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Is the fatty raised lesion a pre-atheromatous lesion? - A preliminary study

Frigyesi, Attila LU ; Kusumi, Yoshiaki ; Niihashi, Mari and Sakurai, Isamu (1998) In Nihon University Journal of Medicine 40(4). p.225-233
Abstract

Traditionally, atherosclerosis has been evaluated macroscopically from the presence of fatty streaks (FS), fibrous plaques (FBP), and complicated lesions (CL). In this preliminary study, employing aortas from autopsied middle-aged or older persons we investigated the fatty raised lesion (FRL) to elucidate its significance and histological features. The FRL is determined macroscopically from its distinctive intimal elevation with a yellowish surface, so displaying mixed characteristics of the FS and the FBP. The FRL was identified macroscopically in 50% of 10 cases in the thoracic part of the aorta, and in 30% of the cases, in the abdominal part. When present, it occupied 6.4% and 5% of the intimal area in the thoracic and abdominal... (More)

Traditionally, atherosclerosis has been evaluated macroscopically from the presence of fatty streaks (FS), fibrous plaques (FBP), and complicated lesions (CL). In this preliminary study, employing aortas from autopsied middle-aged or older persons we investigated the fatty raised lesion (FRL) to elucidate its significance and histological features. The FRL is determined macroscopically from its distinctive intimal elevation with a yellowish surface, so displaying mixed characteristics of the FS and the FBP. The FRL was identified macroscopically in 50% of 10 cases in the thoracic part of the aorta, and in 30% of the cases, in the abdominal part. When present, it occupied 6.4% and 5% of the intimal area in the thoracic and abdominal parts, respectively. These data were comparable to those of other lesions. Microscopically, the FRL exhibited different histological types, depending on the presence of a necrotic core and the degree of fibrous tissue development in the cap region. One predominant type had a clearly recognizable necrotic core, similar to the FBP, and an active fatty cap region, resembling that of fatty plaque. The presence of FRLs may be an important characteristic to be examined during the progress of atherosclerosis.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
keywords
Atherosclerosis, Fatty plaque, Fibrous plaque, Intermediate plaque
in
Nihon University Journal of Medicine
volume
40
issue
4
pages
9 pages
publisher
Nihon University
external identifiers
  • scopus:0348201509
ISSN
0546-0352
language
English
LU publication?
yes
id
52812993-16c0-46a4-b146-b3944b7f0980
date added to LUP
2019-06-14 22:38:57
date last changed
2022-03-25 20:26:47
@article{52812993-16c0-46a4-b146-b3944b7f0980,
  abstract     = {{<p>Traditionally, atherosclerosis has been evaluated macroscopically from the presence of fatty streaks (FS), fibrous plaques (FBP), and complicated lesions (CL). In this preliminary study, employing aortas from autopsied middle-aged or older persons we investigated the fatty raised lesion (FRL) to elucidate its significance and histological features. The FRL is determined macroscopically from its distinctive intimal elevation with a yellowish surface, so displaying mixed characteristics of the FS and the FBP. The FRL was identified macroscopically in 50% of 10 cases in the thoracic part of the aorta, and in 30% of the cases, in the abdominal part. When present, it occupied 6.4% and 5% of the intimal area in the thoracic and abdominal parts, respectively. These data were comparable to those of other lesions. Microscopically, the FRL exhibited different histological types, depending on the presence of a necrotic core and the degree of fibrous tissue development in the cap region. One predominant type had a clearly recognizable necrotic core, similar to the FBP, and an active fatty cap region, resembling that of fatty plaque. The presence of FRLs may be an important characteristic to be examined during the progress of atherosclerosis.</p>}},
  author       = {{Frigyesi, Attila and Kusumi, Yoshiaki and Niihashi, Mari and Sakurai, Isamu}},
  issn         = {{0546-0352}},
  keywords     = {{Atherosclerosis; Fatty plaque; Fibrous plaque; Intermediate plaque}},
  language     = {{eng}},
  month        = {{08}},
  number       = {{4}},
  pages        = {{225--233}},
  publisher    = {{Nihon University}},
  series       = {{Nihon University Journal of Medicine}},
  title        = {{Is the fatty raised lesion a pre-atheromatous lesion? - A preliminary study}},
  volume       = {{40}},
  year         = {{1998}},
}