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In this study 32 patients whom had only one superficial bladder tumor (T?-T1 stage) were selected to investigate the effectiveness of either BCG of Alfa-Interferon in preventing the recurrence of tumor. The other aim of this study was to compare the ideal regiment for the patient. These patients previously had neither tumor nor immunotherapy. The patients were divided randomly into two groups, each consisting of 16 people, and they were given the chosen medicine two weeks after surgery of tumor, which is usually superficial tumor (TCC type). 10 million unit of Alfa-Interferon in amount of 7 dose was injected weekly in those patients in group 1 and 120 mg BCG in group 2 respectively. Tumor recurrence in those patients, which receive interferon, was 50% and those that receive BCG was 18.5% respectively (P=0.07). The average recurrence of tumor in group 1 was 0.046 for one person per month (Patient/month) and the same index for group 2 was 0.015 recurrence for each person per month. Relative risk in equal to 3 (Relative risk=3) with accuracy of 95% between (0.87-10.38) but in those patients that were under ?-Interferon treatment only 4, and in BCG group 13 patients got the side effects of medicines.

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Background&Objective: Pediatric renal tumors represent approximately 7% of all childhood cancers and are completely different from those occurring in adults. The aim of this study was to make an analysis of clinical and pathological characteristics of these tumors. Materials&Methods: In this descriptive study all of the pediatric patients diagnosed as having renal neoplasm in departments of pathology of Dr Sheikh children hospital and Imam Reza hospital from 1991-2006 were evaluated. Results: 52 patients including 27 boys and 25 girls with mean age of 40.63 months were studied. Tumors involved each kidney in 24 (45.3%) and were bilateral in 5 (9.4%) patients. Abdominal mass was the commonest clinical symptom and sign. Congenital anomalies were presented in 6 (14.6%) patients. Histopathological examination showed Wilms tumor in 46 (86.8%), cystic partially differentiated nephroblastoma in 2 (3.8%), mesoblastic nephroma in 2 (3.8%) rhabdoid tumor of the kidney in 1 (1.9%), metanephric adenofiroma and low-grade tubulopapillary carcinoma in 1 (1.9%) and clear cell sarcoma of the kidney in 1 (1.9%) patient. 11 (20.8%) cases were in stage I, 16 (30.2%) stage II, 13 (24.5%) stage III, 8 (15.1%) stage IV and 5 (9.4%) stage V. Conclusion: Although Wilms tumor is the commonest renal neoplasm in childhood there are also recently described entities such as metanephirc tumors and juvenile renal carcinoma that must be considered in histopathological evaluation of a pediatric renal neoplasm. Role of molecular and cytogenetic methods is increasing for classification and treatment of childhood renal neoplasms.

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Background and Objective: Brain computed-tomography (CT) scan has a well documented accuracy in detecting the tumors this study was carried out to assess the conformity and correlation of CT-Scan diagnosis of the brain tumors with pathological findings in Ghaem Hospital Mashad University of Medical Sciences-Iran. Materials and Methods: This descriptive prospective study was done on 75 patients, 5-83 years, with the clinical suspicion of brain tumors. According to the CT-Scan findings 1-3 differential diagnosis were made for each patient. This was followed by surgery and biopsy, and the CT-Scan diagnoses were compared with pathological findings. Results: The best conformity and correlation of radiologic and pathologic diagnosis was seen in pituitary adenoma, acoustic neuroma, epidermoid cyst and craniopharyngioma. Also, according to the CT-Scan findings, the highest degree of sensitivity, specificity, positive predictive value and negative predictive value, were related to pituitary adenoma, high grade astrocytoma and meningioma. Conclusion: This study showed thant no single imaging modality may claim optimal sensitivity or specificity for the assessment of CNS disorders, although several imaging methods carry independent and complementary information, and CT-scan has different ability for diagnosis of different kind of tumors.

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Adrecortical virilizing tumors are rare in the pediatric age group. There is 1% incidence for adneral cancer. In comparison with adult patients , there is function adrenalectomy tumor in pediatric group. The patient in this report was a 20 months old female presenting with clinical signs of virilizition that were characterized by increased bone mass, pubic hair growth external genitalia. The laboratory test showed: High level of testosterone (400 ng/dl) , andrestandion (3.6ng/ml) and progestron (19.9ng/ml) and very high level of (8000ng/ml) dehydroepiandrosterone. In CT scan there was right adrenal mass with size>5 cm. The diagnosis of right an adrenocortical functional tumor led to the choice of open surgical adrenal with flank apreach between 10 and 11 ribs. Pathologic examination showed carcinoma of the adrenal. Patient discharged 5 days after operation. Surgery was done via lumbar incision and follow up was carreid out for 10 years, and there was not any pathological lesion.

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Adrenocarcinoma is a rare disease with a poor prognosis. As a practical classification, adrenal carcinomas divide to two categories: functional and nonfunctional. Adjurent radiotherapy and chemotherapy is useful for palliation. The aim of this report is to introduce one case of large nonfunctional adrenocarcinoma. A 46 years old-male with ambiguous abdomen pain and orchidoepididymitis reffered to clinic in 2006. Physical examination revealed grade III fixed varicocele with left orchidoepididymitis. Sonography and computed tomography scan showed a massive lesion on left adrenal. Adrenal function test was normal, therefore nonfunctional adrenocarcinoma is diagnosed. This patient underwent open adrenalectomy. Then the patient introduced to chemoradiotherapy in oncology center. After six months, the patient suffered from multiple liver metastasis and one year later was expired.

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Buschke–Lowenstein Tumor (BLT) or Giant Condyloma Acuminatum (GCA) is a slow-growing, locally aggressive, cauliflower-like tumor of great size that usually arises in the perineal region. Buschke–Lowenstein Tumor is triggered by human papilloma virus (HPV), usually either genotype 6 or 11. Buschke–Lowenstein Tumor is usually preceded by condyloma acuminatum and occurs at any age after puberty, usually between the 4th and 6th decades. Invasive overgrowth and recurrence after treatment are its characteristics and malignant transformation is also possible. Here, we have reported a case of a 33 year-old man with penile Buschke–Lowenstein Tumor arising from common genital warts.

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Background and Objective: The staging of gastrointestinal cancer has an important role in the treatment of tumor. This study was done to determine the efficacy of endosonography method for determining the stage and deepth of esophagus and stomach cancers. Materials and Methods: In this descriptive study, endosonographic staging was performed in 23 patients (15 male and 8 female) with esophagus and stomach cancers, confirmed with pathologic findings in Taleghani hospital, Tehran, Iran during 2002-04. The results of surgical staging compared to preoperative endosonographic method. Results: Mean age of 23 patients was 57.2 years (43-72 years). 30% and 70% of the patients had esophageal and gastric cancers, respectively. The accuracy of endosonographic staging of esophagus and stomach cancers was 82%. The accuracy of diagnosis, positive and negative predictive value of cancers in assessment of the depth of the tumor by endosonography procedure were 79.4%, 69.6% and 84.9%, respectively. Conclusion: Endosonography is a precise method for evaluating depth and staging of tumor and lymph node involvement.

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Both fibrocystic change and phyllodes tumor are classified as fibroepithelial tumors of breast which are composed of epithelial and stromal components. Although as the most common benign breast lump fibrocystic lesions are known by symptom such as pain, nipple discharge, heaviness, usually in women’s third decade of life, mammographic and sonographic features often render them almost indistinguishable from phyllodes tumor. In view of the essential differences in terms of therapeutic planning which exist between these two tumors, their early and precise distinction is crucial to avoid problem such as patients’ anxiety and unwarranted tumors operation. In this article a case of fibrocystic change in a 24 year old woman is reviewed in which clinical signs and symptoms and mammographic changes are indication of phyllodes tumor.

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Background and Objective: Irreversible electroporation is a new treatment modality for skin tumors ablation. In order to successful treatment, all of tumoral tissues must be exposed to intense electric field. In addition, the heat that produced during the surgery has adverse effect on recovery procedure. This study was done to evaluate the thermal distribution in ablation of squamous cell carcinoma skin tumors using irreversible electroporation. Materials and Methods: In this study numerical modeling by finite element was used for determination of electrical and thermal distribution in healthy and tumoral tissues. Three-Dimensional Model was done using MR imaging of patient with squamous cell carcinoma in FEMLAB v3.5a software. Electric field distribution determined using Laplace equation and distribution of thermal damage calculated using bioheat equation and Arrhenius equation. This calculation was done for different geometry parameters of needle and plate electrodes. Results: Thermal damage of first-degree burn was not observed in any cases. However in high voltage, volume with temperature above 43˚C reach to 10% of tumoral tissue and 3% of healthy tissue. The study show that the voltage applied to the electrodes and the distance between the electrodes can have the greatest impact on the thermal and electrical distributions. Although needle electrode showed better electric coverage in tumoral area. Conclusion: This study showed that it can be possible to select optimized electric and geometric parameter to select electrode for complete tumor ablation, control of thermal damage in tumoral and healthy tissues.

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Background and Objective: The comorbidity of type 2 diabetes mellitus (T2DM) and hypertension may exacerbate chronic inflammation and regular exercise training considered as an important therapeutic approach for such patients. This study was done to evaluate the eight weeks effects of regular exercise training on apelin and tumor necrosis factor alpha (TNF-a) plasma levels in hypertensive postmenopausal women with T2DM.
Methods: This quasi-experimental study was conducted on 20 postmenopausal women with hypertension and T2DM. Subjects non-randomlly allocated into intervention and control groups. Training program consisted of 25-40 minutes of aerobic exercise at 50-70 percent of maximal heart rate, 3 sessions per week for 8 weeks. The plasma level of apelin, TNF-a and glucose was measured, subsequently.
Results: 8 weeks exercise training was significantly reduced apelin, TNF-a, and glucose levels in the intervention group compared to the control group (P<0.05).
Conclusion: Aerobic exercise can mediate some of its favorable effects on hypertension pathological conditions associated with type 2 diabetes mellitus by reducing plasma apelin and TNF-a levels.

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Background and Objective: The acute exercise leads to the induction of some cardiac and inflammatory biomarkers that are related to factors such as severity, type, training experience, gender and environment. This study was conducted to compare the effect of acute endurance and resistance training at two different intensity levels of high-sensitivity cardiac Troponin T (hs-cTnT) and tumor necrosis factor alpha (TNF-α) in male runners and bodybuilders.
Methods: In this quasi-experimental study, 20 male runners and bodybuilders with an age range of 20-24 years were purposefully and accessibly selected. The study was performed with a pre-test-post-test design on 10 male runners (endurance training) and 10 bodybuilding men (resistance training). The runners ran 6 km with moderate (70-75% of reserve heart rate) and high (85-85% of reserve heart rate) intensities at intervals of one week, during separate sessions. Bodybuilders also performed resistance training at moderate (70-75% of one repetition maximum) and high (80-85% of one repetition maximum) intensities.  Bodybuilders also performed resistance training at moderate (70 to 75% of a maximum repetition) and high (80 to 85% of a maximum repetition) intensities. Blood samples were taken before and immediately after exercise. Then the serum levels of hs-cTnT and TNF-α were measured.
Results: The serum level of hs-cTnT and TNF-α was significantly increased after acute running and resistance training with moderate and high intensities (P˂0.05), but intense acute exercise had a greater effect on increasing the levels of these variables. Also, the acute effect of intense aerobic exercise was associated with a greater increase in hs-cTnT level in compared to moderate-intensity aerobic exercise, high and moderate-intensity resistance training (P˂0.05).
Conclusion: In endurance and resistance athletes, the hs-cTnT and TNF-α responses are affected by the intensity of training and increase more with intense training. But the high intensity aerobic exercise is associated with a greater increase in hs-cTnT levels.

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Background and Objective: Cancer can spread to distant parts of the body through the lymphatic system or bloodstream. Angiogenesis is a fundamental step in the transition of tumors from a dormant state to a malignant. Some changes in cancerous cells can be improved and treated using herbal extracts. Salvia species in Iranian traditional medicine were used against various infections, inflammatory diseases.This study was done to evaluate the effect of aqueous extract of Salvia atropatana leaf on subcutaneous tumor model of CT26 colon carcinoma in Mice.
Methods: In this experimental study, for the induction of colon carcinoma, 26CT cells were injected into 18 BALB/c male Mice. Subcutaneous injection was done in the right side of the animal. When the size of the tumor was 50±350 mm3, 18 Mice were randomly allocated into 3 groups, including controls, aqueous extracts a breakdown of each dose 50 and 100 mg/kg/bw. The group containing the aqueous extracts of Salvia atropatana leaf was injected for 14 days, daily. To monitor the therapeutic effects, the parameters of the stopping rate in the growth of the tumor, the relative volume changes and the doubling of tumor volume were evaluated. After sacrificed the animals at the end the fourteenth day of the study, tumors were dissected for histological study.
Results: The volume of tumors and the mean density of the number of vessels was significantly reduced in treated group 1 (50 mg/kg/bw of aqueous extracts of Salvia atropatana leaf) and treated group 2 (100 mg/kg/bw of aqueous extracts of Salvia atropatana leaf) in compared to control group (P<0.05). Reduction in density of cells and vascular sections was significantly reduced in treated group 1 (50 mg/kg/bw of aqueous extracts of Salvia atropatana leaf) and treated group 2 (100 mg/kg/bw of aqueous extracts of Salvia atropatana leaf) in compared to control group (P<0.05).
Conclusion: Aqueous extracts of Salvia atropatana leaf has anti-angiogenesis activity and significant inhibitory effects on tumor growth in animal model.

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Background and Objective: Type 1 diabetes (T1D) is highly prevalent in the group of autoimmune and inflammatory patients. Tumor necrosis factor-alpha (TNF-a) and interleukin-10 (IL-10) plays an important role in regulating complex interactions between pancreatic beta cells and immune cells in the development of T1D. This study was performed to determine the simultaneous effect of resistance training and endothelial progenitor cell injection on blood glucose levels and protein expression of proinflammatory factors TNF-a and IL-10 in muscle tissue of streptozotocin (STZ) induced diabetic male rats.
Methods: In this experimental study, 36 male Wistar rats weighing approximately 200±20 g and six weeks old were randomly divided into six groups. Induction of diabetes was performed by intraperitoneal injection of STZ at a dose of 45 mg/kg body weight. Groups included diabetes + stem cell injection + resistance training group, diabetes + resistance training group, diabetes + stem cell injection group, control diabetic group to control the passage of time, and healthy basal and diabetic groups for defaults. Exercises were performed for 17 sessions of resistance training, including climbing ladders with increasing weight three days a week in the same laboratory conditions. Endothelial progenitor cells were cultured by femoral bone marrow aspiration and culture and then injection into the tail vein. 68 hours after the last training session, blood glucose levels were assessed by ELISA and the expression of TNF-a and IL-10 protein in muscle tissue was assessed by Western blotting.
Results: Endothelial stem cell injection, resistance training and resistance training with the simultaneous injection of endothelial stem cells significantly increased the anti-inflammatory factor IL-10 in the skeletal muscle tissue of diabetic rats in compared to control group (P<0.05). Expression of the anti-inflammatory factor IL-10 in the skeletal muscle tissue was significantly increased in resistance training plus the simultaneous injection of endothelial stem cells group in compared to injection of stem cells and resistance training groups (P<0.05). Glucose concentration in the skeletal muscle tissue was significantly reduced in resistance training plus the simultaneous injection of endothelial stem cells group in compared to injection of stem cells and resistance training groups (P<0.05).
Conclusion: It seems that 17 sessions of resistance training reduces blood glucose level and improves inflammatory conditions in response to an increase in IL-10 and a decrease in TNF-a in a group of diabetic rats with resistance training and simultaneous injection of endothelial progenitor cells in diabetic male rats.

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Background and Objective: Leptin is associated with metabolic disorders and promotes the development of liver steatosis to steatohepatitis. It selectively increases the secretion of Tumor-necrosis factor-α (TNF-a) in response to saturated fatty acid. The general purpose of this research was to determine the effects of eight weeks of continuous training and silymarin supplementation on the serum levels of TNF-α and leptin in Wistar rats with fatty liver disease.
Methods: In this experimental study, 40 male Wistar rats aged three weeks and weighting 159±3 grams were randomly divided into five groups: normal diet/saline, high-fat diet/saline (control), high-fat diet/supplemented, high-fat diet/exercise/saline, and high-fat diet/exercise/supplement. The rats were fed 10 grams per 100 grams of body weight (standard diet 13% fat and high-fat diet 41% fat) for eight weeks, and silymarin (140 mg per kilogram body weight) were given by gavage for 2 weeks. The continuous aerobic exercise protocol consisted 30 minutes of treadmill running at 70-75% of VO₂max for eight weeks, five days a week. After sacrificing the animals, samples were taken and sent to the laboratory for histological analysis. The expression of leptin and TNF-α in the liver was measured using commercial ELISA kits.
Results: The findings showed a greater decrease in hepatic leptin concentration in the high-fat diet + continuous exercise + supplement group (P<0.05) compared to the high-fat diet + continuous exercise + saline group (P<0.05). Tukey's post hoc test showed a greater decrease in the concentration of hepatic TNF-α in the high-fat diet + saline group (compared to the high-fat diet + supplement group) (P<0.05), and the high-fat + exercise + saline group (P<0.05). The weight of the rats in the normal diet + saline group differed significantly from other groups (P<0.05).
Conclusion: The results indicated that the combination of continuous training with silymarin supplementation can help reduce leptin and TNF-α in rats with a high-fat diet, an effect not observed by silymarin supplementation alone. Therefore, the combination of continuous aerobic exercises and silymarin supplementation can further oxidize fat and reduce inflammation in the body.
 

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Background and Objective: Paraquat toxicity can damage organisms through mechanisms that are not yet fully understood. Evidence shows that regular exercise and appropriate antioxidant supplements can help reduce the complications caused by paraquat toxicity. This study aimed to evaluate the effect of aerobic exercise training, along with piperine supplement, on the liver levels of tumor necrosis factor-alpha (TNF-a) and interleukin-10 (IL-10) in Wistar rats induced with paraquat.
Methods: In this experimental study, 40 adult Wistar rats were randomly placed into 5 groups of 8, including 1) sham, 2) negative control-paraquat, 3) paraquat + training, 4) paraquat + training + piperine, and 5) paraquat + piperine. Aerobic training included 7 weeks of walking on a treadmill (5 sessions per week for 30-40 min per session, at a speed of 10-18 m/min). Paraquat was administered to the rats by intraperitoneal injection at a dose of 5 mg/kg of body weight. The piperine supplement was daily gavaged at a dose of 10 mg/kg of body weight. The concentration of TNF-a and IL-10 was measured in the liver tissue.
Results: A significant increase in IL-10 and a decrease in TNF-a concentrations were observed between the paraquat-negative control groups compared to the sham, paraquat + exercise, paraquat + piperine, and paraquat + exercise + piperine groups (P<0.05). There was a significant difference between the mean concentrations of TNF-a in the liver tissue between the two negative control groups - paraquat with paraquat + piperine supplement (P<0.05), paraquat + exercise + piperine (P<0.05), paraquat + exercise (P<0.05), and sham (P<0.05). There was a significant difference in concentrations of IL-10 in the liver tissue between the two negative control groups - paraquat with paraquat + piperine supplement, paraquat + exercise + piperine, paraquat + exercise), and sham (P<0.05).
Conclusion: The concentration of TNF-a and IL-10 in male rats induced with paraquat were significantly decreased and increased, respectively, compared to paraquat + piperine supplement, paraquat + exercise + piperine, paraquat + exercise, and sham groups. Therefore, it seems that performing aerobic exercise, along with piperine supplementation, can be a proper way to reduce the inflammation caused by paraquat.