Aspectos radiológicos e epidemiológicos do granuloma central de células gigantes

OBJETIVO: Este estudo teve como objetivo avaliar os principais aspectos radiográficos e epidemiológicos das lesões de células gigantes (granulomas centrais de células gigantes e tumores marrons do hiperparatireoidismo). MATERIAIS E MÉTODOS: A amostra consistiu de 26 lesões de células gigantes diagnosticadas em 22 pacientes divididos em dois grupos, um deles composto por 17 pacientes que não tinham hiperparatireoidismo (grupo A) e o outro formado por cinco pacientes portadores de tal distúrbio (grupo B). RESULTADOS: O sexo feminino (72,7%) foi o mais acometido. As lesões ocorreram mais freqüentemente na segunda década de vida, com média de idade de 27 anos. A mandíbula (61,5%) foi o arco mais envolvido. Radiograficamente, 57,7% das lesões eram multiloculares e 42,3% eram uniloculares com limites definidos. Todas as 26 lesões provocaram expansão óssea, 15,4% produziram reabsorção radicular, 50% causaram deslocamento dentário e 11,5% produziram dor. Na mandíbula, 18,7% das lesões cruzavam a linha média. O grupo A apresentou 66,7% das lesões na mandíbula e o grupo B mostrou igualdade na distribuição das lesões entre os arcos. O grupo A apresentou 66,7% das lesões multiloculares e 33,3%, uniloculares. O grupo B apresentou 62,5% das lesões uniloculares e 37,5%, multiloculares. CONCLUSÃO: As lesões de células gigantes podem manifestar-se, radiograficamente, com um amplo espectro, desde pequenas lesões uniloculares de crescimento lento até extensas lesões multiloculares. Elas apresentam características de benignidade, embora algumas lesões possam demonstrar um comportamento localmente agressivo.

Metástase pulmonar de tumor de células gigantes benigno: relato de caso

O tumor de células gigantes é a sexta neoplasia óssea primária mais comum. Acomete a metáfise de ossos longos, sendo mais comum em adultos jovens. Na radiologia mostra-se como lesão lítica, excêntrica e de limites definidos. Os autores relatam um caso de tumor de células gigantes benigno em paciente que apresentou metástases pulmonares cinco anos após a retirada do tumor primário.

Lipomas gigantes

The authors report two cases of giants lipomas in the gluteal region with 3,9 and 3,1 kg. They make a brief epidemiological presentation and consider diagnosis and treatment. They believe that CT scan is the best image method, as it provides more information about size and relationship with surrounding structures. They are against biopsies and lipoaspiration but stand up for the total exeresis as the best option of treatment.

Gauss y Goya : los dos gigantes que se acercaron a las cosas.

Recorrido por parte de la obra del físico Gauss y del pintor Goya. Se trata de establecer puntos comunes entre las diferentes obras de ambos, tanto en el enfoque como en la visión de cada uno de ellos.

Enanos, gigantes, princesas y dragones en la Antigüedad Clásica : algunas conexiones entre el cuento tradicional, la literatura infantil y el mito clásico.

Resumen en inglés

Tierras de gigantes y de enanos.

El artículo forma parte de una sección monográfica dedicada a la ficción como herramienta docente. - Resumen basado en el de la revista.

Microrrelatos : unos gigantes diminutos.

El artículo pertenece a una sección dedicada a propuestas didácticas. - Material fotocopiable

Gigantes brasileiros: multinacionais emergentes e competição global

O objetivo deste trabalho é analisar como empresas brasileiras estão se internacionalizando e se fatores como empreendedorismo e inovação têm implicado uma efetiva alteração de seu direcionamento estratégico e seu modo de atuação, de forma a viabilizar uma expansão sustentável para o exterior. O levantamento empírico foi feito em quatro organizações, escolhidas em função do seu tamanho, setor de atuação, etapa de internacionalização e características organizacionais. Embora se trate de uma pesquisa exploratória, que aborda um processo ainda em curso, algumas constatações puderam ser feitas. A principal delas é que existe um processo de internacionalização de empresas brasileiras em curso que independe do ramo de atuação e do seu tamanho. Entretanto, esse processo ainda é recente e incipiente, quando comparado com o de países desenvolvidos e mesmo com nações conhecidas como mercados emergentes. A segunda constatação é que esses movimentos são, na maioria das vezes, fruto de uma decisão interna da empresa. Políticas governamentais pouco têm contribuído para esse direcionamento estratégico até este momento. Adicionalmente, embora as empresas brasileiras analisadas estejam em diferentes estágios de internacionalização, pode-se inferir que tanto teorias comportamentais quanto econômicas explicam, de forma complementar, as suas decisões estratégicas e etapas do processo. Finalmente, percebe-se que fatores como empreendedorismo e inovação têm tido um papel preponderante na decisão de se e como se internacionalizar. Como produto das reflexões, este estudo sugere diretrizes para pesquisas futuras.

Interação estrela planeta: sobre o magnetismo de planetas gigantes gasosos

In this thesis we analyze the effects that the presence of a near gas giant planet can cause in its host star. It has been argued that the star planet interaction can cause changes in the coronal and chromospheric stellar activity. With this in mind, we analyze a sample of 53 extrasolar planets orbiting F, G and K main sequence stars, among them three super-Earths. In this analysis, we look for evidence of changes in the chromospheric activity due to the proximity of the giant planet. We show that, so far, there is not enough evidence to support such a hypothesis. Making use of the same sample and also taking in account available data for the Solar System, we revisit the so-called magnetic Bode s law. This law proposes the existence of a direct relationship between magnetism and rotation. By using estimations for the stellar and planetary magnetic momentM and the angular momentumL, we construct a Blackett s diagram (logL 􀀀logM). In this diagram is evident that the magnetic Bode s law is valid for both the Solar System and the new planetary systems

O enigmático problema das gigantes ricas em Lítio e as perspectivas com o satélite Kepler

Lithium (Li) is a chemical element with atomic number 3 and it is among the lightest known elements in the universe. In general, the Lithium is found in the nature under the form of two stable isotopes, the 6Li and 7Li. This last one is the most dominant and responds for about 93% of the Li found in the Universe. Due to its fragileness this element is largely used in the astrophysics, especially in what refers to the understanding of the physical process that has occurred since the Big Bang going through the evolution of the galaxies and stars. In the primordial nucleosynthesis in the Big Bang moment (BBN), the theoretical calculation forecasts a Li production along with all the light elements such as Deuterium and Beryllium. To the Li the BNB theory reviews a primordial abundance of Log log ǫ(Li) =2.72 dex in a logarithmic scale related to the H. The abundance of Li found on the poor metal stars, or pop II stars type, is called as being the abundance of Li primordial and is the measure as being log ǫ(Li) =2.27 dex. In the ISM (Interstellar medium), that reflects the current value, the abundance of Lithium is log ǫ(Li) = 3.2 dex. This value has great importance for our comprehension on the chemical evolution of the galaxy. The process responsible for the increasing of the primordial value present in the Li is not clearly understood until nowadays. In fact there is a real contribution of Li from the giant stars of little mass and this contribution needs to be well streamed if we want to understand our galaxy. The main objection in this logical sequence is the appearing of some giant stars with little mass of G and K spectral types which atmosphere is highly enriched with Li. Such elevated values are exactly the opposite of what could happen with the typical abundance of giant low mass stars, where convective envelops pass through a mass deepening in which all the Li should be diluted and present abundances around log ǫ(Li) ∼1.4 dex following the model of stellar evolution. In the Literature three suggestions are found that try to reconcile the values of the abundance of Li theoretical and observed in these rich in Li giants, but any of them bring conclusive answers. In the present work, we propose a qualitative study of the evolutionary state of the rich in Li stars in the literature along with the recent discovery of the first star rich in Li observed by the Kepler Satellite. The main objective of this work is to promote a solid discussion about the evolutionary state based on the characteristic obtained from the seismic analysis of the object observed by Kepler. We used evolutionary traces and simulation done with the population synthesis code TRILEGAL intending to evaluate as precisely as possible the evolutionary state of the internal structure of these groups of stars. The results indicate a very short characteristic time when compared to the evolutionary scale related to the enrichment of these stars

Expressão Imuno-histoquímica da triptase em mastócitos nos Fibromas de Células Gigantes e Hiperplasias Fibrosas de Mucosa Oral

The giant cell fibroma is a benign neoplasm characterized by the presence of mono, bi or multinucleate cells, which can have a connection to the presence of mast cells. This research aims to analyze, descriptively and comparatively, the immunohystochemistry expression of the tryptase in mast cells of the giant cell f ibroma, f ibrous hyperplasia and samples of the normal oral mucosa. Thirty cases of giant cell fibroma, ten cases of fibrous hyperplasia and ten cases of normal oral mucosa were selected for the analysis of the immunohistochemistry expression, determination of the number of present mast cells, as well as their location and shape. It could be stated that there was a statistically signif icant difference (p<0,001) in relation to the quantity of mast cells among other samples analyzed where the giant cell f ibroma presented lesser quantity of mast cell and the hyperplasia showed higher concentration of this cellular type. Although the oral mucosa has presented a higher quantity of mast cells when compared to the giant cells fibroma, these were found in usual locations in the connective tissue in normal tissues. There could be noticed a statistically significant difference in relation to the number of non-granulated mast cells (p<0,001). On the areas of fibrosis, we could observe a statistically signif icant difference (p<0,006) among the samples. In relation to the present mast cells in perivascular location, no statistically signif icant difference was found. On the morphological analysis there was a predominance of oval mast cells. It was concluded that despite of the fact there was a lesser quantity of mast cells present in cases of giant cell f ibroma, they appeared to have a stronger relation to the present giant fibroblasts in this lesions, around 59,62%, being also evidenced a strong relation between these cells and the fibrosis areas in both cases of giant cell f ibroma and f ibrous hyperplasias and samples of normal oral mucosa, used as control group in our study, confirming, this way, the role of the mast cells as fibrinogenous inductor

Expressão imuno-histoquímica das proteínas MMP-9, VEGF e FVW em lesões centrais e periféricas de células gigantes

Central giant cell lesion (CGCL) and peripheral giant cell lesion (PGCL) of the jaws have a distinct clinical behavior, although they share histopathologic features. It is still unclear whether these clinical differences are supported by a distinct pattern of immunoexpression of markers for multinucleated giant cells (GC) and mononuclear cells (MC). The purpose of this study was to compare the immunohistochemical expression of VEGF, MMP-9 in CG and MC and measure the vascularization by vWF to check whether there are differences in expression of these biomarkers between CGCL and PGCL. Paraffin wax blocks of 20 cases of LCCG and 20 LPCG were retrieved. MMP-9 immunoreactivity was greater in the CM of PGCL compared to VEGF (p<0.05). VEGF expression was greater in the CM of CGCL compared to PGCL (p<0.05) and it was greater in the overall expression of CGCL compared to PGCL (p<0.05). Vascularity was quantified by microvascular counting (MVC). MVC was greater in the PGCL compared CGCL (p<0.05). MMP-9 showed a greater tendency of expression in CGCL, though was not significant (p>0.05). We tested correlation between the proteins studied in each group and found a significant negative correlation between VEGF and vWF in CGCL (p<0.05). These results suggest that there are differences in the expression of VEGF in CM and overall expression between the lesions, although no statistically significant difference in the overall expression of the MMP-9. Then, there was a trend in increased expression of MMP-9 and VEGF in CGCL, possibly by the involvement of both proteins in osteoclastogenesis. Additionally, the results of this study indicate a higher degree of vascularization in PGCL compared to CGCL, fact that can be directly linked to the reactive nature of the PGCL, where the inflammatory process with its rich angiogenesis contributes significantly to these findings.

Exprassão imuno-histoquímica dos fatores de reabsorção óssea em lesões centrais e periféricas de células gigantes

The Giant Cell Lesions, both the Central Giant Cells Lesions (CGCL) as the Peripheral Giant Cells Lesions (PGCL), correspond to a group of oral lesions that are histologically similar entities; however they show a variable clinical behaviour. The purpose of this study was to compare the immunohistochemical expression of bone resorption factors RANK (Receptor Activator of Nuclear Factor kappa B), RANKL (Receptor Activator of Nuclear Factor kappa B Ligand) and OPG (Osteoprotegerin) between CGCL and PGCL. Additionally, these bone resorption factors were examined in terms of aggressiveness of these lesions. The sample consisted of 61 cases, 30 cases of PGCL and 31 CGCL (16 non-aggressive and 15 aggressive). The analysis was performed by quantification of mononuclear cells (MO) and giant multinucleated cells (CG) immunopositive to anti-RANK, anti-RANKL and anti-OPG antibodies in 10 fields. Moreover, according to the proportion between the amount of cells positive for RANKL and OPG, the cases were categorized into: RANKL>OPG, OPG>RANKL e RANKL=OPG. CGCL showed a higher amount of MO (p=0.002) and total cells (p=0.003) both positives to RANKL compared with the PGCL. Additionally, the CGCL revealed a significant association with the ratio of RANKL>OPG (p=0.001). Analysis of the bone resorption factors revealed no significant differences between aggressive and non-aggressive CGCL (p>0.05). It was observed a positive correlation between the markers themselves, and a negative correlation between lesion size and quantity of OPG positive MO cells (p=0,004) and total cells (p=0,009). Through these results, we suggest that the greatest CGCL resorptive potential compared to the PGCL, may have occurred to the high expression of RANKL. Furthermore differences in the biological behavior of aggressive and non-aggressive CGCL appear to be related to the expression of these bone resorption factors

Atividade cromosférica induzida por planetas extrasolares gigantes

In the present work, we have analyzed the behavior of the chromospheric activity of stars with planets, as a function of different planetary parameters, searching for possible effects of planets on the chromosphere of the hosting star. For this study we have selected a sample of 73 main sequence stars with planets, of spectral types F, G and K. Our analysis shows that among stars with planets presenting semi-major axis smaller than 0.15 AU, a few ones present enhanced CaII emission flux, paralleling recent results found in the literature for coronal X-ray flux. Nevertheless, in contrast to Kashyap et al. (2008), who claim that enhanced X-ray flux in stars with planets is associated to massive close-in planetary companions, we suggest that such an aspect, at least in the context of CaII emission flux, is rather an effect of stellar sample selection. We have also studied the behavior of the CaII emission as a function of orbital parameters such as orbital period and eccentricity, and no clear trend was found, reinforcing our present suggestion that enhanced chromospheric activity in stars with planets is an intrinsic stellar phenomenon