Yuichi Ashikaga

Comparison of magnetic resonance imaging and gross findings regarding masseter muscle aponeuroses in cadavers.

OBJECTIVES The main objective of this study was to compare the actual distribution and thickness of aponeuroses in cadavers with the distribution and thickness as determined by means of magnetic resonance imaging for the sake of evaluating magnetic resonance imaging as a diagnostic modality for assessing masseter muscle aponeuroses. STUDY DESIGN The aponeuroses of 26 masseter muscles from 13 intact cadavers were examined by magnetic resonance imaging. RESULTS The ratio of concordance between gross findings and magnetic resonance imaging findings was 99.0%, although depiction of thin parts of the aponeuroses on magnetic resonance imaging was poor. CONCLUSIONS Magnetic resonance imaging was useful as a diagnostic modality in the assessment of masseter muscle aponeuroses. Aponeuroses were distributed throughout almost the entire masseter muscle, although almost no aponeuroses were seen below the lower half of the anterior margin. This was thought to be a characteristic finding of masseter aponeuroses.

Lymphatic endothelium expresses PECAM-1.

The expression of adhesion molecules on the lymphatic endothelium of human small intestine and submandibular lymph node was studied immunohistochemically with the antibodies for selectin family and Ig superfamily members. In both small intestine and submandibular lymph node, lymphatic endothelium did not express intercellular adhesion molecule-1 and endothelial cell-selectin but expressed platelet-endothelial cell adhesion molecule-1 (PECAM-1). Though lymphatic vessels may not have a positive function in leukocyte rolling and adhesion, lymphatic endothelium may interact with leukocytes, with PECAM-1 playing a role.

Immunohistochemical demonstration of lymphatic vessels in human dental pulp.

The existence of lymphatic vessels in dental pulp has been a matter of continuing controversy because of the difficulty of discriminating them in ordinary stained tissue sections. Recently, we have succeeded in establishing a new identification method for lymphatic vessels in human frozen sections by using a commercial monoclonal antibody specific for the human thoracic duct and anti-human laminin antiserum. The present study aimed to examine the lymphatic vessels in human dental pulp using the new immunostaining method, and compared the results with those in human small intestine. The study clearly demonstrated the distribution of lymphatic vessels in human dental pulp. Large lymphatic vessels are located in the central part of the pulp and there are small lymphatic vessels in the periphery of the pulp. This suggests that lymphatic drainage of the human dental pulp starts from the periphery of the pulp and collects in the central part of the pulp. A notable difference between the small intestine and dental pulp was found in the immunoreactivity of lymphatic vessels to anti-human laminin anti-serum. In small intestine, immunoreactivity was significantly weaker than that of the blood vessels, whereas in dental pulp, that of lymphatic vessels was almost the same as blood vessels, except for some lymphatic vessels showing very weak reactivity. These findings suggest that the development of the basement membrane in both the lymphatic and blood vessels of human dental pulp is not as marked as in other tissue.

p53 Mutation and Multiple Primary Oral Squamous Cell Carcinomas

Oral squamous cell carcinoma (OSCC) is a worldwide malignancy and is ranked the sixth most common cancer. At current rates, approximately 45,000 cases in the United States and more than 650,000 cases worldwide will be diagnosed each year (Jemel et al., 2008). One promising strategy for the treatment of OSCC and other cancers, which has developed as a result of breakthroughs in the fields of molecular biology, cancer genetics, and cancer biology, is molecular targeted therapy. Patients with a head-and-neck squamous cell carcinoma (HNSCC) often develop multiple malignant lesions. The oral sites that give rise to the majority of HNSCCs undergo cornification and shed squames during terminal differentiation, a process that is impaired in malignancies. The lymph nodes of the head and neck region form the principle site of primary metastasis, and perineural invasion marks tumours with a poor prognosis. Genetic changes correlate with lymph node metastasis in SCC. It is frequently observed that genetic damage persists beyond the histological border of precancerous lesions and tumours often develop far from the precancerous site (Braakhuis et al., 2003).