Cisplatin is the most common antineoplastic drug used for the therapy of solid tumours. To date, researchers have focused on the dosage to be administered for each specific tumour, mainly considering the local adverse effects. The aim of this study was to correlate the severity of the adverse effects with: i) the dosage of cisplatin; ii) the specific site of the tumour; iii) the association with other drugs; and iv) the symptoms. We analysed data from 123 patients with 11 different tumour classes undergoing therapy from 2007 to 2008 at St. Anna Hospital (Ferrara, Italy), using the Spearman non-parametric correlation index. Even though significant correlations were found among the variables, the overall results showed that the main factor influencing the severity of the adverse effects was the dosage of cisplatin administered.

Rodlet cells (RCs), and other inflammatory cells, namely eosinophile granule cells (EGCs), eosinophilic granulocytes and epithelioid cells in the liver, pancreas and peritoneal serosa of uninfected and naturally parasitized minnow Phoxinus phoxinus (Linnaeus, 1758), were studied by light and electron microscopy. Forty-eight minnows were examined and in 18 fishes encysted larvae of the nematode Raphidascaris acus (Bloch, 1779) were encountered, mainly in the pancreas. The number of larvae in the latter organ ranged from 2 to 46. Nematode larvae were encapsulated by epithelioid granulomata, and these cells displayed typical epithelial characteristics such as desmosomes and tonofilaments. EGCs and RCs characteristically surrounded the reactive foci and were suggestive of an integrated inflammatory network involving both cell types. In many instances RCs were noticed at the periphery of the pancreas, beneath the peritoneal serosa, partially or entirely surrounded by mesothelial cells. In the latter situation partially damaged RCs were present in the splancnic cavity entirely surrounded but not truly phagocytized (no phagolysosome occurred) by mesothelial cells, which shared the same ultrastructural features of epithelioid cells. This phenomenon has never been described and may represent a peculiar turnover of RCs in the pancreas likely related to the high sensitivity to damage. A significant difference (p < 0.01) in the number of RCs between uninfected and parasitized fish was noticed in the liver and pancreas. The data suggest that RCs represent an inflammatory cell type closely linked to other piscine inflammatory cells, such as EGCs, epithelioid cells and mesothelial cells.