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19 Cards in this Set
- Front
- Back
markers for endothelial cells
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1. factor 8 related antigen
2. HLA-DR 3. Von Willebrand factor 4. lectin Ulex europaeus agglutinin 1 |
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two monoclonal abs in KS
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EN4 and PAL E
implies KS derived from endothelium of lymphatic origin |
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KS spindle cells +
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CD34 ag
Ulex europaeus agglutinin 1 CD34 is a glycoprotein expresed by endotheial cells of small bv (not of lymphatic origin) |
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sensitive marker of KS
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VEGFR-3
partial lymphatic endothelial differentiation does not distinguis KS from other angiosacrcomas |
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evaluate problematic vascular proliferations wtih immunohistochemistry?
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LANA (latency-associated nuclear ag) expression
not HHV-8 PCR |
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AIDS-KS progressive regression
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spindle cell proliferation
expression of HHV-8 latency genes LNA-1 and cyclin-D1 |
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HHV-8 latency genes
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LNA-1
Cyclin-D1 |
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AIDS-KS regression
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reduction or loss of dermal spindle cells
decrease latent nuclear antigen-1 (LNA-1) and cyclin-D1 immunoreactivity NO CHANGE IN BCL-2 EXPRESSION |
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VEGFR-3
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tyrosine kinase receptor expressed almost exclusively by lymphatic endothelial cells in adults
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tx KS
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1. surgery
2. Laser 3. Radiotx (electron good only to dermis) 4. chemo intralesional or systemic(vinblastine and bleomycin) |
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vinblastine
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vinca alkaloid from flowering plant periwinkle vinca rosea
leukopenia and immunosupression tx KS intralesional IV with IM bleomycin |
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bleomycin
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glycopeptide antibiotic produced by bacterium strepomyces verticillus
KS tx with doxorubicin and vincristine or vinblastine |
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vincristine
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leurocristine
vinca alkaloid KS tx with vinblastine or doxorubicin adn bleomycin |
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sirolimus
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VEGF inhibitor
tx and possible prevention of KS new immunosupressive agent transplant pts inhibit KS progression |
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matrix metalloproteinase-2 inhibitors
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tetracycline analogues without antibiotic activity
chemically modified tetracycline green tea flavonids IL-12 and IL4 receptor directed cytotoxin cartilage extracts KS tx for endothelin-1 receptors, KSHV G-protein coupled recetpros, and angiopoietin-2 tx targets? |
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iatrogenic KS tx
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DC immunosupressive
cs and cytotoxic drugs dc partial or complete regression of KS |
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VEGF type 2 receptor inhibitor (SU5416)
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synthetic low mocecular weight compound
KS tx? |
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hCG tx ks?
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intralesional or systemic
limited side effects men > wome female hormone protective KS? |
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thalidomide KS?
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inhibits agniogenesis and development of new blood vessels in KS
toxicity drowsiness and depression |