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Article ; Online: Dermatofibroma of the eyelid with monster cells.

Jakobiec, Frederick A / Tu, Yufei / Zakka, Fouad R / Tong, Arthur K F

2017 Volume 62, Issue 4, Page(s) 533–540

Abstract: Dermatofibromas are most frequently encountered in women on the lower extremities, often after minor trauma. A recurrent lesion of the right lower eyelid developed in a 64-year-old woman. It harbored "monster cells" that were large, with either multiple ... ...

Abstract	Dermatofibromas are most frequently encountered in women on the lower extremities, often after minor trauma. A recurrent lesion of the right lower eyelid developed in a 64-year-old woman. It harbored "monster cells" that were large, with either multiple nuclei or a single, large, convoluted, and hyperchromatic nucleus. The presence of these cells does not signify a malignant transformation. The background cells were either histiocytoid (many were adipophilin positive), spindled cells, or dendritiform cells without mitoses. Factor XIIIa, CD68, and CD163 immunostaining was positive, and a subpopulation of CD1a
MeSH term(s)	Diagnosis, Differential ; Eyelid Diseases/diagnosis ; Female ; Histiocytes/pathology ; Histiocytoma, Benign Fibrous/diagnosis ; Humans ; Middle Aged
Language	English
Publishing date	2017-07
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	391346-6
ISSN	1879-3304 ; 0039-6257
ISSN (online)	1879-3304
ISSN	0039-6257
DOI	10.1016/j.survophthal.2016.12.007
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Article ; Online: An Atypical Case of Lymphocytic Panhypophysitis in a Pregnant Woman.

Davies, Emma C / Jakobiec, Frederick A / Stagner, Anna M / Rizzo, Joseph F

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society

2016 Volume 36, Issue 3, Page(s) 313–316

Abstract: We describe a case of lymphocytic panhypophysitis (LPH) in a 30-year-old woman presenting with throbbing headaches and vision changes during her third trimester. LPH is the rarest subclassification of lymphocytic hypophysitis; it is typically found in ... ...

Abstract	We describe a case of lymphocytic panhypophysitis (LPH) in a 30-year-old woman presenting with throbbing headaches and vision changes during her third trimester. LPH is the rarest subclassification of lymphocytic hypophysitis; it is typically found in males and has not previously been associated with pregnancy. Anterior and posterior pituitary deficits together with headaches should raise a high degree of suspicion regarding the possibility of LPH. The atypical magnetic resonance imaging finding of a heterogeneous pituitary mass additionally raised concern about pituitary apoplexy. Tissue from a transsphenoidal biopsy permitted diagnosis of lymphocytic hypophysitis. There was infiltration of the pituitary gland by small B and T lymphocytes. Resolution of the visual symptoms occurred after the biopsy and treatment with intravenous steroids.
MeSH term(s)	Adult ; Autoimmune Hypophysitis/complications ; Autoimmune Hypophysitis/diagnosis ; Biopsy ; Diagnosis, Differential ; Female ; Humans ; Magnetic Resonance Imaging ; Pituitary Gland/pathology ; Pregnancy ; Pregnancy Complications ; Pregnancy Trimester, Third ; Scotoma/diagnosis ; Scotoma/etiology ; Scotoma/physiopathology ; Visual Field Tests ; Visual Fields/physiology
Language	English
Publishing date	2016-09
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1189901-3
ISSN	1536-5166 ; 1070-8022
ISSN (online)	1536-5166
ISSN	1070-8022
DOI	10.1097/WNO.0000000000000362
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Article ; Online: Unusual pleomorphic adenoma of the lacrimal Gland: Immunohistochemical demonstration of PLAG1 and HMGA2 oncoproteins.

Jakobiec, Frederick A / Stagner, Anna M / Eagle, Ralph C / Lally, Sara E / Krane, Jeffrey F

Survey of ophthalmology

2017 Volume 62, Issue 2, Page(s) 219–226

Abstract: Painless low-grade right proptosis with 20/25 visual acuity developed slowly in a 49-year-old woman with a past history of breast cancer. Imaging studies disclosed an oval-to-round superotemporal mass in the right lacrimal fossa without bone erosion. ... ...

Abstract	Painless low-grade right proptosis with 20/25 visual acuity developed slowly in a 49-year-old woman with a past history of breast cancer. Imaging studies disclosed an oval-to-round superotemporal mass in the right lacrimal fossa without bone erosion. Excisional biopsy revealed a pseudoencapsulated, bosselated tumor with a spindled, hypocellular, and heavily periodic acid Schiff-positive stroma constituted of abundant basement membrane material and collagen. Scattered lumens and focal cribriform cellular clusters were present in the peripheries of several of the lobules. Immunohistochemistry showed epithelial membrane antigen+ and cytokeratin (CK) 7+ in many small luminal structures. The spindled cells were calponin+, CK5/6+, CK14+, and p63+, confirming their myoepithelial nature. The Ki67 proliferation index was 2-3%, and upregulation of nuclear p53, a tumor suppressor gene product which may be aberrantly overexpressed in malignancy, was observed in rare cells. Immunohistochemical probes for HMGA2 and PLAG1 oncoproteins, characteristic of pleomorphic adenoma, were stained intensely and less intensely, respectively. MYB and c-KIT (CD117) were negative, thereby strongly arguing against the diagnosis of adenoid cystic carcinoma. In atypical epithelial tumors of the lacrimal gland, genetic probes identifying distinctive gene translocations or their oncoprotein products complement traditional immunohistochemical biomarkers such as cytokeratins and other structural or secretory molecules. Characteristic genetic abnormalities demonstrated by immunohistochemistry for their upregulated protein products, or by in situ hybridization for translocations, are increasingly being relied on for diagnostic precision.
MeSH term(s)	Adenoma, Pleomorphic/diagnosis ; Adenoma, Pleomorphic/metabolism ; Biomarkers, Tumor/metabolism ; DNA-Binding Proteins/metabolism ; Female ; HMGA2 Protein/metabolism ; Humans ; Immunohistochemistry ; Lacrimal Apparatus/metabolism ; Lacrimal Apparatus/pathology ; Lacrimal Apparatus Diseases/diagnosis ; Lacrimal Apparatus Diseases/metabolism ; Magnetic Resonance Imaging ; Middle Aged
Chemical Substances	Biomarkers, Tumor ; DNA-Binding Proteins ; HMGA2 Protein ; PLAG1 protein, human
Language	English
Publishing date	2017-03
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	391346-6
ISSN	1879-3304 ; 0039-6257
ISSN (online)	1879-3304
ISSN	0039-6257
DOI	10.1016/j.survophthal.2016.08.001
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Article ; Online: Immunohistochemical features of lacrimal gland epithelial tumors.

Mendoza, Pia R / Jakobiec, Frederick A / Krane, Jeffrey F

American journal of ophthalmology

2013 Volume 156, Issue 6, Page(s) 1147–1158.e1

Abstract: Purpose: To investigate the immunohistochemical features of ocular adnexal pleomorphic adenoma and adenoid cystic carcinoma.: Design: Retrospective clinicopathologic study.: Methods: Clinical records and microscopic slides of 7 cases of each tumor ...

Abstract	Purpose: To investigate the immunohistochemical features of ocular adnexal pleomorphic adenoma and adenoid cystic carcinoma. Design: Retrospective clinicopathologic study. Methods: Clinical records and microscopic slides of 7 cases of each tumor type were reviewed. Immunohistochemical probes for Ki-67 and p53, and newer nuclear markers MYB for adenoid cystic carcinoma and PLAG1 for pleomorphic adenoma, were employed. Results: Pleomorphic adenomas were asymptomatic, whereas adenoid cystic carcinomas were painful. No pleomorphic adenomas recurred; 4 adenoid cystic carcinomas recurred, resulting in 3 deaths. Unusual histopathologic variants for which immunohistochemistry proved useful included a myoepithelioma, an atypical pleomorphic adenoma, tubular and solid/basaloid variants of adenoid cystic carcinoma, and a morphologically heterogeneous adenoid cystic carcinoma of a Wolfring gland. For the pleomorphic adenomas, the average Ki-67 proliferation index was 3.8%; p53 was weakly staining, with an average positivity of 18.5%; PLAG1 was strongly positive in all cases; MYB was negative in 5 cases and weakly focally positive in 2 cases. For the adenoid cystic carcinomas, the average Ki-67 proliferation index was 29.1%; p53 stained positively and strongly with an average of 39%; none stained positively for PLAG1; and 6 out of 7 were MYB positive. Conclusions: Between pleomorphic adenoma and adenoid cystic carcinoma, there was no overlap in Ki-67 positivity. Positivity for p53 showed overlap in only one lesion of each type. PLAG1 and MYB positivity were highly discriminating between pleomorphic adenoma and adenoid cystic carcinoma. Immunohistochemical analysis should be investigated further for its role in the evaluation of pleomorphic adenoma and adenoid cystic carcinoma.
MeSH term(s)	Adenoma, Pleomorphic/metabolism ; Adenoma, Pleomorphic/pathology ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biomarkers, Tumor/metabolism ; Carcinoma, Adenoid Cystic/metabolism ; Carcinoma, Adenoid Cystic/pathology ; Child ; DNA-Binding Proteins/metabolism ; Eye Neoplasms/metabolism ; Eye Neoplasms/pathology ; Female ; Humans ; Immunoenzyme Techniques ; Ki-67 Antigen/metabolism ; Lacrimal Apparatus Diseases/metabolism ; Lacrimal Apparatus Diseases/pathology ; Male ; Middle Aged ; Proto-Oncogene Proteins c-myb/metabolism ; Retrospective Studies ; Tomography, X-Ray Computed ; Tumor Suppressor Protein p53/metabolism
Chemical Substances	Biomarkers, Tumor ; DNA-Binding Proteins ; Ki-67 Antigen ; PLAG1 protein, human ; Proto-Oncogene Proteins c-myb ; Tumor Suppressor Protein p53
Language	English
Publishing date	2013-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	80030-2
ISSN	1879-1891 ; 0002-9394
ISSN (online)	1879-1891
ISSN	0002-9394
DOI	10.1016/j.ajo.2013.06.034
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Article ; Online: Boston type I keratoprosthesis for treatment of gelatinous drop-like corneal dystrophy after repeated graft failure.

Fadlallah, A / Jakobiec, F A / Mendoza, P R / Zalloua, P A / Melki, S A

Seminars in ophthalmology

2015 Volume 30, Issue 2, Page(s) 150–153

Abstract: Purpose: To describe the use of a Boston type I keratoprosthesis as a secondary penetrating procedure to treat gelatinous drop-like corneal dystrophy (GDLD), with presentation of pathologic findings, genetic analysis, and discussion of other surgical ... ...

Abstract	Purpose: To describe the use of a Boston type I keratoprosthesis as a secondary penetrating procedure to treat gelatinous drop-like corneal dystrophy (GDLD), with presentation of pathologic findings, genetic analysis, and discussion of other surgical options. Methods: A 43-year-old woman with GDLD in both eyes, best corrected visual acuity (BCVA) of counting fingers in both eyes, and recurrent corneal opacification following two penetrating keratoplasties presented for visual rehabilitation. A Boston type I keratoprosthesis was implanted in her left eye after extracapsular clear lens extraction. Results: The surgery was uneventful and one month after surgery, best corrected vision improved to 20/30, which has been maintained for a period of more than nine months. At the 12-month visit, her vision was noted to be diminished to 20/200 due to a retroprosthetic membrane and improved to 20/25 two weeks after a Yag capsulotomy. Histopathologic examination of the corneal specimen disclosed predominantly subepithelial amyloid deposition. Genetic analysis is presented. Conclusions: GDLD is a rare disorder of primary corneal amyloidosis. Recurrence of this condition following surgery is very common. Boston type I keratoprosthesis as a secondary procedure can be successful in restoring vision in affected patients.
MeSH term(s)	Adult ; Amyloidosis, Familial/genetics ; Amyloidosis, Familial/physiopathology ; Amyloidosis, Familial/surgery ; Antigens, Neoplasm/genetics ; Bioartificial Organs ; Cell Adhesion Molecules/genetics ; Consanguinity ; Corneal Dystrophies, Hereditary/genetics ; Corneal Dystrophies, Hereditary/physiopathology ; Corneal Dystrophies, Hereditary/surgery ; Corneal Transplantation ; Female ; Graft Rejection/diagnosis ; Graft Rejection/surgery ; Humans ; Lens, Crystalline/surgery ; Mutation ; Prostheses and Implants ; Prosthesis Implantation ; Visual Acuity/physiology
Chemical Substances	Antigens, Neoplasm ; Cell Adhesion Molecules ; TACSTD2 protein, human
Language	English
Publishing date	2015-03
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	632820-9
ISSN	1744-5205 ; 0882-0538
ISSN (online)	1744-5205
ISSN	0882-0538
DOI	10.3109/08820538.2013.833266
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Article ; Online: Immunohistochemical investigations of adult intraocular medulloepitheliomas.

Jakobiec, Frederick A / Rose, Matthew F / Trief, Danielle / Stagner, Anna M / Kim, Ivana / Gragoudas, Evangelos S

Clinical & experimental ophthalmology

2015 Volume 43, Issue 4, Page(s) 379–385

MeSH term(s)	Adult ; Biomarkers, Tumor/metabolism ; Choroid Neoplasms/diagnostic imaging ; Choroid Neoplasms/metabolism ; Choroid Neoplasms/pathology ; Ciliary Body/diagnostic imaging ; Ciliary Body/pathology ; Diagnosis, Differential ; Eye Enucleation ; Female ; Humans ; Immunoenzyme Techniques ; Male ; Middle Aged ; Neoplasm Proteins/metabolism ; Neuroectodermal Tumors, Primitive/diagnostic imaging ; Neuroectodermal Tumors, Primitive/metabolism ; Neuroectodermal Tumors, Primitive/pathology ; Ultrasonography ; Uveal Neoplasms/diagnostic imaging ; Uveal Neoplasms/metabolism ; Uveal Neoplasms/pathology
Chemical Substances	Biomarkers, Tumor ; Neoplasm Proteins
Language	English
Publishing date	2015-05
Publishing country	Australia
Document type	Case Reports ; Letter
ZDB-ID	2014008-3
ISSN	1442-9071 ; 1442-6404
ISSN (online)	1442-9071
ISSN	1442-6404
DOI	10.1111/ceo.12436
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Article ; Online: Sustained Subconjunctival Delivery of Infliximab Protects the Cornea and Retina Following Alkali Burn to the Eye.

Zhou, Chengxin / Robert, Marie-Claude / Kapoulea, Vassiliki / Lei, Fengyang / Stagner, Anna M / Jakobiec, Frederick A / Dohlman, Claes H / Paschalis, Eleftherios I

Investigative ophthalmology & visual science

2017 Volume 58, Issue 1, Page(s) 96–105

Abstract: Purpose: Tumor necrosis factor (TNF)-α is upregulated in eyes following corneal alkali injury and contributes to corneal and also retinal damage. Prompt TNF-α inhibition by systemic infliximab ameliorates retinal damage and improves corneal wound ... ...

Abstract	Purpose: Tumor necrosis factor (TNF)-α is upregulated in eyes following corneal alkali injury and contributes to corneal and also retinal damage. Prompt TNF-α inhibition by systemic infliximab ameliorates retinal damage and improves corneal wound healing. However, systemic administration of TNF-α inhibitors carries risk of significant complications, whereas topical eye-drop delivery is hindered by poor ocular bioavailability and the need for patient adherence. This study investigates the efficacy of subconjunctival delivery of TNF-α antibodies using a polymer-based drug delivery system (DDS). Methods: The drug delivery system was prepared using porous polydimethylsiloxane/polyvinyl alcohol composite fabrication and loaded with 85 μg of infliximab. Six Dutch-belted pigmented rabbits received ocular alkali burn with NaOH. Immediately after the burn, subconjunctival implantation of anti-TNF-α DDS was performed in three rabbits while another three received sham DDS (without antibody). Rabbits were followed with photography for 3 months. Results: After 3 months, the device was found to be well tolerated by the host and the eyes exhibited less corneal damage as compared to eyes implanted with a sham DDS without drug. The low dose treatment suppressed CD45 and TNF-α expression in the burned cornea and inhibited retinal ganglion cell apoptosis and optic nerve degeneration, as compared to the sham DDS treated eyes. Immunolocalization revealed drug penetration in the conjunctiva, cornea, iris, and choroid, with residual infliximab in the DDS 3 months after implantation. Conclusions: This reduced-risk biologic DDS improves corneal wound healing and provides retinal neuroprotection, and may be applicable not only to alkali burns but also to other inflammatory surgical procedures such as penetrating keratoplasty and keratoprosthesis implantation.
MeSH term(s)	Animals ; Antirheumatic Agents/administration & dosage ; Burns, Chemical/diagnosis ; Burns, Chemical/drug therapy ; Conjunctiva ; Cornea/drug effects ; Cornea/metabolism ; Cornea/pathology ; Corneal Injuries/diagnosis ; Corneal Injuries/drug therapy ; Corneal Neovascularization/diagnosis ; Corneal Neovascularization/etiology ; Corneal Neovascularization/prevention & control ; Delayed-Action Preparations ; Disease Models, Animal ; Drug Implants ; Eye Burns/chemically induced ; Eye Burns/diagnosis ; Eye Burns/drug therapy ; Female ; Follow-Up Studies ; Infliximab/administration & dosage ; Rabbits ; Retina/drug effects ; Retina/metabolism ; Retina/pathology ; Retinal Diseases/diagnosis ; Retinal Diseases/etiology ; Retinal Diseases/prevention & control ; Tumor Necrosis Factor-alpha/antagonists & inhibitors ; Tumor Necrosis Factor-alpha/metabolism
Chemical Substances	Antirheumatic Agents ; Delayed-Action Preparations ; Drug Implants ; Tumor Necrosis Factor-alpha ; Infliximab (B72HH48FLU)
Language	English
Publishing date	2017-01-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	391794-0
ISSN	1552-5783 ; 0146-0404
ISSN (online)	1552-5783
ISSN	0146-0404
DOI	10.1167/iovs.16-20339
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Article: Granulocytic sarcoma.

Jakobiec, F A

AJNR. American journal of neuroradiology

1991 Volume 12, Issue 2, Page(s) 263–264

MeSH term(s)	Humans ; Leukemia, Myeloid/diagnosis ; Magnetic Resonance Imaging ; Orbital Neoplasms/diagnosis ; Paranasal Sinus Neoplasms/diagnosis ; Sphenoid Sinus ; Spinal Neoplasms/diagnosis
Language	English
Publishing date	1991-03
Publishing country	United States
Document type	Comment ; Journal Article
ZDB-ID	603808-6
ISSN	1936-959X ; 0195-6108
ISSN (online)	1936-959X
ISSN	0195-6108
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Article ; Online: Keratinous cyst of the palpebral conjunctiva.

Jakobiec, Frederick A / Mehta, Manisha / Sutula, Francis

Ophthalmic plastic and reconstructive surgery

2009 Volume 25, Issue 4, Page(s) 337–339

Abstract: A whitish-opalescent, mildly elevated superior tarsal conjunctival lesion measuring 3.0 mm in diameter caused a refractory corneal abrasion in a 54-year-old man. Complete local excision without entering the tarsus produced relief of symptoms. There has ... ...

Abstract	A whitish-opalescent, mildly elevated superior tarsal conjunctival lesion measuring 3.0 mm in diameter caused a refractory corneal abrasion in a 54-year-old man. Complete local excision without entering the tarsus produced relief of symptoms. There has been no recurrence during 9 months of follow-up. Histopathologically, a unique keratinous cyst was delimited mostly by basaloid cells resembling the matrical cells in pilomatrixoma. There were no keratohyalin granules in the lining cells, which focally transformed in ghost cells. These histopathologic features are characteristic of trichilemmal keratinization, a heretofore undescribed metaplasia of the conjunctival epithelium.
MeSH term(s)	Biopsy ; Conjunctiva/pathology ; Conjunctiva/surgery ; Conjunctival Diseases/pathology ; Conjunctival Diseases/surgery ; Diagnosis, Differential ; Epidermal Cyst/pathology ; Epidermal Cyst/surgery ; Humans ; Keratinocytes/pathology ; Male ; Middle Aged ; Ophthalmologic Surgical Procedures
Language	English
Publishing date	2009-07
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	632830-1
ISSN	1537-2677 ; 0740-9303
ISSN (online)	1537-2677
ISSN	0740-9303
DOI	10.1097/IOP.0b013e3181aada9a
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Article ; Online: Winer's dilated pore of the eyelid.

Jakobiec, Frederick A / Bhat, Pooja / Sutula, Francis

Ophthalmic plastic and reconstructive surgery

2009 Volume 25, Issue 5, Page(s) 411–413

Abstract: A 71-year-old woman had a whitish mass of the outer right lower eyelid with an eccentric pore plugged with keratin. Histopathologic evaluation disclosed an epidermoid cyst that opened widely to the surface and was filled with flaky keratin. The wall ... ...

Abstract	A 71-year-old woman had a whitish mass of the outer right lower eyelid with an eccentric pore plugged with keratin. Histopathologic evaluation disclosed an epidermoid cyst that opened widely to the surface and was filled with flaky keratin. The wall displayed a proliferation of rete ridge-type structures that projected in the surrounding dermis. The lesion was diagnosed as a dilated pore of Winer and has not recurred after simple excision.
MeSH term(s)	Aged ; Epidermal Cyst/metabolism ; Epidermal Cyst/pathology ; Epidermal Cyst/surgery ; Eyelid Diseases/metabolism ; Eyelid Diseases/pathology ; Eyelid Diseases/surgery ; Female ; Humans ; Keratins/metabolism ; Keratosis, Seborrheic/metabolism ; Keratosis, Seborrheic/pathology ; Keratosis, Seborrheic/surgery
Chemical Substances	Keratins (68238-35-7)
Language	English
Publishing date	2009-09
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	632830-1
ISSN	1537-2677 ; 0740-9303
ISSN (online)	1537-2677
ISSN	0740-9303
DOI	10.1097/IOP.0b013e3181b3b6e3
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