Abstract To investigate the sonographic findings of the vas deferens in male genital tuberculosis. The ultrasonographic findings of the vas deferens of 19 cases of genital tuberculosis were retrospectively analyzed. According to the pathological and ultrasound findings, the ultrasonographic appearances of the vas deferens tuberculosis could be divided into 4 groups, 1 of normal sonograms, 3 of abnormal sonograms. The abnormal ultrasonographic appearances of the vas deferens tuberculosis were considered 3 categories as follows: diffusely thickening of vas deferens, nodular thickening of vas deferens, and space-occupying lesions adjacent to the vas deferens. The ultrasound manifestations of vas deferens in tuberculosis of the male genital system have certain characteristics. Combination of clinical manifestations, history of tuberculosis, experimental antituberculosis treatment, and ultrasound examination of vas deferens can suggest tuberculosis of vas deferens. Furthermore, it can provide objective basis for the comprehensive and noninvasive evaluation of the impact of genital tuberculosis on the reproductive ability for further treatments.
Accumulating evidences have demonstrated that CD55 can protect cells from complement-mediated attack, and is involved in tumor dedifferentiation, migration, invasiveness, and metastasis. However, the role of CD55 in gastrointestinal stromal tumors (GISTs) has not been investigated.
Objective:To study the clinicopathologic and immunohistochemical features of superficial angiomyxoma(SA) and its biologic behaviour.Methods:The pathologic feature was observed and immunohistochemical staining for Vim、CD34、Desmin and S-100 was performed,and the relative literatures were reviewed.Results:All the tumors of the 3 cases arose in the superficial region of the skin.All of them were relatively well-circumscribed soft mass with a lobular partially tremelloid-like cut surface.Histologically,SA had a lobular appearance with prominent vascularized myxoid matrix and some inflammatory cells infiltrating in it.The tumor cells were spindle or asteroid in shape and didn,t show either nuclear atypia or mitosis.Immunohistochemical studies showed that the tumor cells were positive for Vim and CD34 and negative for S-100 and Desmin.Conclusions:Superficial angiomyxoma is a rare myxoid tumor,and arise in the superficial region of the skin,which might recurrence locally but lack metastatic potential,the tumor cells are positive for Vimentin and CD34.The differential diagnosis of SA should include other myxoid soft tissue tumors.
Most glaciers in China lie in high mountainous environments and have relatively large surface slopes. Common analyses consider glaciers’ projected areas (2D Area) in a two-dimensional plane, which are much smaller than glacier’s topographic surface extents (3D Area). The areal difference between 2D planar areas and 3D surface extents exceeds −5% when the glacier’s surface slope is larger than 18°. In this study, we establish a 3D model in the Muzart Glacier catchment using ASTER GDEM data. This model is used to quantify the areal difference between glaciers’ 2D planar areas and their 3D surface extents in various slope zones and elevation bands by using the second Chinese Glacier Inventory (CGI2). Finally, we analyze the 2D and 3D area shrinking rate between 2007 and 2013 in Central Tianshan using glaciers derived from Landsat images by an object-based classification approach. This approach shows an accuracy of 89% when it validates by comparison of glaciers derived from Landsat and high spatial resolution GeoEye images. The extracted glaciers in 2007 also have an agreement of 89% with CGI2 data in the Muzart Glacier catchment. The glaciers’ 3D area is 34.2% larger than their 2D area from CGI2 in the Muzart Glacier catchment and by 27.9% in the entire Central Tianshan. Most underestimation occurs in the elevation bands of 4000–5000 m above sea level (a.s.l.). The 3D glacier areas reduced by 30 and 115 km2 between 2007 and 2013 in the Muzart Glacier catchment and Central Tianshan, being 37.0% and 27.6% larger than their 2D areas reduction, respectively. The shrinking rates decrease with elevation increase.
Background: To determine whether preoperative computed tomography (CT) features can be used for the prediction of gastrointestinal stromal tumors (GISTs) with a high Ki-67 proliferation index (Ki-67 PI). Methods: A total of 198 patients with surgically and pathologically proven GISTs were retrospectively included. All GISTs were divided into a low Ki-67 PI group (<10%) and a high Ki-67 PI group (≥10%). All imaging features were blindly interpreted by two radiologists. Receiver operating characteristic (ROC) curve analyses were conducted to evaluate the predictive performance of the imaging features. Results: Imaging features were found to be significantly different between the low and the high Ki-67 PI groups (P<0.05). Wall thickness of necrosis showed the highest predictive ability, with an area under the curve (AUC) of 0.838 [95% confidence interval (CI): 0.627–0.957], followed by necrosis, necrosis degree, hyperenhancement of the overlying mucosa (HYOM), and long diameter (LD) (AUC >0.7, P<0.05). HYOM was the strongest predictive feature for the high Ki-67 PI GISTs group, with an odds ratio (OR) value of 30.037 (95% CI: 5.707–158.106). Conclusions: Imaging features, including the presence of necrosis, high necrosis degree, thick wall of necrosis, and HYOM were significant predictive indicators for the high Ki-67 PI GISTs group.
Inflammatory myofibroblastic tumor (IMT) is a distinctive neoplasm that frequently arises in the lung and accounts for ~1% of lung tumors. Distant metastatic IMT is extremely rare and has been poorly investigated. This analysis was specifically performed to explore the clinicopathological and genetic features of early distant metastatic IMT. Two typical patients with distant metastatic IMTs were selected, which accounted for 1.13% of all diagnosed IMTs in the last 5 years. One patient was a 55 year-old male, and the other patient was a 56 year-old female. Both primary tumors arose from the lung, and the initial clinical symptoms of the two patients involved coughing. Both of the imaging examinations showed low-density nodular shadows in the lungs with enhancement around the mass. Microscopically, dense arranged tumor cells, prominent cellular atypia, and high mitotic activity with atypical form were more prominent in the metastatic lesions than in the primary lesions. All of the primary and metastatic tumors in both cases showed positive anaplastic lymphoma kinase (ALK) immunostaining and ALK rearrangement via fluorescence in situ hybridization. The EML4 (exon 6)-ALK (exon 20) fusion variant (v3a/b) was identified by using next-generation sequencing (NGS) and was verified by using reverse transcription polymerase chain reaction (RT-PCR). Furthermore, intronic variants of NOTCH1 and synonymous variants of ARAF were also detected via NGS in one IMT for the first time and were verified in all of the primary and metastatic lesions via PCR. Distant metastasis occurred during a short period of time (1 and 2 months) after the first surgery. One patient presented with multiple metastases to the subcutaneous tissue and bone that responded to ALK inhibitor alectinib therapy, and the tumor was observed to regress 10 months after the initial ALK inhibitor therapy. In contrast, the other patient presented with subcutaneous neck metastasis without ALK inhibitor treatment and succumbed to the disease within 3 months after the surgery. This study demonstrated the possible role of EML4-ALKv3a/b in the malignant progression of IMT and proposed certain therapeutic effects of ALK inhibitors on multiple metastatic IMTs.
Liposarcoma originating in the heart is extraordinarily rare. Herein, we report a dedifferentiated liposarcoma arising from the left atrium in a 59-year-old Chinese man. Histologically, the neoplasm predominantly consisted of undifferentiated pleomorphic sarcoma. In addition, the neoplasm exhibited lipoblastic differentiation and osteo-/chondrosarcomatous components. Immunohistochemically, the neoplastic cells were strongly positive for p16, MDM2, and CDK4. Fluorescence in situ hybridization showed MDM2 gene amplification in all of the tumor components. To the best of our knowledge, this is the first published example of cardiac dedifferentiated liposarcoma exhibiting homologous and heterologous differentiation without a well-differentiated liposarcoma component.
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