment of vascular structure of human uterine cervix., Materials and Methods: The study was carried out on 25 human uteri of females aged 25-45, collected upon autopsy. Vessels were injected with synthetic resin, next corroded and coated with gold, finally observed using scanning electron microscope., Results: On a sagittal section we have distinguished several zones in the vascular picture of the uterine cervix consisted of differently arranged veins, arteries, arterioles and capillaries. Due to technical reasons we were unable to receive a picture of vascular composition of cervical uterine canal on transverse section., Conclusions: Scanning elector microscopy is a method which might be applied to study the structure of human uterine cervix.
- Published
- 2013
39. Angioarchitecture of uterine cervical leiomyomata - a SEM study.
- Author
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Goncerz G, Bereza T, Skrzat J, Mitus J, Mazur M, Maduzia D, and Kuniewicz M
- Abstract
Aim: he main goal of this study was assessment of vascular structure of cervical uterine leiomyomata., Materials and Methods: The study was carried out on ten human uteri collected upon autopsy. Vessels were injected with synthetic resin, next corroded and coated with gold, finally observed using scanning electron microscope., Results: Most of cervical fibroids were observed in the middle third of the wall of cervix. They were surrounded by relatively dense 'vascular capsule'. consisted of flattened vein, arterioles and capillaries., Conclusions: Structure of cervical uterine leiomyomata was similar to those observed in initial stage of growth of myometrial fibroids.
- Published
- 2013
40. Quality of corrosion specimens prepared from material obtained during autopsies - a preliminary study.
- Author
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Bereza T, Tomaszewski K, Skrzat J, Klimek-Piotrowska W, Sporek M, Mizia E, Lis G, and Pasternak A
- Subjects
- Adult, Aged, Female, Humans, Microscopy, Electron, Scanning, Middle Aged, Young Adult, Autopsy methods, Corrosion Casting methods, Leiomyoma ultrastructure, Specimen Handling methods, Uterine Neoplasms ultrastructure
- Abstract
Aim: Aim of this study was to assess the quality of the corrosion specimens obtained during autopsies of human body for scanning electron microscopy procedures., Materials and Method: Ninety seven uteri were obtained upon autopsy of women aged 25-56 years, deceased due to causes not related to disorders of the reproductive system. Fourty three of them contained large subserosal uterine leiomyomata. twenty uteri were injected with acrylic emulsion Liquitex R via the arteries or veins. Five of these uteri were next dissected and cut into slides on a microtom. the remaining uteri were injected with 60-80 ml of mercox CL-2r resin, next macerated and studied under scanning electron microscope (JEOL SEM 35-CF scanning electron microscope at 20-25 kV)., Results: Best human specimens were obtained from the autopsies carried out possibly early after the deceased, young aged (between 25 and 45) and died because of multitrauma not associated with the pelvic injury., Conclusions: Specimens obtained from autopsies can be used for scanning electron microscopy however under several conditions, specially the time between death and undertaking the injection procedures and the age of the individual, because of the process of artherosclerosis.
- Published
- 2013
41. Blood vessels of the intratumoral septa in uterine leiomyomata.
- Author
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Bereza T, Lis G, Mitus J, Sporek M, Chmielewski P, Kolber W, Mazur M, Goncerz G, and Kuniewicz M
- Subjects
- Adult, Autopsy, Corrosion Casting, Female, Humans, Immunochemistry, Middle Aged, Specimen Handling, Blood Vessels pathology, Blood Vessels ultrastructure, Leiomyoma blood supply, Leiomyoma ultrastructure, Uterine Neoplasms blood supply, Uterine Neoplasms ultrastructure
- Abstract
The angioarchitecture of fibroid intratumoral septa was studied using 32 uteri obtained during necropsies of the females aged between 35-57. The whole vascular bed of 16 uteri was injected with synthetic resin Mercox CL-2R and then the uteri were corroded in potassium hydroxide. Next 16 uteri were injected with acrylic emulsion, Liquitex R. Their vascular bed was studied using immunohistochemistry for von Willebrandt's factor. Immunohistochemistry allowed to visualize the vessels within the intratumoral septa, while SEM allowed to differentiate the vessels, which were mainly the venules and the veins. Apart from the veins the intratumoral septa were consisted of small arteries and capillaries.
- Published
- 2013
42. The vascular architecture of the supravaginal and vaginal parts of the human uterine cervix: a study using corrosion casting and scanning electron microscopy.
- Author
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Bereza T, Tomaszewski KA, Bałajewicz-Nowak M, Mizia E, Pasternak A, and Walocha J
- Subjects
- Adult, Blood Vessels ultrastructure, Cervix Uteri ultrastructure, Female, Humans, Microscopy, Electron, Scanning, Middle Aged, Vagina ultrastructure, Young Adult, Cervix Uteri blood supply, Corrosion Casting, Vagina blood supply
- Abstract
The aim of this study was to visualize and describe the vascular architecture of the vaginal and supravaginal parts of the human uterine cervix. Uteri collected at autopsy (n = 42) were perfused via the afferent vessels with fixative followed by Mercox resin. After polymerization of the resin, corrosion was performed. The obtained vascular casts of the cervix, visualizing all vessels including capillaries, were examined using scanning electron microscopy. Both in the vaginal and supravaginal parts of the cervix, four distinct vascular zones were distinguished - the outer zone containing large arteries and veins, the arteriole and venule zone, the endocervical mucosal capillaries zone and the pericanalar zone containing small veins and capillaries. In the pericanalar zone ran small veins, responsible for draining the mucosal capillaries. Both in the muscular layer, as well as in the pericanalar zone, arterioles and venules passed close to each other, often adjoining. This study introduces the idea of two systems responsible for draining blood from the mucosal capillaries. It is also the first to suggest the possible existence of a countercurrent transport between adjoining veins and arteries., (© 2012 The Authors Journal of Anatomy © 2012 Anatomical Society.)
- Published
- 2012
- Full Text
- View/download PDF
43. [The incidence of neoplasm in women using contraceptives].
- Author
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Krzysiek J, Wiatr J, Milewicz T, Wyroba J, Krzyczkowska-Sendrakowska M, Galicka-Latała D, Rajtar-Ciosek A, Kacalska-Janssen O, Zmaczyński A, Stochmal E, Hubalewska-Dydejczyk A, Kabzińska-Turek M, Bereza T, and Jedrzejczyk A
- Subjects
- Adult, Causality, Comorbidity, Contraceptive Agents, Contraindications, Female, Humans, Incidence, Risk Assessment, Smoking epidemiology, Contraception methods, Contraception statistics & numerical data, Neoplasms classification, Neoplasms epidemiology
- Abstract
Contraceptive is an important issue of women's life. In the present times there are many methods to prevent unwanted pregnancy. Each of them has its advantages and disadvantages and an appropriate choice of the method determines its promotion high efficiency and comfort its application. Today there is no method of contraception, which would not be charged some risk for the application. Following the review will allow literature to analyze impact of the various methods for the development of cancer control means diseases which may constitute a serious threat to health and life women.
- Published
- 2010
44. [Molecular action of insulin-sensitizing agents].
- Author
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Kacalska O, Krzyczkowska-Sendrakowska M, Milewicz T, Zabińska-Popiela M, Bereza T, Krzysiek-Maczka G, and Krzysiek J
- Subjects
- Cardiovascular Diseases drug therapy, Diabetes Mellitus, Type 2 drug therapy, Endometrial Neoplasms metabolism, Endometrium metabolism, Female, Humans, Hypoglycemic Agents therapeutic use, Insulin Resistance, Metformin therapeutic use, Polycystic Ovary Syndrome metabolism, Endometrial Neoplasms drug therapy, Hypoglycemic Agents pharmacology, Insulin metabolism, Metformin pharmacology, Polycystic Ovary Syndrome drug therapy
- Abstract
Atypical endometrial hyperplasia has been associated with progression to endometrial cancer, the most common genital malignancy. There are multiple risk factors for endometrial cancer, such as early menarche, exogenous estrogen exposure, obesity and diabetes. Diabetics have a 3-4 fold relative risk of endometrial cancer. Also, several studies have demonstrated an association between insulin resistance and endometrial cancer. There is known the first description of atypical endometrial hyperplasia resistant to progestogen therapy, which was subsequently treated with an insulin-sensitizng agent, metformin. Metformin is a biguanide antihyperglycemic agent used in the treatment of adult-onset diabetes. Unlike the sulfonylureas, metformin does not act primarily by increasing insulin secretion. In contrast, metformin lowers the rate of gluconeogenesis in the presence of insulin. Therefore, it is considered an insulin-sensitizer. Increased insulin sensitivity may improve the metabolic effect of insulin and decrease its mitogenic effect by tissue-specific mechanisms. One explanation for tissue specific differences in insulin binding and action may be through the relative expression of the insulin receptor (IR) isoforms. The IR isoforms IR-A and IR-D differ by 12 amino acid residues, owing to the alternative splicing of exon. The IR-A is predominantly expressed in malignant tissues and may lead to mitogenic effects within the cell. The relative expressions of IR-A and IR-B in normal and malignant endometrial tissue is not known. Besides direct effects on the IR, several additional mechanisms have been proposed for the mitogenic effect of insulin in endometrial cancer. In addition to the possible direct mitogenic effects of insulin through the IR-A, insulin resistance may be associated with alterations in expression of insulin-like growth factors (IGFs) and the IGF binding proteins (IGFBPs) or may inhibit the protective effect of progestagens. Binding sites for IGF-1 and IGF-2 have been confirmed in both normal and malignant endometrium. Binding of IGF-1 is significantly higher in endometrial cancer compared to normal endometrium. In the Ishikawa human endometrial cancer cell line IGF-1 was a more potent mitogen than insulin or IGF-2. Insulin may increase mitogenicity by regulating the expression of IGFBPs. The IGFBPs are a family of proteins that have both proliferative and anti-proliferative effects. While all six high-affinity IGFBPs are expressed in the endometrium, IGFBP-1 is the best characterized. Hyperinsulinemia can decrease IGFBP-1 even in the presence of progesterone, perhaps inhibiting progesterone's protective effects. Interestingly, IGFBP-1 was undetectable or minimally expressed in endometrial cancers. Nestler discussed results of a 6-month treatment of 100 nonebese women with PCOS, which showed a somewhat greater effect of metformin than rosiglitazone and no benefit of administering both agents in combination. Long-term treatment with oral contraceptives decreases endometrial cancer, with a reduction in serum androgens and a decreases in hirsutism and acne, but may worsen insulin resistance and lead to deteriration in glucose tolerance. Insulin sensitizers, on the other hand, should decrease endometrial hyperplasia by inducing regular menses, but may not be as beneficial in improving androgen - related symptoms. Note that the Nurses Health Study (NHS) showed increased risk of diabetes in oral contraceptive users. These considerations may be related to the finding that women who used oral contraceptives have increased risk of myocardial infarction. Thus, in view of the particular increase in CVD risk among women with PCOS, one might be less likely to recommend oral contraceptives, while insulin sensitizers may be of particular benefit, decreasing androgens, improving ovulation and fertility, and reducing the risk of diabetes and CVD. Theoretically, metformin, a treatment which is now widely used to treat infertile women with PCOS, may have a role in preventing endometrial hyperstimulation by lowering insulin concentrations and restoring ovulation. However, the long-term effects of this drug in women with PCOS are not known and more studies are required before suggesting its use for preventing endometrial cancer.
- Published
- 2005
45. Application of acrylic emulsion Liquitex R (Binney and Smith) for the preparation of injection specimens and immunohistochemical studies--an observation.
- Author
-
Walocha JA, Szczepański W, Miodoński AJ, Gorczyca J, Skrzat J, Bereza T, Ceranowicz P, Lorkowski J, and Stachura J
- Subjects
- Adult, Aged, Biomarkers, Tumor metabolism, Cadaver, Capillaries pathology, Emulsions administration & dosage, Female, Humans, Leiomyoma blood supply, Leiomyoma metabolism, Leiomyoma pathology, Middle Aged, Uterine Neoplasms blood supply, Uterine Neoplasms metabolism, Uterine Neoplasms pathology, Uterus blood supply, Uterus pathology, von Willebrand Factor metabolism, Acrylic Resins administration & dosage, Histological Techniques methods, Immunohistochemistry methods, Injections, Intra-Arterial methods
- Abstract
Application of acrylic emulsion Liquitex R for injection studies of the vascular system of human myomatous uteri was analysed. It was found that this injection mass does not penetrate the capillary bed of human organs, but it is useful in studies carried out on the blood supply of the human organs removed from cadavers. The results were compared with the studies performed with the help of immunohistochemical tests for von Willebrandt's factor.
- Published
- 2003
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