Histomorphological Studies on Gut Associated Lymphoid
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Unilateral Tonsillar Swelling: Role and Urgency of Tonsillectomy
Journal of Otolaryngology-ENT Research Case report Open Access Unilateral tonsillar swelling: role and urgency of tonsillectomy Abstract Volume 13 Issue 1 - 2021 Unilateral tonsillar swelling is a fairly common presenting complaint in an Ear, Nose and J Kynaston, S Drever, M Shakeel, M Supriya, N Throat (ENT) department. It may or may not be associated with any other symptoms. Most McCluney of the time, the tonsil asymmetry is secondary to previous history of tonsillitis, quinsy, and Department of otolaryngology and head &neck surgery, tonsil stones. Other benign lesions to cause tonsil swelling may include a mucus retention Aberdeen Royal Infirmary, Aberdeen, UK cyst, lipoma, polyp or papilloma. Sometimes, it is the site of primary malignancy but in these situations, it is often associated with red flag symptoms like pain in the mouth, dysphagia, Correspondence: Muhammad Shakeel, FRCSED (ORL- odynophagia, referred otalgia, weight loss, night sweating, haemoptysis, haematemesis, HNS), Consultant ENT/Thyroid surgeon, Department of hoarseness or neck nodes. Most of the patients with suspected tonsillar malignancy have Otolaryngology-Head and Neck surgery, Aberdeen Royal underlying risk factors like smoking and excessive alcohol intake. However, lately, the Infirmary, Aberdeen, AB252ZN, UK, Tel 00441224552117, tonsil squamous cell carcinoma can be found in younger patients with no history of smoking Email or drinking as there is rising incidence of human papilloma virus related oropharyngeal malignancy. Sometimes, lymphoma may manifest as a tonsil enlargement. If, after detailed Received: June 24, 2020 | Published: February 25, 2021 history and examination, there remains any doubt about the underlying cause of unilateral tonsil swelling then tonsillectomy should be considered for histological analysis. -
Tonsils and Adenoids
Tonsils and Adenoids 575 S 70th Street, Suite 440 Lincoln, NE 68510 402.484.5500 Tonsils and adenoids are masses of tissue similar to the lymph nodes or “glands” found in the neck, groin and armpits. Tonsils are the two masses at the back of the throat. Adenoids are high up in the throat, behind the nose and roof of the mouth (soft palate) and are not visible through the mouth without special instruments. Tonsils and adenoids are near the entrance to the breathing passages, where they catch incoming germs. They “sample” bacteria and viruses, but can become infected themselves. This happens primarily during the first few years of life, but less frequently with age. Children who have their tonsils and adenoids removed suffer no loss in their resistance. What affects tonsils and adenoids? The most common problems affecting the tonsils and adenoids are recurrent infections of the throat or ear and significant enlargement or obstruction that causes breathing and swallowing problems. Abscesses around the tonsils, chronic tonsillitis and infections of small pockets within the tonsils that produce foul-smelling, cheese-like formations can also affect the tonsils and adenoids, making them sore and swollen. Tumors are rare, but can grow on the tonsils. How are tonsil and adenoid diseases treated? Bacterial infections, especially those caused by streptococcus, are first treated with antibiotics. Sometimes, removal of the tonsils and/or adenoids may be recommended. The two primary reasons for removal are recurrent infection despite antibiotic therapy and difficulty breathing due to enlarged tonsils and/or adenoids. Chronic infection can affect other areas, such as the eustachian tube, the passage between the back of the nose and the inside of the ear. -
Overview of Gastrointestinal Function
Overview of Gastrointestinal Function George N. DeMartino, Ph.D. Department of Physiology University of Texas Southwestern Medical Center Dallas, TX 75390 The gastrointestinal system Functions of the gastrointestinal system • Digestion • Absorption • Secretion • Motility • Immune surveillance and tolerance GI-OP-13 Histology of the GI tract Blood or Lumenal Serosal Side or Mucosal Side Structure of a villus Villus Lamina propria Movement of substances across the epithelial layer Tight junctions X Lumen Blood Apical membrane Basolateral membrane X X transcellular X X paracellular GI-OP-19 Histology of the GI tract Blood or Lumenal Serosal Side or Mucosal Side Motility in the gastrointestinal system Propulsion net movement by peristalsis Mixing for digestion and absorption Separation sphincters Storage decreased pressure GI-OP-42 Intercellular signaling in the gastrointestinal system • Neural • Hormonal • Paracrine GI-OP-10 Neural control of the GI system • Extrinsic nervous system autonomic central nervous system • Intrinsic (enteric) nervous system entirely with the GI system GI-OP-14 The extrinsic nervous system The intrinsic nervous system forms complete functional circuits Sensory neurons Interneurons Motor neurons (excitatory and inhibitory) Parasympathetic nerves regulate functions of the intrinsic nervous system Y Reflex control of gastrointestinal functions Vago-vagal Afferent reflex Salivary Glands Composition of Saliva O Proteins α−amylase lactoferrin lipase RNase lysozyme et al mucus O Electrolyte solution water Na+ , K + - HCO3 -
Head and Neck
DEFINITION OF ANATOMIC SITES WITHIN THE HEAD AND NECK adapted from the Summary Staging Guide 1977 published by the SEER Program, and the AJCC Cancer Staging Manual Fifth Edition published by the American Joint Committee on Cancer Staging. Note: Not all sites in the lip, oral cavity, pharynx and salivary glands are listed below. All sites to which a Summary Stage scheme applies are listed at the begining of the scheme. ORAL CAVITY AND ORAL PHARYNX (in ICD-O-3 sequence) The oral cavity extends from the skin-vermilion junction of the lips to the junction of the hard and soft palate above and to the line of circumvallate papillae below. The oral pharynx (oropharynx) is that portion of the continuity of the pharynx extending from the plane of the inferior surface of the soft palate to the plane of the superior surface of the hyoid bone (or floor of the vallecula) and includes the base of tongue, inferior surface of the soft palate and the uvula, the anterior and posterior tonsillar pillars, the glossotonsillar sulci, the pharyngeal tonsils, and the lateral and posterior walls. The oral cavity and oral pharynx are divided into the following specific areas: LIPS (C00._; vermilion surface, mucosal lip, labial mucosa) upper and lower, form the upper and lower anterior wall of the oral cavity. They consist of an exposed surface of modified epider- mis beginning at the junction of the vermilion border with the skin and including only the vermilion surface or that portion of the lip that comes into contact with the opposing lip. -
Extrathymic T Cell Development in the Human Tonsil
EXTRATHYMIC T CELL DEVELOPMENT IN THE HUMAN TONSIL DISSERTATION Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By Susan Elaine McClory Graduate Program in Integrated Biomedical Science Program The Ohio State University 2012 Dissertation Committee: Professor Michael Caligiuri, MD (Advisor) Professor John Byrd, MD Professor Danilo Perrotti, MD, PhD Professor Amanda Simcox, PhD Copyright by Susan Elaine McClory 2012 Abstract Human T cells are critical mediators of an adaptive immune response, and individuals with T cell deficiencies are prone to devastating infections and disease. It is well known that the thymus, an organ in the anterior mediastinum, is indispensible for the development of a normal T cell repertoire in mammals. Likewise, individuals with poor thymic function due to congenital abnormalities, chemotherapy, or thymectomy suffer from decreased peripheral T cell counts and a subsequent immune deficiency. In murine models, there is evidence that the mucosal lymphoid tissue of the intestine contributes to extrathymic T cell development during normal homeostatic conditions, as can other peripheral lymphoid organs during situations of poor thymic output or pharmacologic intervention. However, whether or not human extrathymic lymphoid tissue, such as the bone marrow, lymph nodes, spleen or tonsil can participate in T cell development has remained unknown and controversial. Indeed, the identification of en extrathymic pathway for T cell lymphopoiesis in humans may suggest alternative pathways for the development of specific T cell subsets or may suggest methods for augmenting T cell generation in the face of thymic injury, absence, or disease. -
Tonsillitis and Enlarged Adenoids and More
Tonsils and Adenoids Insight into tonsillectomy and adenoidectomy What conditions affect the tonsils and adenoids? When should I see a doctor? Common symptoms of tonsillitis and enlarged adenoids and more... Tonsils and adenoids are the body’s first line of defense as part of the immune system. They “sample” bacteria and viruses that enter the body through the mouth or nose, but they sometimes become infected. At times, they become more of a liability than an asset and may even cause airway obstruction or repeated bacterial infections. Your ear, nose, and throat (ENT) specialist can suggest the best treatment options. What are tonsils and adenoids? Tonsils and adenoids are similar to the lymph nodes or “glands” found in the neck, groin, and armpits. Tonsils are the two round lumps in the back of the throat. Adenoids are high in the throat behind the nose and the roof of the mouth (soft palate) and are not visible through the mouth or nose without special instruments. What affects tonsils and adenoids? The two most common problems affecting the tonsils and adenoids are recurrent infections of the nose and throat, and significant enlargement that causes nasal obstruction and/or breathing, swallowing, and sleep problems. Abscesses around the tonsils, chronic tonsillitis, and infections of small pockets within the tonsils that produce foul-smelling white deposits can also affect the tonsils and adenoids, making them sore and swollen. Cancers of the tonsil, while uncommon, require early diagnosis and aggressive treatment. When should I see a doctor? You should see your doctor when you or your child experience the common symptoms of infected or enlarged tonsils or adenoids. -
And Oropharynx-Associated Lymphoid Tissue of Sheep T ⁎ Vijay Kumar Saxenaa,B, Alejandra Diaza,C, Jean-Pierre Y
Veterinary Immunology and Immunopathology 208 (2019) 1–5 Contents lists available at ScienceDirect Veterinary Immunology and Immunopathology journal homepage: www.elsevier.com/locate/vetimm Identification and characterization of an M cell marker in nasopharynx- and oropharynx-associated lymphoid tissue of sheep T ⁎ Vijay Kumar Saxenaa,b, Alejandra Diaza,c, Jean-Pierre Y. Scheerlincka, a Centre for Animal Biotechnology, Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Victoria, 3010, Australia b Division of Animal Physiology and Biochemistry, ICAR-Central Sheep and Wool Research Institute, Avikanagar, Tonk, Rajasthan, 304501, India c Laboratorio de Inmunología, Departamento SAMP, Centro de Investigación Veterinaria de Tandil (CIVETAN-CONICET), Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Pcia. de Bs. As., Tandil, 7000, Buenos Aires, Argentina ARTICLE INFO ABSTRACT Keywords: M cells play a pivotal role in the induction of immune responses within the mucosa-associated lymphoid tissues. Sheep M cells exist principally in the follicle-associated epithelium (FAE) of the isolated solitary lymphoid follicles as M cells well as in the lymphoid follicles of nasopharynx-associated lymphoid tissue and gut associated lymphoid tissue NALT (GALT). Through lymphatic cannulation it is possible to investigate local immune responses induced following Mucosal immunity nasal Ag delivery in sheep. Hence, identifying sheep M cell markers would allow the targeting of M cells to offset Biomarker the problem of trans-epithelial Ag delivery associated with inducing mucosal immunity. Sheep cDNA from the GP2 tonsils of the oropharynx and nasopharynx was PCR amplified using Glycoprotein-2 (GP2)-specific primers and expressed as a poly-His-tagged recombinant sheep GP2 (56 kDa) in HEK293 cells. -
Stomach, Duodenum, and Jejunum
Gut, 1970, 11, 649-658 The endocrine polypeptide cells of the human Gut: first published as 10.1136/gut.11.8.649 on 1 August 1970. Downloaded from stomach, duodenum, and jejunum A. G. E. PEARSE, I. COULLING, B. WEAVERS, AND S. FRIESEN' From the Department of Histochemistry, Royal Postgraduate Medical School, London SUMMARY Thirty specimens of stomach, duodenum, and jejunum, removed at operation, were examined by optical microscopical, cytochemical, and electron microscopical techniques. The overall distribution of four types of endocrine polypeptide cell in the stomach, and three in the intestine, was determined. The seven cell types are described by names and letters belonging to a scheme for nomenclature agreed upon at the 1969 Wiesbaden conference o* gastrointestinal hormones. The gastrin-secreting G cell was the only cell for which firm identification with a known hormone was possible. Although there was wide variation in the distribution of the various cells, from one case to another, striking differences were never- theless observable, with respect to the G cell, between antra from carcinoma and from ulcer cases. http://gut.bmj.com/ This study was undertaken with a view to estab- tive shorthand terminology. Correlation with the lishing the overall topographical distribution of terminology used by Solcia, Vassallo, and Capella the various types of endocrine polypeptide cells (1969b) and by Vassallo, Solcia, and Capella in the human stomach and upper intestine. (1969) had to be equated, if possible, with the Adequate sampling was regarded as a pre- scheme used by Forssmann, Orci, Pictet, Renold, on September 28, 2021 by guest. Protected copyright. -
Location of Major Duodenal Papilla in Human Duodenum Sharmina Sayeed1, Shamim Ara2, Mesbahul Hoque3, Zannatul Ferdous4, Kanetarin Kashem5
Bangladesh Journal of Anatomy January 2014, Vol. 12, No. 1 pp. 22-24 Location of Major Duodenal Papilla in Human Duodenum Sharmina Sayeed1, Shamim Ara2, Mesbahul Hoque3, Zannatul Ferdous4, Kanetarin Kashem5 Abstract Context: The major duodenal papilla is one of the most fascinating papilla present at the duodenum attracting many gastroenterologists as they do endoscopic retrograde cholangiopancreatiography (ERCP) for diagnosis and treatment purpose of many diseases. Most of the textbooks of Anatomy describe that the summit of major duodenal papilla is situated posteromedially in the descending part of duodenum. Henceforth the present study was undertaken in 70 human duodenums to observe the location of major duodenal papilla. Materials & Methods: A cross-sectional observational study was conducted in the department of Anatomy, Dhaka Medical College, Dhaka from July 2010 to June 2011. Seventy postmortem human duodenums were collected from unclaimed dead bodies that were under examination in the morgue of department of Forensic Medicine and the department of Anatomy of Dhaka Medical College, Dhaka. Location of major duodenal papilla was observed and recorded. Results: The location of major duodenal papilla was observed in the medial wall of second part of duodenum in 78.6% specimens, in the posteromedial wall of second part in 15.7% cases and in the posteromedial wall of the junction between second and third part in 4.3% and absent in 1.4% duodenum. Conclusion: The location of major duodenal papilla varies in position. Key words: Major duodenal papilla. Introduction Location of major duodenal papilla provides The major duodenal papilla (papilla of Vater) is the information to gastroenterologist regarding opening point where the dilated junction of the pancreatic of common bile duct and pancreatic duct in the duct and the bile duct (ampulla of Vater) enters the duodenum during ERCP. -
Colon and Rectum
AJC12 7/14/06 1:24 PM Page 107 12 Colon and Rectum (Sarcomas, lymphomas, and carcinoid tumors of the large intestine or appendix are not included.) C18.0 Cecum C18.5 Splenic flexure of C18.9 Colon, NOS C18.1 Appendix colon C19.9 Rectosigmoid C18.2 Ascending colon C18.6 Descending colon junction C18.3 Hepatic flexure of C18.7 Sigmoid colon C20.9 Rectum, NOS colon C18.8 Overlapping lesion of C18.4 Transverse colon colon SUMMARY OF CHANGES •A revised description of the anatomy of the colon and rectum better delineates the data concerning the boundaries between colon, rectum, and anal canal. Ade- nocarcinomas of the vermiform appendix are classified according to the TNM staging system but should be recorded separately, whereas cancers that occur in the anal canal are staged according to the classification used for the anus. •Smooth extramural nodules of any size in the pericolic or perirectal fat are con- sidered lymph node metastases and will be counted in the N staging. In contrast, irregularly contoured nodules in the peritumoral fat are considered vascular invasion and will be coded as transmural extension in the T category and further denoted as either a V1 (microscopic vascular invasion) if only microscopically visible or a V2 (macroscopic vascular invasion) if grossly visible. • Stage Group II is subdivided into IIA and IIB on the basis of whether the primary tumor is T3 or T4 respectively. • Stage Group III is subdivided into IIIA (T1-2N1M0), IIIB (T3-4N1M0), or IIIC (any TN2M0). INTRODUCTION The TNM classification for carcinomas of the colon and rectum provides more detail than other staging systems. -
Terminology: Nomenclature of Mucosa-Associated Lymphoid Tissue
nature publishing group ARTICLES See COMMENTARY page 8 See REVIEW page 11 Terminology: nomenclature of mucosa-associated lymphoid tissue P B r a n d t z a e g 1 , H K i y o n o 2 , R P a b s t 3 a n d M W R u s s e l l 4 Stimulation of mucosal immunity has great potential in vaccinology and immunotherapy. However, the mucosal immune system is more complex than the systemic counterpart, both in terms of anatomy (inductive and effector tissues) and effectors (cells and molecules). Therefore, immunologists entering this field need a precise terminology as a crucial means of communication. Abbreviations for mucosal immune-function molecules related to the secretory immunoglobulin A system were defined by the Society for Mucosal Immunolgy Nomenclature Committee in 1997, and are briefly recapitulated in this article. In addition, we recommend and justify standard nomenclature and abbreviations for discrete mucosal immune-cell compartments, belonging to, and beyond, mucosa-associated lymphoid tissue. INTRODUCTION for dimers (and larger polymers) of IgA and pentamers of It is instructive to categorize various tissue compartments IgM was proposed in 1974. 3,4 The epithelial glycoprotein involved in mucosal immunity according to their main function. designated secretory component (SC) by WHO in 1972 However, until recently, there was no consensus in the scientific (previously called “ transport piece ” or “ secretory piece ” ) turned community as to how these compartments should be named and out to be responsible for the receptor-mediated transcytosis classified. This lack of standardized terminology has been particu- of J-chain-containing Ig polymers (pIgs) through secretory larly confusing for newcomers to the mucosal immunology field. -
Special Histology and Embryology Cardiovascular System, Hematopoietic and Immune Protection System, Endocrine System 71
Special histology and embryology Cardiovascular system, Hematopoietic and immune protection system, endocrine system 71. In a red bone marrow specimen numerous capillaries are detected, through their wall mature blood elements enter blood circulation. What is the type of these capillaries? A. Lymphatic. B. Fenestrated. C. Somatic. D. Visceral. E. Sinusoidal. 72. Tunica intima of a vessel has been impregnated with argentic salt. As a result the cells with rugged, twisting edges have been detected. Name these cells. A. Stellate cells. B. Endotheliocytes. C. Myocytes. D.Fibroblasts. E. Adipocytes. 73. There are some tunics in the wall of blood vessels and heart. What tunic of the heart corresponds to a blood vessels wall according to its histogenesis and tissue structure? A. Myocardium. B. Endocardium. C. Pericardium. D.Epicardium. E. Epicardium and myocardium. 74. In a spleen specimen a blood ves--sel is detected. Its wall consists of basic membrane with endothelium, tunica media is absent, adventitia is grown together with connective tissue interlayers of spleen. What vessel is it? A. Arteriole. B. Vein of muscular type with poor development of muscular elements. C. Artery of muscular type. D.Vein of unmuscular type. E. Artery of elastic type. 75. Experimentally into the organism of a laboratory animal thymosin antibodies have been introduced. Differentiation of what cells will be affected first of all? A. T-lymphocytes. B. Monocytes. C. B-lymphocytes. D. Macrophages. E. Plasma cells. 76. In a histological specimen an organ parenchyma is represented by lym-phoid tissue which forms lymph nodules. These nodules are diffusely arranged and have a central artery.