简介:AbstractBackground:Endolymphatic sac tumor (ELST) is one of neuroectodermal tumor which arising from endolymphatic sac and duct. It is actually quite rare, with less than 200 cases reported. Although ELST presents benign appearance in histopathology, it can present aggressive destructive behavior in clinical. The cornerstone of treatment for ELST is complete surgical excision. However, it is almost impossible to completely resect the advanced stage tumor. There is still controversy about other treatments, such as radiotherapy and gamma knife surgery.Case presentation:A 47-year-old man was admitted in The First Affiliated Hospital of Fujian Medical University with a 7-year history of progressive hearing loss and near 6-month repeated attacks of headache. Preoperative CT revealed a massive intracranial lesion and associated hydrocephalus. MR scanning demonstrated a 7.2 cm × 4.6 cm × 4.2 cm bulky mass located in left-sided posterior cranial fossa and temporo-occipital region which showed hyperintensity on T1-weighted images and mixed signal intensity on T2-weighted images. There was no neither clinical manifestation nor family history of Von Hippel-Lindau syndrome (VHL).Due to the mass that was large and invading the bone of skull base, it was difficult to extirpate surgically, so the ventriculoperitoneal shunt combined with local biopsy was performed. The postoperative pathology and immunohistochemical findings confirmed the lesion was an endolymphatic sac tumor. After operation, the patient regularly received radiotherapy.Conclusion:The widely accepted management of ELST is complete surgical resection. However, it is difficult for surgeons to achieve radical resection with late-stage ELST. Currently, there is much dispute about the role of radiotherapy for the management of ELST in academic circles. In this case where the mass cannot be surgical removed, radiotherapy has the curative effect for ELST in terms of disease control and quality of life.
简介:ObjectiveTostudyclinicalcharacteristicsofendolymphaticsactumor(ELST)anditsdiagnosisandtreatment.MethodsELSTwasdiagnosedin6casesbasedonsurgicalandhistologicalfindings.Thesecaseswerereviewedfortheirclinicalmanifestations,differentialdiagnosisandsurgicaltreatmenttechniques.ResultsTherewere1maleand5femalesinthisgroup,agedfrom28to59years(meanage=38.7years).Thetumorwasinleftearin4casesandinrightearintheother2cases.Diseasecoursesrangedfrom5to30years(meanduration=12.6years).Clinicalpresentationsincludedsensorineuralhearingloss(n=4),otorrheaandtinnitus(n=2),tinnitusandfacialspasm(n=1),otorrheawithfacialparalysis(n=1),andhearinglosswithtinnitus(n=2).NoneofthecaseswasdiagnosedasELSTpreoperatively.Twocasesweremisdiagnosedasglomusjugularetumor,2aschronicsuppurativeotitismedia,1assweatglandadenomaonbiopsyand1astemporalbonetumor.Tumorsweresurgicallyresectedinall6casesviathemastoidectomy(n=2)orcombinedoto-cervicalorcranio-oto-cervicalapproaches(n=4).Postoperativecerebrospinalfluidotorrheaoccurredin1case.Thetumorswereconfirmedonhistologicalexaminationtobealow-gradeadenocarcinoma.Allpatientshavesurvivedatthetimeofthispaper.ConclusionELSTisrareandcommonlymisdiagnosedandinadequatelytreated.Itsprognosisisrelativelyfavorablebecauseofitsslowgrowthrate.
简介:BackgroundNormally,fewimmunocompetentcellarepresentintheendolymphaticsac(ES).Duringanactiveimmuneresponseintheinnerear,largeamountofinflammatorycells,includingimmunocompetentcells,areseenintheES.ThecurrentstudyaimedatassessingcellularproliferationwithintheESduringinducedimmuneresponseintheinnerear.MethodsFifteenhealthy,femaleSDratsweresensitizedsystemicallywithkeyholelimpethemocyanin(KLH),followedbylocalinoculationinthecochleathroughbasalturnfenestrationwiththesameantigen.OnDays3,7and14followinginoculation,theanimalwassacrificedafterintraperitonealadministrationof5-bromo-2'-deoxyuridine(BrdUrd),andthetemporalboneharvested.Followingdecalcification,infiltrationbyBrdUrd-andIgG-positivecellsintheESwasstudiedonfrozensectionswithH&Eandimmunohistochemicalstaining.ResultsDuringthesecondaryimmuneresponseintheinnerearagainstT-dependentantigens,thereisincreasedcellularproliferationintheES.Theproliferatedcellsmaydifferentiateintoimmunocompetentcellsatthesamelocation.ConclusionsThesefindingsindicatethattheESplaysanimportantroleinimmuneresponseofinnerear.
简介:摘 要:为了验证SAC结构用于薄层罩面具有优越性,本文对SAC-10和AC-10两种沥青混合料铺筑的薄层罩面路用性能进行对比分析,结果表明:将SAC-10骨架密实结构沥青混合料用于薄层罩面,抗车辙性能远高于悬浮密实结构的AC-10沥青混合料,具有较优的抗滑特性。
简介:Extragonadalprimaryyolksactumoroftheintestinaltractoriginisexceedinglyrare.Throughamultipledisciplinaryteam,thediagnosisandtreatmentofprimaryintestinalyolksactumorwerefurtherdefined.Wereport2suchcaseswithdetailedhistologicandimmunohistochemicalanalysis.Thetwopatientswerea7-year-oldgirlanda29-year-oldwoman.Bothofthempreoperativelyhadanelevatedserumalphafetoprotein(AFP)level(≥1,210ng/mL).Thetumorsarelocatedintheintestineandimagingexaminationindicatedtherectumastheprimarysite.Grosslythemasswasgrey-whiteandcrisptexture.Microscopicexaminationfeaturedreticular,microcystic,macrocystic,papillary,solid,andsomeglandularpatterns.Immunohistochemically,tumorcellsofbothcaseswerepositiveforSALL4,AFP,pan-cytokeratin(AE1/AE3),andglypican-3.Simultaneously,astainforEMA,OCT4,CD30,HCG,vimentinandCK20werenegativeinall2neoplasms.Thefeaturesofmorphology,immunohistochemistry,laboratoryexaminationsandimagingstudiesconsistofthediagnosisofprimaryyolksactumoroftheintestine.
简介:囊包含域的蛋白质属于phosphoinositide磷酸酶(PIPPase家庭)的一个最新识别的家庭。尽管有描绘得好的酶的活动,这个哺乳动物的囊领域PIPPase家庭的生物功能仍然保持大部分未知。我们识别了新奇的囊包含域的蛋白质,老鼠Sac3(rSac3)它是广泛地在各种各样的纸巾表示了并且对endoplasmic蜂窝胃局部性,Golgi复杂、再循环的内涵体。rSac3在vitro作为底层与PI(3)P,PI(4)P和PI(3,5)P(2)显示PIPPase活动,并且在囊域的催化核心的一个变化废除它的酶的活动。rSac3的表示起来在刺激的神经生长因素(NGF)期间调整了PC12细胞neuronal区别,并且在这的表示上,蛋白质在PC12细胞支持神经突长出。相反地,由反感觉oligonucleotides的rSac3表示的抑制减少刺激NGF的PC12房间的神经突长出,并且rSac3的活跃地点变化消除它的neurite-outgrowth-promoting活动。这些结果显示rSac3在通过它的PIPPase活动区分神经原支持神经突长出,建议囊领域PIPPase蛋白质可以参予从到血浆膜的endoplasmic蜂窝胃和Golgi建筑群的前面的膜交通国王,并且可以作为neuronal房间生长和区别的这个关键过程的管理者工作。
简介:TheCu/Sn-3.OAg-0.5Cu/Cubuttingsolderjointswerefabricatedtoinvestigatetheevolutionoftheinterfacialintermetalliccompound(IMC)andthedegradationofthetensilestrengthofsolderjointsundertheeffectofelectromigration(EM)andagingprocesses.Scanningelectronmicroscopy(SEM)resultsindicatedthattheCu_6Sn_5interfacialIMCpresentedobviousasymmetricalgrowthwiththeincreaseofEMtimeundercurrentdensityof1.78×10~4A/cm~2at100℃,andthegrowthofanodicIMCpresentedaparabolicrelationshipwithtimewhilethecathodicIMCgotthinnergradually.However,asforagingsamplesat100℃withoutcurrentstressing,theCu_6Sn_5IMCpresentedasymmetricalgrowthwithaslowerratethantheanodicIMCofEMsamples.Thetensileresultsindicatedthatthetensilestrengthofthesolderjointsundercurrentstressdeclinedmoredrasticwithtimethantheagingsamples,andthefracturemodetransformedfromductilefracturetobrittlefracturequicklywhilethefracturemodeofagingsamplestransformedfromcup-coneshapedfracturetomicroporousgatheringfractureinaslowway.
简介:降雨在海表面上有二重要效果,包括咸度减少并且表面变得更不平,它在L乐队海表面放射率上有进一步的影响。用宝瓶座和TRMM3B42配对数据集的调查显示检索的海表面咸度(SSS)被现在的宝瓶座算法与数字模型产量相比低估,特别在高雨率的情况下。例如,当雨率是25mm/h时,在观察卫星的SSS之间的偏爱和数字模型SSS是约2。偏爱能被财务为导致雨的粗糙消除,它被产生雨的戒指波浪光谱通常建模。雨光谱将是进为雨影响的海表面放射率的模拟的小斜坡近似(SSA)模型的输入。与理论模型一起的比较显示对更合适的雨spectrumis的实验模型在模拟被使用。进一步,雨光谱的系数被与2year宝瓶座和TRMM配对数据集的观察适合模拟修改。计算证实海表面放射率以风速度和雨率增加。雨率导致的增加在低雨率和低风速度的情况中是快速的。最后,包括雨光谱的海表面放射率的一个修改模型被在2014年5月使用配对数据集建议并且验证。与观察相比,导致雨的海表面放射率的偏爱近似由修改modelis模仿了1e4,和RMSE比1e3稍微大。与使用更多的配对数据,在模型之间的thebias检索了海表面咸度和observationsmay进一步被改正,并且RMSE可以在低雨率和低风速度的情况中被归结为不到1。
简介:ToinvestigatethechangesofthebiochemicalcompositionofAmericanshad(Alosasapidissima)eggsandlarvaeatembryonicandearlylarvalstages,sampleswerecollectedatdifferentdevelopmentstagesfromartificialfertilizationtotheendofyolkabsorptionincluding2h,12hand30hafterfertilizationandnewlyhatchedlarvaeincluding1and3daysafterhatching.Thecompositionoflipid,fattyacids,proteinandaminoacidswereanalyzed.Thecontentoftotalproteinexhibitedadecreasingtrendduringembryogenesisandlarvaldevelopment,andasignificantreductionwasdetectedafterhatching(P<0.05).Thetotallipidcontentremainedrelativestable.Asignificantreductionwasdetectedinalmostallaminoacidsafterhatchingexceptforglycine(P<0.05),whileasignificantdecreasewasfoundinthecontentofcysteine,proline,tyrosine,valine,isoleucine,leucineandphenylalanineduringtheyolk-sacphase(P<0.05).Ontheotherhand,allthegroupsoffattyacidsremainedstableduringtheperiodofembryogenesis.Butafterhatching,asignificantdecreasewasfoundinthecontentofC18:2n-6,C18:3n-6,SFAandratioofEPA/ARA(P<0.05),whileasignificantincreasewasfoundinthecontentofC18:3n-3,C20:4n-6,C22:6n-3andratioofn-3/n-6(P<0.05).Inconclusion,thecombineddatasuggestedthatAmericanshadutilizestheproteincontentaspreferentialenergysubstratesduringembryonicandearlylarvaldevelopmentswithsomespecificityintheconsumptionofdifferentaminoacids.