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Concept: Subcutaneous tissue


Scar endometriosis is an uncommon but well-described condition. It is caused by the dissemination of endometrial tissue in the wound at the time of surgery. The deposits can involve uterine scar, abdominal musculature or subcutaneous tissue, with the latter being the most common. It usually presents as a palpable mass at the scar site with or without cyclical pain. We report three cases of scar endometriosis which presented with cyclical pain and swelling at the abdominal wall scar following uterine surgery. The patients underwent imaging which revealed abnormal findings at the scar site suggesting scar endometriosis. In the presence of strong clinical suspicion and supportive imaging, all three of them underwent local excision of the lesion. The diagnosis of endometriosis was confirmed on histopathology.

Concepts: Surgery, English-language films, Menstrual cycle, Pelvis, Endometrium, Subcutaneous tissue, Adenomyosis, Human abdomen



OBJECTIVE: To describe a tenosynoviotomy technique for treatment of sepsis of the digital flexor tendon sheath (DFTS) in horses and report long-term outcome. STUDY DESIGN: Case series. ANIMALS: Horses (n = 9). METHODS: Horses were positioned in lateral recumbency with the affected limb uppermost. A linear incision was made just lateral to the mesotenon beginning 5 cm proximal to the apices of the proximal sesamoid bones, extending 2 cm distal to the bifurcation of the superficial digital flexor tendon (SDFT). The incision was continued through the skin, subcutaneous tissue, palmar/plantar annular ligament, and DFTS. Tenotomy of the distal lateral branch of the SDFT was also performed. The site was thoroughly debrided, lavaged, and packed with gauze and allowed to heal by second intention. Follow-up was obtained via owner telephone interview. RESULTS: Mean surgery time was 32 minutes (range, 10-64 minutes). Systemic antibiotics were administered postoperatively (range, 11-46 days; mean, 23 days). Mean hospitalization was 11 days (range, 0-49 days). Follow-up was available for 7 (70%) horses. One year postoperatively, 5 (71%) horses were serviceable for their intended use, and 2 (29%) had been euthanatized. Of 5 survivors, 3 returned to ridden exercise, 1 was retired as a broodmare, and 1 was a broodmare. All owners were satisfied with the cosmetic appearance of the surgery site. CONCLUSION: Open drainage via tenosynoviotomy, performed as a salvage procedure, represents a feasible treatment for DFTS sepsis.

Concepts: Bacteria, Skin, Dermis, Ligament, Tendon, Subcutaneous tissue, Common flexor tendon, Sesamoid bone


Skin compartments traditionally targeted by cosmetic actives - epidermis and dermis - are anchored and nourished by the underlying hypodermis, which therefore should be a key target for skin-rejuvenating formulations. However, given the difficulty to reach even the superficial layers of the skin, and to its “unglamorous” fatty composition, the regenerative potential of hypodermis remains largely untapped. Therefore, this study was to investigate the capacity of a cosmetic material to trigger a regenerative response in dermis and epidermis through a selective action on hypodermis. Furthermore, it aimed to establish the effect of such cosmetic material in transbuccal hypodermal delivery form, on the hypodermal precursor cells - the preadipocytes.

Concepts: Nutrition, Fat, Skin, Dermis, Epidermis, Subcutaneous tissue, Subcutis


Glomus tumours (GTs) resemble the normal glomus body and have a predilection for skin and subcutaneous tissue. Although the majority of glomus tumours are small, benign neoplasms that occur in the dermis or subcutis of the extremities and cases of atypical or malignant variants have been reported. We report a case of a man who presented with a 1-year history of subcutaneous nodule in the right scapular area which was mildly tender. The nodule measured 2 cm. Microscopic examination showed features of glomus tumour with increased mitotic activity. These features, by current definition, would suggest glomus tumour of uncertain malignant potential. Three months later, he presented with recurrence. During his metastasis work-up, we noticed bilateral pulmonary metastasis. Metastasising GTs are rare. The patient underwent wide local excision and received chemotherapy.

Concepts: Cancer, Oncology, Benign tumor, Tumor, Neoplasm, Dermis, Subcutaneous tissue, Glomus tumor


The aim of the study was to investigate the thickness of subcutaneous (SC) tissue in the dorsogluteal and thigh sites in obese adults and its suitability for intramuscular injection using a standard-length needle.

Concepts: Obesity, Route of administration, Website, Subcutaneous tissue, Hypodermic needle, Routes of administration, Intramuscular injection


According to recent studies, stem cells are found in various tissues in our bodies. It has been reported that stem cells can reside in the skin tissues, including the epidermis, dermis, hair follicles and subcutaneous tissues. Homeostasis of the skin is maintained because these stem cells collaborate with each other to form new cells. We previously identified the CD271(p75NTR)(+) cell as a stem cell that was present in the epidermis, dermis and subcutaneous tissue, and further investigated the role of stem cells in wound healing and their association with skin disease. In this study, we investigated the localization of CD271(+) cells in human skin (epidermis and dermis) and its age-related changes in stem cells using CD271(+) cells. The study revealed that the number of CD271(+) cells in the epidermis and dermis decreased with aging. It is possible that such an age-related decrease in stem cells causes impaired regenerative ability and is associated with various skin diseases. If the relationship between stem cells and skin aging and diseases can be elucidated by investigations such as this study, it may lead to the development of novel anti-aging technologies and medical treatments for skin diseases in the future.

Concepts: Medicine, Cell, Senescence, Cell division, Stem cell, Skin, Dermis, Subcutaneous tissue


The impact of using different resistance training (RT) kinematics, which therefore alters RT mechanics, and their subsequent effect on adaptations remain largely unreported. The aim of this study was to identify differences to training at a longer (LR) compared with a shorter (SR) range of motion, as well as the time-course of any changes during detraining. Recreationally active participants in LR (aged 19 ± 2.6 years; n=8) and SR (aged 19 ± 3.4 years; n=8) groups undertook 8 weeks of RT and 4 weeks detraining. Muscle size, architecture, subcutaneous fat and strength were measured at weeks 0, 8, 10 and 12 (repeated measures). A control group (aged 23 ± 2.4 years; n=10) was also monitored during this period. Significant (p>0.05) post-training differences existed in strength (on average 4±2% vs. 18±2%), distal anatomical cross-sectional area (59±15% vs. 16±10%), fascicle length (23±5% vs. 10±2%) and subcutaneous fat (22±8% vs. 5±2%), with LR exhibiting greater adaptations than SR. Detraining resulted in significant (p>0.05) deteriorations in all muscle parameters measured in both groups, with the SR group experiencing a more rapid relative loss of post-exercise increases in strength than LR (p>0.05). Greater morphological and architectural RT adaptations in LR (owing to higher mechanical stress) result in a more significant increase in strength compared to SR. The practical implications for this body of work follow that LR should be observed in resistance training where increased muscle strength and size are the objective, since we demonstrate here that ROM should not be compromised for greater external loading.

Concepts: Metabolism, Glucose, Muscle, Adipose tissue, Classical mechanics, Subcutaneous tissue, Result, Perimysium


To investigate whether the ratio of visceral fat area (VFA) to subcutaneous fat area (SFA) (V/S ratio) could be predictive of cardiovascular disease (CVD) as compared with VFA or SFA in patients with diabetes.

Concepts: Myocardial infarction, Diabetes mellitus type 2, Blood vessel, Cardiovascular disease, Ratio, Subcutaneous tissue, Medical conditions related to obesity


The application of carbon nanotubes (CNTs) as biomaterials is of wide interest, and studies examining their application in medicine have had considerable significance. Biological safety is the most important factor when considering the clinical application of CNTs as biomaterials, and various toxicity evaluations are required. Among these evaluations, carcinogenicity should be examined with the highest priority; however, no report using transgenic mice to evaluate the carcinogenicity of CNTs has been published to date. Here, we performed a carcinogenicity test by implanting multi-walled CNTs (MWCNTs) into the subcutaneous tissue of rasH2 mice, using the carbon black present in black tattoo ink as a reference material for safety. The rasH2 mice did not develop neoplasms after being injected with MWCNTs; instead, MWCNTs showed lower carcinogenicity than carbon black. Such evaluations should facilitate the clinical application and development of CNTs for use in important medical fields.

Concepts: DNA, Medicine, Molecular biology, Carbon, Materials science, Pigment, Subcutaneous tissue, Genetically modified organism