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Zhou J, Xie JL, Zhou XG, Zhou XJ, Xia QX. [Follicular lymphoma with a predominantly diffuse growth pattern with 1p36 deletion: a clinicopathologic analysis of eight cases]. Zhonghua Bing Li Xue Za Zhi 2024; 53:34-39. [PMID: 38178744 DOI: 10.3760/cma.j.cn112151-20230905-00130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2024]
Abstract
Objective: To investigate the clinical and pathologic features and diagnosis of follicular lymphoma (FL) with a predominantly diffuse growth pattern (DFL) with 1p36 deletion. Methods: Eight cases of DFL with 1p36 deletion diagnosed at Department of Pathology, Beijing Friendship Hospital, Capital Medical University (n=5) and the Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital (n=3) from January 2017 to January 2023 were included. Their clinicopathologic features and follow-up data were analyzed. Immunohistochemistry and fluorescence in situ hybridization (FISH) were performed. Results: There were five males and three females, with a median age of 67 years, and inguinal lymphadenopathy was found as the main symptom. Histologically, similar morphologic features were sheared among all cases, with effaced nodal structure and characterized by proliferation of centrocytes in a diffuse pattern, with or without follicular components. The germinal center-related markers such as CD10 and/or bcl-6 were expressed in the tumor cells, and 1p36 deletion but not bcl-2 translocation was appreciable in these cases. Conclusions: DFL with 1p36 deletion is a rare subtype of FL, with some overlaps with other types of FL or indolent B-cell lymphomas in their pathologic features. An accurate diagnosis requires comprehensive considerations based on their clinical, pathologic, immunohistochemical, and molecular features.
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Affiliation(s)
- J Zhou
- Department of Pathology, the Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450008, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100020, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100020, China
| | - X J Zhou
- Department of Pathology, the Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450008, China
| | - Q X Xia
- Department of Pathology, the Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450008, China
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Zheng YY, Xie JL, Zhang YL, Zhou XG. [Progressively transformed germinal center-like follicular T-cell lymphoma:a clinicopathological analysis of 14 cases]. Zhonghua Bing Li Xue Za Zhi 2023; 52:1144-1150. [PMID: 37899321 DOI: 10.3760/cma.j.cn112151-20230205-00094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/31/2023]
Abstract
Objective: To investigate the clinicopathologic features of progressively transformed germinal center-like follicular T-cell lymphoma (PTGC-like FTCL). Methods: The clinicopathologic data of 14 PTGC-like FTCL cases that were diagnosed at the Beijing Friendship Hospital Affiliated to the Capital Medical University from January 2017 to January 2022 were retrospectively collected. Clinicopathological features, immunophenotype, and Epstein-Barr virus (EBV) infection status were analyzed in these cases. Polymerase chain reaction (PCR) was performed to detect the clonal gene rearrangements of T cell receptor (TCR) and the immunoglobulin (Ig) in 10 and 8 cases, respectively. Results: The male to female ratio was 5∶2. The median age was 61 years (range 32-70 years). All patients had lymphadenopathy at the time of diagnosis. By using the Ann Arbor system staging, seven cases were classified as stage Ⅰ-Ⅱ, and seven cases as stage Ⅲ-Ⅳ. Seven cases had B symptoms, four cases had splenomegaly, and two cases had skin rash and pruritus. Previously, three cases were diagnosed as classic Hodgkin's lymphoma, three cases as small B-cell lymphoma, two cases as atypical lymphoid hyperplasia unable to exclude angioimmunoblastic T-cell lymphoma (AITL), one case as EBV-associated lymphoproliferative disorder, and one case as peripheral T-cell lymphoma (PTCL) associated with the proliferation of B cells. All the 14 cases showed that the large nodules were composed of mature CD20+, IgD+B lymphocytes admixed with small aggregates of neoplastic cells with pale to clear cytoplasm. Moreover, hyperplastic germinal centers (GCs) and Hodgkin/Reed-Sternberg-like (HRS-like) cells were seen within these nodules in two and five cases, respectively. The neoplastic cells expressed CD3 (14/14), CD4 (14/14), PD1 (14/14), ICOS (14/14), CD10 (9/14), bcl-6 (12/14), CXCL13 (10/14), and CD30 (10/14). The HRS-like cells in five cases expressed CD20 (2/5), PAX5 (5/5), CD30 (5/5), CD15 (2/5), LCA (0/5), OCT2 (5/5) and BOB1 (2/5). Moreover, neoplastic T cells formed rosettes around HRS-like cells. EBV-encoded RNA (EBER) in situ hybridization showed scattered, small, positive bystander B lymphocytes in 8/14 cases, including 3/5 cases containing HRS-like cells. All tested cases (including five with HRS-like cells) showed monoclonal TCR gene rearrangement and polyclonal Ig gene rearrangement. Conclusions: PTGC-like FTCL is a rare tumor originated from T-follicular helper cells. It could be distinguished from angioimmunoblastic T-cell lymphoma by the formation of follicular structure, and lack of follicular dendritic cell proliferation outside the follicles and the polymorphous inflammatory background. In addition, it should be differentiated from lymphocyte-rich classical Hodgkin's lymphoma and low-grade B cell lymphoma.
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Affiliation(s)
- Y Y Zheng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y L Zhang
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Zhang X, Zhou XG, Yang M, Miao Y, Xing RG, Zheng YY, Zhang YL, Xie JL. [Clinicopathological analysis of EB virus-positive mucocutaneous ulcer]. Zhonghua Bing Li Xue Za Zhi 2023; 52:1037-1039. [PMID: 37805398 DOI: 10.3760/cma.j.cn112151-20230120-00058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/09/2023]
Affiliation(s)
- X Zhang
- Department of Pathology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China
| | - M Yang
- Department of Pathology, Cangzhou Central Hospital, Cangzhou 061000, China
| | - Y Miao
- Department of Pathology, Cangzhou Central Hospital, Cangzhou 061000, China
| | - R G Xing
- Department of Pathology, Cangzhou Central Hospital, Cangzhou 061000, China
| | - Y Y Zheng
- Department of Pathology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China
| | - Y L Zhang
- Department of Pathology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China
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Sun L, Li P, Zhou XG, Teng XJ, Zheng YY, Zhang YL, Xie JL. [Clinicopathological features of fibrin-associated diffuse large B-cell lymphoma: a report of six cases]. Zhonghua Bing Li Xue Za Zhi 2023; 52:592-598. [PMID: 37263924 DOI: 10.3760/cma.j.cn112151-20230128-00075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Objective: To investigate the clinical, pathological and immunophenotypic features, molecular biology and prognosis of fibrin-associated large B-cell lymphoma (LBCL-FA) in various sites. Methods: Six cases of LBCL-FA diagnosed from April 2016 to November 2021 at the Beijing Friendship Hospital, Capital Medical University, Beijing, China and the First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China were collected. The cases were divided into atrial myxoma and cyst-related groups. Clinical characteristics, pathological morphology, immunophenotype, Epstein Barr virus infection status, B-cell gene rearrangement and fluorescence in situ hybridization of MYC, bcl-2, bcl-6 were summarized. Results: The patients' mean age was 60 years. All of them were male. Three cases occurred in atrial myxoma background, while the others were in cyst-related background, including adrenal gland, abdominal cavity and subdura. All cases showed tumor cells located in pink fibrin clot. However, three cyst-related cases showed the cyst wall with obviously fibrosis and inflammatory cells. All cases tested were non germinal center B cell origin, positive for PD-L1, EBER and EBNA2, and were negative for MYC, bcl-2 and bcl-6 rearrangements, except one case with MYC, bcl-2 and bcl-6 amplification. All of the 5 cases showed monoclonal rearrangement of the Ig gene using PCR based analysis. The patients had detailed follow-ups of 9-120 months, were treated surgically without radiotherapy or chemotherapy, and had long-term disease-free survivals. Conclusions: LBCL-FA is a group of rare diseases occurring in various sites, with predilection in the context of atrial myxoma and cyst-related lesions. Cyst-related lesions with obvious chronic inflammatory background show more scarcity of lymphoid cells and obvious degeneration, which are easy to be missed or misdiagnosed. LBCL-FA overall has a good prognosis with the potential for cure by surgery alone and postoperative chemotherapy may not be necessary.
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Affiliation(s)
- L Sun
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - P Li
- Department of Pathology, First Affiliated Hospital, Wenzhou Medical University, Wenzhou 325000, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X J Teng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y Y Zheng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y L Zhang
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Lu HD, Xie JL, Zhang LN, Zheng YY, Zhou XG. [Clinicopathological features of angioimmunoblastic T-cell lymphoma pattern Ⅰ]. Zhonghua Bing Li Xue Za Zhi 2022; 51:856-860. [PMID: 36097902 DOI: 10.3760/cma.j.cn112151-20211222-00925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To investigate the clinicopathological features of angioimmunoblastic T-cell lymphoma pattern Ⅰ (AITL Pattern Ⅰ). Methods: The clinicopathological data of 11 AITL Pattern Ⅰ cases that were diagnosed at the Beijing Friendship Hospital Affiliated to Capital Medical University (10 cases) and Beijing Lu Daopei Hospital (1 cases) from January 2019 to October 2021 were retrospectively collected. Immunophenotype, Epstein-Barr virus infection status and T cell receptor (TCR) clonality of the tumor cells were tested, and clinicopathological features of cases were analyzed. Results: Among the 11 AITL Pattern Ⅰ cases, the male to female ratio was 1.2∶1.0. The median age was 59 years (range 47-78 years). Seven cases had B symptoms, while eleven cases presented with systemic lymphadenopathy. According to Ann Arbor system staging, two cases were classified as stage Ⅰ-Ⅱ, and 9 cases as stage Ⅲ-Ⅳ. Hepatosplenomegaly was present in two cases (2/11), three cases (3/11) had skin rash and pruritus, and two cases (2/11) had pleural effusion. Previously, 6 cases (6/11) were diagnosed as reactive hyperplasia, 1 case (1/11) as EBV-associated lymphoproliferative disorder, and 4 cases (4/11) as hyperplasia of lymphoid tissue, which was unable to exclude lymphoma. Histologically, all the 11 cases showed hyperplastic follicles in the paracortical regions with well-formed germinal centers. The hyperplastic follicles showed ill-defined borders and attenuated mantle zones in 7 cases. Mantle zones completely disappeared in 4 cases. The follicles were surrounded by a thin layer of atypical lymphocytes with bright or faintly stained cytoplasm. In 2 cases, the clear cells were located between the germinal centers and the thin residual mantle cell layers, showing a circular growth pattern. The cells were medium in size, with irregular karyotype, coarse chromatin and indistinct nucleoli. Immunohistochemically, CD21 staining showed that the meshworks of follicular dendritic cells(FDC)were mainly confined to the follicles. There was a subtle expansion of the meshworks of FDC in 4 cases with ill-defined borders. The atypical cells surrounding the follicles expressed CD3 (11/11), CD4 (11/11), PD-1 (11/11), CXCL13 (6/11), ICOS (10/11) and CD10 (7/11). PD-1 staining showed a strong perifollicular pattern, and a small number of positive cells were scattered around the high endothelial veins in the interfollicular region. CXCL13, ICOS and CD10 showed similar distribution patterns. EBV-encoded small RNA probe (EBER) in situ hybridization showed that EBER positive B lymphocytes were scattered in the interfollicular region (5-20/HPF) in all cases. T cell receptor gene rearrangement was monoclonal in all cases. Conclusions: Diagnosing AITL Pattern Ⅰ may be challenging and requires comprehensive analysis of clinical manifestations, histological morphology, immunophenotype and gene rearrangement results.
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Affiliation(s)
- H D Lu
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - L N Zhang
- Department of Pathology, Beijing Lu Daopei Hospital, Beijing 100176, China
| | - Y Y Zheng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Wang AC, Xie JL, Wang YN, Sun XF, Lu LJ, Sun YF, Gu YQ. [Autopsies and placental examinations of perinatal fetal deaths: a clinicopathological analysis of 105 cases]. Zhonghua Bing Li Xue Za Zhi 2022; 51:431-436. [PMID: 35511639 DOI: 10.3760/cma.j.cn112151-20210908-00657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To summarize the clinicopathological factors related to perinatal fetal death and to evaluate importance of fetal autopsy and placental pathology. Methods: The clinicopathological data of 105 perinatal fetal deaths in Beijing Haidian Maternal and Child Health Hospital from November 2012 to December 2020 were retrospectively analyzed. Relevant literature was also reviewed. Results: The maternal age of the deceased fetuses ranged from 22 to 43 years with the average (31.35±4.04 years), and the gestational weeks were 28-40+6 weeks. Among them, 101 were singleton cases and 4 twin cases. 103 fetuses died in uterus and 2 died during delivery. Relevant factors analysis of the 105 perinatal fetal deaths showed that 86 cases (81.9%, 86/105) were related to umbilical cord/placental abnormality, 10 cases (9.5%, 10/105) uterine infection, 6 cases (5.7%, 6/105) fetal factors, 1 case was fetal maternal blood transfusion syndrome, 1 case twin blood transfusion syndrome, and 1 case died of complete uterine rupture. Among the 86 cases related to umbilical cord/placental abnormality, the diagnosis was most often based on the gross examination of placenta. The most common cause of death was umbilical cord torsion with thin root, followed by placental abruption, tight umbilical cord winding, vascular rupture and umbilical cord true knot. The morphology of placenta revealed mainly functional changes. Among the 10 cases related to intrauterine infections, the placenta generally showed lobular placental edema. The morphological characteristics of ascending infection were mainly acute chorioamnionitis, and the morphological characteristics of blood-borne infection were mainly acute or chronic villitis, as well as villous interstitial inflammation. Identification of viral inclusions suggested viral etiology, while the final diagnosis was relied on laboratory testing. Among the 6 cases related to fetal abnormality, the diagnostic value of placenta was limited and the diagnosis could be made with fetal autopsy. Conclusion: The causes of perinatal fetal death are complex, diverse, and often the synergistic result of multiple factors. Fetal autopsy and placental pathology are the key technical means to identify the cause of death and deserve more attention and utilization.
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Affiliation(s)
- A C Wang
- Department of Pathology, Haidian Maternal and Children Health Hospital, Beijing 100081, China
| | - J L Xie
- Department of Pathology, Haidian Maternal and Children Health Hospital, Beijing 100081, China
| | - Y N Wang
- Department of Pathology, Haidian Maternal and Children Health Hospital, Beijing 100081, China
| | - X F Sun
- Department of Pathology, Haidian Maternal and Children Health Hospital, Beijing 100081, China
| | - L J Lu
- Department of Pathology, Haidian Maternal and Children Health Hospital, Beijing 100081, China
| | - Y F Sun
- Department of Pathology, Haidian Maternal and Children Health Hospital, Beijing 100081, China
| | - Y Q Gu
- Department of Pathology, Haidian Maternal and Children Health Hospital, Beijing 100081, China
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Hou WH, Zhou XG, Xie JL, Zheng YL, Zhang X, Wang X. [Clinicopathological features and prognosis of cytotoxic T-cell lymphoma: analysis of 134 cases]. Zhonghua Bing Li Xue Za Zhi 2022; 51:290-295. [PMID: 35359038 DOI: 10.3760/cma.j.cn112151-20210909-00662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To investigate the clinicopathological features and prognosis of cytotoxic T-cell lymphoma (CTL). Methods: The clinicopathological data of 134 CTL patients in Beijing Friendship Hospital Affiliated to Capital Medical University, the 989 Hospital of PLA Joint Logistics Support force (formerly the 152 Hospital) and the Fourth Hospital of Hebei Medical University from 2008 to 2020 were retrospectively collected. Immunophenotype, Epstein-Barr virus infection status and T cell receptor (TCR) clonality of tumor cells were assessed, and clinicopathological features and prognosis of patients were analyzed. Results: Among the 134 CTL patients, the male to female ratio was 1.7∶1.0, the median age was 49.5 years (range 3-83 years), and 100 cases (74.6%) were under 60 years old. Forty-six point nine percent of the patients (53/113) had B symptoms. Most of the patients presented with systemic superficial lymphadenopathy. According to the Ann Arbor staging system, 36.8% (39/106) of the patients were in stage Ⅰ-Ⅱ, and 63.2% (67/106) in stage Ⅲ-Ⅳ. The rate of extranodal involvement was 51.6% (66/128). Spleen was involved in 24.2% (31/128) of the cases. Morphology showed diffuse growth of abnormal lymphocytes, infiltrating and destroying normal tissue structure. Immunohistochemical staining showed that tumor cells expressed T cell antigens (CD2, CD3, CD5, and CD7), and 72.0% (77/107) of them had decreased or lost expression of one or more antigens. According to the numbers of CD4 and CD8 expression in tumor cells, 70 cases (52.2%) were grouped into CD8+>CD4+group. The expression rates of TIA-1 and granzyme B were 99.2% (119/120) and 79.8% (95/119), respectively. CD20 abnormal expression rate was 27.6% (37/134) and CD56 was negative in all cases. The median Ki-67 proliferative index was 45.0% (range 5%-80%). In situ hybridization of small RNA encoded by Epstein-Barr virus was negative. Clonal TCR gene rearrangement analysis was performed on 49 cases and was positive in all cases. Ninety-one patients were followed up for a median of 36 months (range, 1 to 240 months), and 40 of the 91 patients (44.0%) died. The twenty-three patients were in complete remission (including 13 cases with localized single extranodal mass). The 3-year and 5-year overall survival rates were 53.5% and 49.4%, respectively. Univariate analysis showed that B symptom, spleen involvement, extranodal involvement, clinical stage, CD8+>CD4+phenotype, abnormal expression of CD20 and Ki-67 proliferation index (>60%) were associated with overall survival (P<0.05). The multivariate Cox regression analyses showed that spleen involvement and CD8+>CD4+ phenotype were independent prognostic factors for overall survival in CTL patients. Conclusions: CTL are more commonly found in adult males under 60 years old, often accompanied by B symptom, with a high proportion of extranodal involvement and more CD8 positive phenotypes. Spleen involvement and CD8+>CD4+phenotype are independent predictors of CTL overall survival. Some patients with localized extranodal CTL may have a good prognosis.
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Affiliation(s)
- W H Hou
- Department of Pathology, Pingdingshan Medical District (Former the 152 Central Hospital), the 989 Hospital of PLA Joint Logistic Support Force, Pingdingshan 467099, Henan, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y L Zheng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X Zhang
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Xu Wang
- Department of Pathology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
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Shen X, Zhou LT, Li AQ, Yi HM, Ouyang BS, Xu HM, Xie JL, Gu YJ, Zhang L, Dong L. [Clinicopathological features and prognosis of high-grade B-cell lymphoma with MYC and bcl-2 and/or bcl-6 rearrangements]. Zhonghua Bing Li Xue Za Zhi 2022; 51:120-125. [PMID: 35152630 DOI: 10.3760/cma.j.cn112151-20210826-00604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To investigate the clinicopathological characteristics and prognosis of high-grade B-cell lymphoma (HGBL) involving combined rearrangements of MYC, bcl-2 and bcl-6. Methods: A total of 1 138 cases of large B cell lymphoma (LBL) that were treated at the Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine from January 2017 to September 2020 were analyzed using fluorescence in situ hybridization (FISH) with probes against MYC, bcl-2 and bcl-6. The clinical and pathological data of the 45 patients with HGBL that had rearrangements of MYC and bcl-2 and/or bcl-6 were collected and retrospectively analyzed. Results: Among the 1 138 LBL, 45 (4.0%) cases had combined rearrangements of MYC, bcl-2 and/or bcl-6 that included 6 HGBL cases with MYC, bcl-2 and bcl-6 rearrangements, 14 HGBL cases with MYC and bcl-2 rearrangements, and 25 HGBL cases with MYC and bcl-6 rearrangements. Of these 45 patients, 29 patients were male, and 16 patients were female, aged 29 to 83 years. HGBL with MYC, bcl-2 and bcl-6 rearrangements and HGBL with MYC and bcl-2 rearrangement were reclassified as the germinal center B-cell (GCB) subtype using the Hans algorithm. HGBL with MYC and bcl-6 rearrangement were reclassified as the GCB subtype (68.0%) and the non-GCB subtype (32.0%). The vast majority of HGBL cases had a high Ki-67 proliferation index. Most HGBL patients had advanced stage disease with a high IPI score and an increased LDH level. Also, some patients had clinical features including elevated plasma β2-microglobulin levels, B symptoms, and bone marrow involvement. The IPI scores and LDH levels were significantly different between the HGBL cases with MYC, bcl-2 and bcl-6 rearrangements and the HGBL cases with MYC and bcl-6 rearrangements (P<0.05). Compared with the HGBL cases with MYC, bcl-2 and bcl-6 rearrangements, the HGBL cases with MYC and bcl-2 or bcl-6 rearrangements had a lower incidence of bone marrow involvement (P<0.05). There were no significant differences in the prognosis among HGBL cases with MYC, bcl-2 and bcl-6 rearrangements, the cases with MYC and bcl-2 rearrangements, and the cases with MYC and bcl-6 rearrangements (P>0.05). Conclusions: HGBL with MYC, bcl-2 and/or bcl-6 rearrangements are rare types of B-cell lymphoma with high degree of malignancy and have a short overall survival. To reduce misdiagnosis and improve diagnostic accuracy, it is necessary to assess the patients' clinical features and conduct histopathological, immunohistochemical and FISH analyses.
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Affiliation(s)
- X Shen
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
| | - L T Zhou
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
| | - A Q Li
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
| | - H M Yi
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
| | - B S Ouyang
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
| | - H M Xu
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
| | - J L Xie
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
| | - Y J Gu
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
| | - L Zhang
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
| | - L Dong
- Department of Pathology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
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Wang AC, Xie JL, Wang YN, Sun XF, Lu LJ, Sun YF, Gu YQ. [Singleton placentas with abnormal shape: a clinicopathological analysis of 130 cases]. Zhonghua Bing Li Xue Za Zhi 2022; 51:39-43. [PMID: 34979752 DOI: 10.3760/cma.j.cn112151-20210508-00346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To investigate the pathological characteristics of singleton placenta with abnormal shape and its influence on the outcome of maternal-fetal pregnancy. Methods: The clinicopathological data of singleton placentas with abnormal shape from January 2014 to December 2020 in the Department of Pathology, Haidian Maternal and Children Health Hospital were analyzed retrospectively. Results: There were 130 singleton placentas with abnormal shape in this cohort, including 48 succenturiate placentas, 12 bilobed placentas, 50 marginate placentas, 13 circumvallate placentas, 3 annular placentas, 2 membranous placentas and 2 fenestrated placentas. Gestational age ranged from 29+5 to 40+4 weeks. There were 51 cases of premature rupture of membranes, 11 cases of placenta previa, 5 cases of placental abruption, 15 cases of placental adhesion/implantation and 27 cases of postpartum hemorrhage. There were 46 preterm fetuses,28 fetuses with fetal growth restriction, 22 fetuses with intrauterine distress, and 1 fetus with intrauterine death. Grossly, the placental lobules of succenturiate placentas had apparent size difference, while two lobules of bilobate placenta were more consistent. The chorionic plate size was smaller than the bottom plate of circumvallate placenta, the folded fetal membrane in the rim of placenta was thickened (termed marginate placenta if there was no thickening). The membranous placenta was characterized by a thin, large membrane-like shape. Annular placenta showed characteristic hollow cylinder, ring or horseshoe-shape. Fenestrated placenta was characterized by tissue defects near central area. Microscopically, functional/morphologic changes were the main manifestations of inadequate maternal-fetal perfusion, including villous infarction, distal villous dysplasia and excessive villous maturation. Conclusions: The abnormal shaped singleton placentas showed variable extent of inadequate maternal-fetal perfusion, which may lead to adverse pregnancy outcomes such as premature delivery, fetal growth restriction, intrauterine distress or fetal death.
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Affiliation(s)
- A C Wang
- Department of Pathology, Haidian Maternal & Children Health Hospital, Beijing 100081, China
| | - J L Xie
- Department of Pathology, Haidian Maternal & Children Health Hospital, Beijing 100081, China
| | - Y N Wang
- Department of Pathology, Haidian Maternal & Children Health Hospital, Beijing 100081, China
| | - X F Sun
- Department of Pathology, Haidian Maternal & Children Health Hospital, Beijing 100081, China
| | - L J Lu
- Department of Pathology, Haidian Maternal & Children Health Hospital, Beijing 100081, China
| | - Y F Sun
- Department of Pathology, Haidian Maternal & Children Health Hospital, Beijing 100081, China
| | - Y Q Gu
- Department of Pathology, Haidian Maternal & Children Health Hospital, Beijing 100081, China
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Wang ZY, Xie JL, Zhou XG. [Multiple lymphadenopathy throughout the body]. Zhonghua Bing Li Xue Za Zhi 2021; 50:1054-1056. [PMID: 34496500 DOI: 10.3760/cma.j.cn112151-20201225-00968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Z Y Wang
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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11
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Xie JL, Teng XJ, Zheng YY, Zhang YL, Zhou XG. [Translocations of MYC, bcl-2 and bcl-6 genes and Epstein-Barr virus infection in primary cardiac large B-cell lymphoma]. Zhonghua Bing Li Xue Za Zhi 2021; 50:785-790. [PMID: 34405615 DOI: 10.3760/cma.j.cn112151-20201207-00908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the translocations of MYC, bcl-2 and bcl-6 genes, the Epstein-Barr virus (EBV) status and the clinicopathological features of primary cardiac large B cell lymphoma (LBCL). Methods: Seven cases of primary cardiac LBCL were collected at Beijing Friendship Hospital, Capital Medical University, China from February 2013 to May 2019. The clinical feature, pathological morphology and immunophenotype were analyzed. The detections of EBV and gene rearrangements of MYC, bcl-2 and bcl-6 were conducted. The 2017 WHO classification of tumors of haematopoietic and lymphoid tissues was used to classify the tumors. Results: Four patients with right atrial lesions showed diffuse infiltration of medium size lymphoid cells with small vascular hyperplasia, without evidence of EBV infection. Without detectable gene rearrangements of MYC and bcl-2, 2 of the patients showed bcl-6 gene break-apart. The diagnosis was revised from diffuse LBCL to high-grade B-cell lymphoma, not otherwise specified (HGBL-NOS). There was a case of CD5+ diffuse LBCL involving the right atrium and ventricle and 2 cases of fibrin-associated diffuse LBCL located at left atrium without gene rearrangements of MYC, bcl-2 and bcl-6. However, EBER and EBNA2 were highly expressed in fibrin-associated diffuse LBCL. The patients were followed up for 10-71 months. Four cases of HGBL-NOS and a case of CD5+ diffuse LBCL received R-CHOP with/without autologous stem cell transplantation. All but two patients survived. Two cases of fibrin-associated diffuse LBCL were disease free without adjuvant chemotherapy and radiotherapy. Conclusions: Primary cardiac LBCL is heterogeneous, including at least HGBL-NOS. Primary cardiac HGBL-NOS most frequently occurs in the right atrium. Tumor cells of primary cardiac LBCL have the morphological characteristics similar to Burkitt lymphoma, lacking MYC and bcl-2 gene rearrangements, but usually show bcl-6 gene disruption. Fibrin-associated diffuse LBCL has a good prognosis and postoperative chemotherapy seems unnecessary.
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Affiliation(s)
- J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X J Teng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y Y Zheng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y L Zhang
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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12
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Liu DK, Ding WX, Mao WZ, Zhang QF, Fan FB, Sang LL, Lu QM, Xie JL. Development of Faraday rotation measurements on Keda Reconnection eXperiment (KRX) device. Rev Sci Instrum 2021; 92:053516. [PMID: 34243235 DOI: 10.1063/5.0043882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 04/17/2021] [Indexed: 06/13/2023]
Abstract
The Faraday-effect based polarimeter and interferometer are developed for non-perturbation magnetic field and density measurements on the Keda Reconnection eXperiment (KRX) device. The magnetic reconnection is externally driven by a pair of parallel current plates. To design this instrument and provide an alternative way to facilitate theory-experiment comparisons via forward modeling of the diagnostics process with full plasma dynamics given by simulation, we develop a synthetic diagnostics based on 2D photonic integrated circuit simulation for magnetic reconnection on the KRX. The view-line geometry is optimized and wavelengths (1 mm) of the polarimeter and interferometer are selected to ensure the sensitivity of measurement on the KRX. We have simulated magnetic reconnection on the x-line (x-z plane) with horizontal viewing and vertical viewing for line of sight measurements. It is found that the current sheet width and indicator of magnetic reconnection can be inferred directly from the dynamics of Faraday rotation even with the line-integrated character of polarimeter-interferometer diagnostics.
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Affiliation(s)
- D K Liu
- CAS Key Lab of Geoscience Environment, School of Earth and Space Sciences, University of Science and Technology of China, Hefei 230026, China
| | - W X Ding
- CAS Key Lab of Geoscience Environment, School of Earth and Space Sciences, University of Science and Technology of China, Hefei 230026, China
| | - W Z Mao
- Department of Plasma Physics and Nuclear Engineering, University of Science and Technology of China, Hefei 230026, China
| | - Q F Zhang
- CAS Key Lab of Geoscience Environment, School of Earth and Space Sciences, University of Science and Technology of China, Hefei 230026, China
| | - F B Fan
- CAS Key Lab of Geoscience Environment, School of Earth and Space Sciences, University of Science and Technology of China, Hefei 230026, China
| | - L L Sang
- CAS Key Lab of Geoscience Environment, School of Earth and Space Sciences, University of Science and Technology of China, Hefei 230026, China
| | - Q M Lu
- CAS Key Lab of Geoscience Environment, School of Earth and Space Sciences, University of Science and Technology of China, Hefei 230026, China
| | - J L Xie
- CAS Key Lab of Geoscience Environment, School of Earth and Space Sciences, University of Science and Technology of China, Hefei 230026, China
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13
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Ji JX, Liu AD, Zhou C, Zhuang G, Zhang J, Feng X, Liu ZY, Zhong XM, Fan HR, Zhang SB, Liu Y, Hu LQ, Mao WZ, Lan T, Xie JL, Li H, Liu ZX, Liu WD. The cross-polarization scattering system for the magnetic fluctuation measurement in the Experimental Advanced Superconducting Tokamak. Rev Sci Instrum 2021; 92:043511. [PMID: 34243396 DOI: 10.1063/5.0012520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 03/16/2021] [Indexed: 06/13/2023]
Abstract
The cross-polarization scattering (CPS) system for magnetic fluctuation measurements in the Experimental Advanced Superconducting Tokamak (EAST) has been designed and installed. Different from the Doppler reflectometer (DR) system, the CPS system detects the perpendicular polarization of the electromagnetic wave induced by magnetic fluctuations B̃. The CPS system in the EAST has been developed from the existing Doppler reflectometer system, and they are integrated together for simultaneous measurement of magnetic and density fluctuations. Ray-tracing simulations are used to calculate the scattering locations and the wavenumber coverage of the magnetic fluctuation for CPS. In the experiments, the CPS and DR system data were different in Doppler shift, amplitude, and spectrum broadening. In this article, the hardware design, the ray tracing, and the preliminary results of the system in the EAST are presented.
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Affiliation(s)
- J X Ji
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - A D Liu
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - C Zhou
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - G Zhuang
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - J Zhang
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - X Feng
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - Z Y Liu
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - X M Zhong
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - H R Fan
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - S B Zhang
- Institute of Plasma Physics, Chinese Academy of Sciences, Anhui, Hefei 230021, China
| | - Y Liu
- Institute of Plasma Physics, Chinese Academy of Sciences, Anhui, Hefei 230021, China
| | - L Q Hu
- Institute of Plasma Physics, Chinese Academy of Sciences, Anhui, Hefei 230021, China
| | - W Z Mao
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - T Lan
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - J L Xie
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - H Li
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - Z X Liu
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - W D Liu
- School of Nuclear Sciences and Technology, University of Science and Technology of China, Hefei, Anhui 230026, China
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Zheng YY, Xie JL, Zhang YL, Zhou XG. [Clinicopathological characteristics of pediatric-type follicular lymphomas: an analysis of 37 cases]. Zhonghua Bing Li Xue Za Zhi 2020; 49:681-685. [PMID: 32610378 DOI: 10.3760/cma.j.cn112151-20200214-00096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To study the clinicopathologic features, immunophenotype and prognosis of pediatric-type follicular lymphoma (PTFL). Methods: Thirty-seven cases of PTFL at the Beijing Friendship Hospital, Capital Medical University, from January 2012 to March 2018 were analyzed using light microscopy, immunohistochemistry, and polymerase chain reaction (PCR), and 13 cases were also examined using fluorescence in situ hybridization (FISH). Results: The male to female ratio was 35∶2. The median age was 16 years. Thirty-one patients were clinical stage Ⅰ and 6 were stage Ⅱ, displaying enlargement of lymph node in the head and neck regions. Follow-up information was available in 32 patients. Only two patients received low-dose chemotherapy, and none of these patients had relapse or disease progression at the latest follow-up (ranging from 16 to 79 months; median, 37 months). Morphologically, the lymph node architecture was partially or totally effaced by expansile follicles lacking polarization, with a prominent "starry sky" appearance. The cytologic composition was dominated by monotonous medium to large-sized blastoid cells with round to oval nuclei, finely clumped chromatin, small nucleoli, and scant cytoplasm. Immunophenotypically, all cases were positive for CD20, CD10, and bcl-6, but negative for bcl-2, MUM1 and C-MYC. Tumor cells were restricted to the follicles. The Ki-67 immunohistochemistry demonstrated a high proliferation (50% to 90%). Moreover, the tumor cells in the examined 28 cases were negative for CD43, CD5 and CD23. PCR analysis revealed monoclonal Ig gene rearrangements in all specimens. Thirteen cases being subjected to the FISH testing lacked bcl-2 and bcl-6 translocations. Conclusion: PTFL is different from conventional follicular lymphoma in their distinct morphology, immunophenotypic and molecular features, and behaves like an highly indolent or benign tumor.
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Affiliation(s)
- Y Y Zheng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y L Zhang
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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15
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Ma DY, Zhang YL, Xie JL, Zheng YY, Zhou XG. [CD3-positive diffuse large B-cell lymphoma of fusiform cells in colon]. Zhonghua Bing Li Xue Za Zhi 2019; 48:967-969. [PMID: 31818073 DOI: 10.3760/cma.j.issn.0529-5807.2019.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- D Y Ma
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China; Department of Pathology, Qinghai Red Cross Hospital, Xining 810000, China
| | - Y L Zhang
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y Y Zheng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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16
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Wang YN, Gu YQ, Wang AC, Xie JL, Shi LL, Sun YF, Wang L. [Left ventricular diverticulum in an fetus: report of a case]. Zhonghua Bing Li Xue Za Zhi 2019; 48:564-565. [PMID: 31288316 DOI: 10.3760/cma.j.issn.0529-5807.2019.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Y N Wang
- Department of Pathology, Haidian Maternal and Child Health Hospital, Beijing 100080, China
| | - Y Q Gu
- Public Laboratory, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China
| | - A C Wang
- Public Laboratory, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China
| | - J L Xie
- Public Laboratory, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China
| | - L L Shi
- Department of Ultrasound, Haidian Maternal and Child Health Hospital, Beijing 100080, China
| | - Y F Sun
- Public Laboratory, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China
| | - L Wang
- Public Laboratory, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China
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17
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Bai DY, Xie JL, Zheng YY, Zhang YL, Ma DY, Zhou XG. [Paediatric nodal marginal zone lymphoma: a clinicopathological study of seven cases]. Zhonghua Bing Li Xue Za Zhi 2019; 48:369-372. [PMID: 31104676 DOI: 10.3760/cma.j.issn.0529-5807.2019.05.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Objective: To investigate the pathological features and clinical manifestation of pediatric nodal marginal zone lymphoma(NMZL). Methods: Histological morphology and immunophenotype of 7 cases of pediatric NMZL were retrospectively reviewed at Beijing Friendship Hospital Affiliated to Medical University between January 2008 to October 2018. Clonal rearrangement analysis was performed. Clinical information including patient follow-up data were analyzed. Results: All 7 patients were male with a median age of 15 years aged from 10 to 26 years. All patients presented with only lymph node enlargement without B symptoms, including cervical lymph node (5 cases), preauricular lymph node (1 case) and retroauricular lymph node (1 case). Histologically, all cases showed irregular large follicles on the edges with widened marginal areas and intervesicular areas, and lesional cells were uniform with progressive transformation of germinal center centers along with a small amount of intrinsic lymphoid tissue. All 7 cases showed diffuse CD20 positivity both follicle and interfollicular region along with 30%-40% positivity in the interfollicular region (pathological region). Markers of other B-cell lymphomas werenot expressed. All 7 cases were positive for immunoglobulin(Ig) gene rearrangement. None of the patients showed no recurrence up on after follow-up for an average of 13 months. Conclusions: Pediatric NMZL is a rare type of lymphoma that has a unique morphology and occurs almost exclusively in male children and young adults and often in head and neck lymph nodes. It has an excellent prognosis. Therefore, awareness of the disease with accurate diagnosis is important.
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Affiliation(s)
- D Y Bai
- Department of Pathology, Beijing Friendship Hospital Affiliated to Medical University, Beijing 100050, China (is Working on the Department of Pathology, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China)
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital Affiliated to Medical University, Beijing 100050, China
| | - Y Y Zheng
- Department of Pathology, Beijing Friendship Hospital Affiliated to Medical University, Beijing 100050, China
| | - Y L Zhang
- Department of Pathology, Beijing Friendship Hospital Affiliated to Medical University, Beijing 100050, China
| | - D Y Ma
- Department of Pathology, Qinghai Red Cross Hospital, Xining 810000, China Bai
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital Affiliated to Medical University, Beijing 100050, China
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Yang XY, Li N, Deng WY, Ma YJ, Han XL, Zhang ZY, Xie JL, Luo SX. [miRNA-96-5p inhibits the proliferation and migration of gastric cancer cells by targeting FoxQ1]. Zhonghua Zhong Liu Za Zhi 2019; 41:193-199. [PMID: 30917455 DOI: 10.3760/cma.j.issn.0253-3766.2019.03.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Objective: To investigate the role of microRNA-96-5p in the proliferation and invasion of gastric cancer cells and its molecular mechanism. Methods: From June 2015 to January 2017, 53 resected specimens were collected. The transcriptional levels of microRNA-96-5p and forkhead box Q1 (FoxQ1) in gastric cancer tissues and the matched para-cancerous tissues were quantified by quantitative real-time PCR (qRT-PCR). The expression of FoxQ1 protein was also detected by immunohistochemistry (IHC). The relationship between microRNA-96-5p expression and the clinicopathological features of gastric cancer and its correlation with FoxQ1 expression were analyzed. The expressions of miRNA-96-5p in gastric cancer tissue and adjacent normal tissue were detected by qRT-PCR. miRNA-96-5p mimics was transfected to BGC-823 gastric cancer cells. The effects of miRNA-96-5p on cell proliferation and invasion were detected by cell counting kit-8 (CCK-8) assay and Transwell assay, respectively. The protein expressions of FoxQ1, E-cadherin and vimentin were determined by western blot. The relationship between FoxQ1 and miRNA-96-5p expressed in BGC-823 cells was detected by dual-luciferase reporter assay. Results: The median expression of miRNA-96-5p in gastric cancer tissue was 1.05, significantly lower than 3.23 of para-cancerous tissues (P<0.05). The positive rate of FoxQ1 expression in gastric cancer tissue was 71.7%, significantly higher than 28.3% of para-cancerous tissues (P<0.05). The expression of FoxQ1 was negatively corelated with the level of miRNA-96-5p (r=-0.613, P=0.006). The expression of miRNA-96-5p in gastric cancer cell BGC-823 was significantly decreased compared with normal gastric epithelial cell (0.96±0.08 vs 2.84±0.15, P<0.05). The results of CCK-8 assay and Transwell assay showed that overexpression of miRNA-96-5p significantly reduced the proliferation and invasion abilities of gastric cancer cells (P<0.05). Overexpression of miRNA-96-5p decreased the protein level of FoxQ1. Moreover, it upregulated the expression of E-cadherin and downregulated the expression of vimentin. The result of dual-luciferase-3'-UTR reporter assay confirmed that miRNA-96-5p binds to the 3'UTR of FoxQ1. Conclusion: miRNA-96-5p may suppress the proliferation, migration and epithelial-mesenchymal transition (EMT) of gastric cancer cell by down-regulation of FoxQ1.
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Affiliation(s)
- X Y Yang
- Department of Pharmacy, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
| | - N Li
- Department of Gastroenterology, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
| | - W Y Deng
- Department of Gastroenterology, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
| | - Y J Ma
- Department of Gastroenterology, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
| | - X L Han
- Department of Gastroenterology, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
| | - Z Y Zhang
- Department of Gastroenterology, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
| | - J L Xie
- Department of Oncology, the First Affiliated Hospital of Xinxiang Medical College, Xinxiang 453100, China
| | - S X Luo
- Department of Oncology, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
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Feng X, Liu AD, Zhou C, Wang MY, Zhang J, Liu ZY, Liu Y, Zhou TF, Zhang SB, Kong DF, Hu LQ, Ji JX, Fan HR, Li H, Lan T, Xie JL, Mao WZ, Liu ZX, Ding WX, Zhuang G, Liu WD. Five-channel tunable W-band Doppler backscattering system in the experimental advanced superconducting tokamak. Rev Sci Instrum 2019; 90:024704. [PMID: 30831725 DOI: 10.1063/1.5075615] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Accepted: 01/18/2019] [Indexed: 06/09/2023]
Abstract
A 5-channel Doppler backscattering system has been designed and installed in the Experimental Advanced Superconducting Tokamak (EAST). Through an I/Q-type double sideband modulator and a frequency multiplier, an array of finely spaced (Δf = 400 MHz) frequencies that span 1.6 GHz has been created. The center of the array bandwidth is tunable within the range of 75-97.8 GHz, which covers most of the W band (75-110 GHz). The incident angle can be adjusted from -4° to 12°, and the wavenumber range is 4-15 cm-1 with a wavenumber resolution of Δk/k ≤ 0.35. Ray tracing is used to calculate the scattering location and the scattering wavenumber. This article details the hardware design, the ray tracing, and the preliminary experimental results from EAST plasmas.
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Affiliation(s)
- X Feng
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - A D Liu
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - C Zhou
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - M Y Wang
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - J Zhang
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - Z Y Liu
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - Y Liu
- Institute of Plasma Physics, Chinese Academy of Sciences, Anhui, Hefei 230031, China
| | - T F Zhou
- Institute of Plasma Physics, Chinese Academy of Sciences, Anhui, Hefei 230031, China
| | - S B Zhang
- Institute of Plasma Physics, Chinese Academy of Sciences, Anhui, Hefei 230031, China
| | - D F Kong
- Institute of Plasma Physics, Chinese Academy of Sciences, Anhui, Hefei 230031, China
| | - L Q Hu
- Institute of Plasma Physics, Chinese Academy of Sciences, Anhui, Hefei 230031, China
| | - J X Ji
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - H R Fan
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - H Li
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - T Lan
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - J L Xie
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - W Z Mao
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - Z X Liu
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - W X Ding
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - G Zhuang
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - W D Liu
- KTX Laboratory and Department of Engineering and Applied Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
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20
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Hou WH, Duan XK, Wei P, Xie JL, Zheng YY, Zhang YL, Zhou XG. [Ocular adnexal mantle cell lymphoma: a clinicopathological analysis of nine cases]. Zhonghua Bing Li Xue Za Zhi 2019; 48:37-39. [PMID: 30641644 DOI: 10.3760/cma.j.issn.0529-5807.2019.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- W H Hou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X K Duan
- Department of Pathology, People's Liberation Army 989 Hospital(the Original 152 Hospital), Pingdingshan 467099, China
| | - P Wei
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - J L Xie
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y Y Zheng
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - Y L Zhang
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - X G Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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21
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Xie JL, Liu J, Lian ZY, Chen HX, Shi ZY, Zhang Q, Feng HR, Du Q, Miao XH, Zhou HY. Association of GTF2IRD1-GTF2I polymorphisms with neuromyelitis optica spectrum disorders in Han Chinese patients. Neural Regen Res 2018; 14:346-353. [PMID: 30531019 PMCID: PMC6301177 DOI: 10.4103/1673-5374.244800] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Variants at the GTF2I repeat domain containing 1 (GTF2IRD1)–GTF2I locus are associated with primary Sjögren’s syndrome, systemic lupus erythematosus, and rheumatoid arthritis. Numerous studies have indicated that this susceptibility locus is shared by multiple autoimmune diseases. However, until now there were no studies of the correlation between GTF2IRD1–GTF2I polymorphisms and neuromyelitis optica spectrum disorders (NMOSD). This case control study assessed this association by recruiting 305 participants with neuromyelitis optica spectrum disorders and 487 healthy controls at the Department of Neurology, from September 2014 to April 2017. Peripheral blood was collected, DNA extracteds and the genetic association between GTF2IRD1–GTF2I polymorphisms and neuromyelitis optica spectrum disorders in the Chinese Han population was analyzed by genotyping. We found that the T allele of rs117026326 was associated with an increased risk of neuromyelitis optica spectrum disorders (odds ratio (OR) = 1.364, 95% confidence interval (CI) 1.019–1.828; P = 0.037). This association persisted after stratification analysis for aquaporin-4 immunoglobulin G antibodies (AQP4-IgG) positivity (OR = 1.397, 95% CI 1.021–1.912; P = 0.036) and stratification according to coexisting autoimmune diseases (OR = 1.446, 95% CI 1.072–1.952; P = 0.015). Furthermore, the CC genotype of rs73366469 was frequent in AQP4-IgG-seropositive patients (OR = 3.15, 95% CI 1.183–8.393, P = 0.022). In conclusion, the T allele of rs117026326 was associated with susceptibility to neuromyelitis optica spectrum disorders, and the CC genotype of rs73366469 conferred susceptibility to AQP4-IgG-seropositivity in Han Chinese patients. The protocol was approved by the Ethics Committee of West China Hospital of Sichuan University, China (approval number: 2016-31) on March 2, 2016.
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Affiliation(s)
- Jing-Lu Xie
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
| | - Ju Liu
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
| | - Zhi-Yun Lian
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
| | - Hong-Xi Chen
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
| | - Zi-Yan Shi
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
| | - Qin Zhang
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
| | - Hui-Ru Feng
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
| | - Qin Du
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
| | - Xiao-Hui Miao
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
| | - Hong-Yu Zhou
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
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Hou WH, Wei P, Xie JL, Zheng YY, Zhang YL, Zhou XG. [Clinicopathologic features and prognosis of gastrointestinal mantle cell lymphoma]. Zhonghua Bing Li Xue Za Zhi 2018; 47:763-768. [PMID: 30317731 DOI: 10.3760/cma.j.issn.0529-5807.2018.10.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the clinicopathologic features and prognosis of gastrointestinal mantle cell lymphoma (GI-MCL). Methods: Clinical data of 38 GI-MCL patients diagnosed at Beijing Friendship Hospital from January 2002 to January 2016 were retrospectively reviewed morphologically and immunophenotypically. IgH/CCND1 gene fusion was assessed by fluorescent in situ hybridization (FISH). For comparison, 60 cases of non-GI-MCL were randomly selected to extract the differences inclinicopathological features and patient survival between the two groups. Results: Of 38 patients with GI-MCL, the median age was 62 years (range: 35-78 years, 23 males and 15 females), of which patients of 60 years of age or older accounted for 55.3%. Patients with clinical course of less than 6 months accounted for 81.1%(30/37). The main symptoms included abdominal pain, diarrhea, anorexia and hematochezia. Those with B symptoms accounted for 32.4%(12/37). The tumor most often involved lleocecal region (57.9%, 22/38), followed by rectum (36.8%, 14/38) and sigmoid colon (28.9%, 11/37), and the stomach accounted for 18.4%(14/38). Endoscopic polypoid lesions were found in 33 cases (86.8%, 33/38), of which 22 cases (66.7%, 22/33) were multiple. Five cases (13.2%, 5/38) presented with local protuberant neoplasm. According to Ann Arbor staging, 3 cases (7.9%, 3/38) were at stage Ⅰ, 4 cases (10.5%, 4/38) were at stage Ⅱ, and 31 cases (81.6%, 31/38) were at stage Ⅳ. The number of patients with tumor involvement of abdominal and retroperitoneal lymph nodes accounted for 45.7%(16/35), including 41.7%(15/36) involving the superficial lymph node, 17.1%(6/35) involving extranodal sites, and 23.5%(8/34) having splenomegaly. All of the 38 cases were classic MCL, and the tumor was composed of uniform lymphoid cells and effacing normal mucosal structure. All tumors were positive for CD20 and CD5. 97.4% (37/38) tumors were positive for cyclin D1, and 92.0% (23/25) tumors were positive for SOX11. FISH test was positive in 1 case of cyclin D1 negative tumor. Twenty-eight patients (73.7%) had a median follow-up of 25.0 months (range: 3-79 months). The 3-year survival rate for stage Ⅰ-Ⅱ and stage Ⅲ-Ⅳ of patients were 80.0% and 69.1%, respectively (P> 0.05). The 3-year survival rate for GI-MCL and non-GI-MCL patients were 71.7% and 72.5%, respectively (P>0.05). Single factor analysis showed that age of >60 years and splenomegaly were correlated with a worse overall survival rate (P<0.05). Conclusions: Gastrointestinal malaise is the most common presenting symptom in GI-MCL patients. GI-MCL more commonly involves colorectum with more frequent multiple polypoid lesions. Patients of age >60 years and with splenomegaly have poor prognosis. There is no difference in the prognosis between GI-MCL and non-GI-MCL patients.
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Affiliation(s)
- W H Hou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Wang MY, Zhou C, Liu AD, Zhang J, Liu ZY, Feng X, Ji JX, Li H, Lan T, Xie JL, Liu SQ, Ding WX, Mao WZ, Zhuang G, Liu WD. A novel, tunable, multimodal microwave system for microwave reflectometry system. Rev Sci Instrum 2018; 89:093501. [PMID: 30278705 DOI: 10.1063/1.5033968] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2018] [Accepted: 08/14/2018] [Indexed: 06/08/2023]
Abstract
Based on a new technique, a tunable, multi-channel system that covers the Q-band (33-55 GHz) is presented in this article. It has a potential use of the Doppler backscattering system diagnostic that can measure the turbulence radial correlation and the perpendicular velocity of turbulence by changing the incident angle. The system consists primarily of a double-sideband (DSB) modulation and a multiplier, which creates four probing frequencies. The probing frequency enables the simultaneous analysis of the density fluctuations and flows at four distinct radial regions in tokamak plasma. The amplitude of the probing frequency can be adjusted by the initial phase of the intermediate frequency (IF) input from the double-sideband, and the typical flatness is less than 10 dB. The system was tested in the lab with a rotating grating, and the results show that the system can operate in the frequency range of 33-55 GHz with a Q-band multitude and that the power of each channel can be adjusted by the phase of the IF input of DSB.
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Affiliation(s)
- M Y Wang
- Department of Physics, Nanchang University, Nanchang 330031, China
| | - C Zhou
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - A D Liu
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - J Zhang
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - Z Y Liu
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - X Feng
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - J X Ji
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - H Li
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - T Lan
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - J L Xie
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - S Q Liu
- Department of Physics, Nanchang University, Nanchang 330031, China
| | - W X Ding
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - W Z Mao
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - G Zhuang
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
| | - W D Liu
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui, Hefei 230026, China
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Zhang YL, Xie JL, Zheng YY, Wei P, Huang YH, Zheng XD, Teng XJ, Liu W, Zhou XG. [EB virus-positive T/NK lymphoproliferative diseases: an analysis of 156 patients]. Zhonghua Bing Li Xue Za Zhi 2018; 47:407-411. [PMID: 29886582 DOI: 10.3760/cma.j.issn.0529-5807.2018.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the clinicopathological features of EBV-positive T/NK cell lymphoproliferative diseases (EBV(+) T/NK-LPD). Methods: The clinical characteristics of 156 cases of EBV(+) T/NK-LPD were collected from August 2002 to March 2015 at Beijing Friendship Hospital, Capital Medical University. Immunohistochemical staining, EBER in situ hybridization and clonal analysis of TCR gene were performed. All patients were followed up. Results: There were 106 male and 50 female patients; patients' age ranged from 1 to 75 years (median 20 years). The course of the diseases before diagnosis ranged from 2 to 540 months (median 20 months). Fever was noted in 122 patients (78.2%), 108 patients had lymphadenopathy (69.2%), and 75 patients had hepatosplenomegaly (48.1%). Thirty-three cases were grade 1, 68 cases were grade 2, and 55 cases were grade 3. TCR gene arrangement analysis was performed in 45 cases, and 33 cases (73.3%) showed clonal rearrangement. The follow-up period ranged from 1-134 months, and 44 patients (28.2%) died. There was a trend of increased death rate associated with increasing grade (P>0.05). Conclusions: There are many types of EBV(+) T/NK-LPD, and they can be classified as systemic, relatively localized and localized. The prognosis should be based on a comprehensive analysis of pathology and clinical data. There is no significant correlation between morphological grade and mortality. An important goal of therapy is to prevent serious complications.
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Affiliation(s)
- Y L Zhang
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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25
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Hou WH, Wei P, Xie JL, Zheng YY, Zhang YL, Zhou XG. [Clinicopathologic features and prognosis of mantle cell lymphoma: an analysis of 349 cases]. Zhonghua Bing Li Xue Za Zhi 2018; 47:417-422. [PMID: 29886584 DOI: 10.3760/cma.j.issn.0529-5807.2018.06.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate clinicopathologic features and prognostic factors of mantle cell lymphoma(MCL). Methods: The clinical data of 349 MCL patients diagnosed at Beijing Friendship Hospital from January 2004 to January 2016 were retrospectively collected. Corresponding histological sections were reviewed. Additional studies included immunohistochemical staining using the MaxVision two-step method, IgH/CCND1 fusion gene detection by fluorescent in situ hybridization (FISH), and correlative statistical analysis. Results: Of 349 patients with MCL, the median patient age was 61 years (range: 25-83 years, M∶F=2.7∶1.0) and the age of 243 patients ranged from 51 to 70 years (69.6%). Those with B symptoms accounted for 22.4% (70/313). Most of the patients presented with superficial lymphadenopathy and the clinical stage Ⅲ-Ⅳ accounted for 76.1% (235/309). Extranodal involvement was seen in 47.9% (148/309), among which the gastrointestinal tract accounted for 31.8% (47/148) and splenic involvement accounted for 15.4% (47/305). Three hundred and nine (88.5%) cases were of classical type and 40 (11.5%) cases were of aggressive variant type, and all were composed of proliferating lymphoid cells. All the tumors were positive for CD20 and cyclin D1, and 98.6% (344/349) tumors were weakly positive or positive for CD5. FISH test was positive in 12 cases that were CD5 negative and with cyclin D1 partial expression.Two hundred and forty-three (69.6%) patients had a median follow-up of 26 months (range: 3-108 months). The 3- and 5-year overall survival rates for patients were 63.0% and 34.8%, respectively. Single factor analysis showed that age of >60 years, splenic involvement, aggressive variant type, incompletely overlapping type [Based on the degree of overlap ≥90% and <90% between the follicular dendritic cell (FDC) meshwork and tumor cells, the tumors were divided into the completely overlapped type and incompletely overlapped type] and Ki-67 index >40% had poor prognosis (P<0.05). Multiple factor Cox proportional risk regression analysis after removing the aggressive variant type showed that age, splenic involvement, the degree of overlap between the FDC meshwork and tumor cells and Ki-67 index were independent prognostic factors for overall survival rate of MCL patients (P<0.05). Conclusions: MCL is more commonly found among middle-aged and elderly men. Patient age, splenic involvement, degree of overlap between FDC meshwork and tumor cells and Ki-67 index are the independent prognostic indicators for MCL.
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Affiliation(s)
- W H Hou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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26
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Wei P, Zhang YL, Xie JL, Zheng YY, Liu W, Zhou XG. [Clinicopathologic characteristics of Burkitt-like lymphoma with chromosome 11q aberration]. Zhonghua Bing Li Xue Za Zhi 2018. [PMID: 29534356 DOI: 10.3760/cma.j.issn.0529-5807.2018.03.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To analyze clinical, pathological, molecular and genetic characteristics of Burkitt-like lymphoma with chromosome 11q aberration. Methods: A case of Burkitt-like lymphoma with 11q aberration was presented at Beijing Friendship Hospital in November 2016 with detailed clinicopathological features, immunophenotypes, Epstein-Barr virus(EBV) status and molecular genetic characteristics. Results: The patient was a 38-year-old man presenting with the cervical lymphadenopathy. In morphology, the tumor had the similar characteristics of Burkitt lymphoma, including diffuse infiltration of medium to large lymphoid cells, and presence of"starry sky"phenomenon. Immunophenotypically, the tumor cells were positive for CD20, CD10, bcl-6, but negative for bcl-2. MUM-1 showed weak and patchy positivity. Ki-67 index was more than 95%. C-MYC expression was seen in about 50% of tumor cells. EBV in situ hybridization was negative. IgH and IgK genes were clonally rearranged.Fluorescence in situ hybrization detection using MYC break probe was negative but ATM gene amplification on chromosome 11q was detected. The patient did not receive any chemotherapy or radiotherapy and had not recurrence during the 10 months follow-up. Conclusion: Burkitt-like lymphoma with chromosome 11q aberration has similar clinical, morphological and immunological characteristics to classic Burkitt's lymphoma.
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Affiliation(s)
- P Wei
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Hou WH, Wei P, Xie JL, Zheng YY, Zhang YL, Zhou XG. [Clinicopathologic characteristics and prognositic indicators of tonsillar mantle cell lymphoma]. Zhonghua Bing Li Xue Za Zhi 2018. [PMID: 29534352 DOI: 10.3760/cma.j.issn.0529-5807.2018.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate clinicopathological features and prognosis of tonsillar mantle cell lymphoma(TMCL). Methods: Clinical data of 25 patients with TMCL at Beijing Friendship Hospital, Capital Medical University from 2002 to 2016 were included. All the cases were reviewed microscopically. Various immunohistochemical stains were performed using the MaxVision two-step method. IgH/CCND1 gene fusion was detected by fluorescent in situ hybridization(FISH). Additionally, randomly selected 40 cases of non-tonsil MCL of the same period were compared. Results: Among all mantle cell lymphomas (MCL), TMCL accounted for 5.6%(25/449). The median age of the patients was 60 years(range: 44-82 years) with a M∶F ratio of 5.3 to 1.0. The main symptoms were sore throat and foreign body sensation and patients usually presented with enlargement or mass of tonsil. At the early stage of the disease, 18 cases(72.0%) were clinically misdiagnosed as tonsillitis. Lymph node involvement was present in 76.0%(19/25) of the patients. There were 4 cases(16.0%)with current splenic involvement, 11 cases(44.0%) with pharyngeal focal recidivism, and 3 cases(12.0%) with involvement of other non-lymphoid organs. Morphologically, tonsillar architectures were effaced at various degrees. Eighteen MCL cases showed classical type and 7 cases were blastoid variant. All tumors were positive for CD20 and cyclin D1. 92.0%(23/25) tumors showed weakly positive or positive expression for CD5. FISH test that IgH/CCND1 gene fusion was positive in two CD5 negative classical cases. 18 patients(72.0%) had a median follow-up time of 26 months(range: 6-81 months). The difference of survival rate between stage Ⅰ-Ⅱ and stage Ⅲ-Ⅳ patients was not statistically significant(P>0.05). Compared with NTMCL, TMCL was found to have higher proportion of stage Ⅰ-Ⅱ disease (χ(2)=12.789, P<0.01), lower the proportion of non-lymphatic organ involvement (χ(2)=8.125, P<0.01), and better prognosis (χ(2)=4.351, P=0.037). Conclusion: The incidence of TMCL is low and prone to be misdiagnosed as tonsillitis. Patients with TMCL are more likely at stage Ⅰ-Ⅱ at presentation and the prognosis is better than that of NTMCL.
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Affiliation(s)
- W H Hou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Hou WH, Wei P, Xie JL, Zheng YY, Zhou XG. [Clinicopathologic characteristics and prognosis of neoplastic cell-rich mixed cellularity classic Hodgkin lymphoma]. Zhonghua Bing Li Xue Za Zhi 2017; 46:708-713. [PMID: 29050074 DOI: 10.3760/cma.j.issn.0529-5807.2017.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the clinicopathologic characteristics of neoplastic cell-rich mixed cellularity classical Hodgkin lymphoma(MCCHL-R) and to compare the prognosis with typical mixed cellularity classic Hodgkin lymphoma(MCCHL). Methods: Fifty-four patients with MCCHL-R(the tumor cells >10%) and 65 patients with typical MCCHL identified from 1 721 Hodgkin lymphomas were reviewed to compare the clinicopathological characteristics including morphologic and immunophenotypic features, EBV infection status, clinical therapy and overall survival. Results: The median age of the patients of MCCHL-R was 28.5 years(range: 9-76 years, male∶female=1.6∶1.0). Twenty-seven patients(50.0%) had B symptoms. Most patients had cervical lymph node involvement(81.5%, 44/54). Mediastinum and spleen involvement were seen in 69.2%(36/54) and 24.1%(13/54), respectively. Extranodal non-lymphoid organ involvement was seen in 41.3%(19/46) cases. Morphologically, lymph node architectures were effaced at various degree with large neoplastic cells of variable morphology, including Hodgkin/Reed-Sternberg(H/RS) cells and anaplastic large cells. There were abundant background heterogeneous admixtures of non-neoplastic inflammatory and accessory cells that were predominant mature small lymphocytes. All tumors were positive for CD30 and weakly positive for PAX5. Epstein-Barr encoded RNA(EBER)detectable by in situ hybridization was seen in 39.0% cases. Forty-six patients had a median follow-up time of 32.5 months(range: 5-128 months) and the 5-year survival rate for stage Ⅰ-Ⅱ and stage Ⅲ-Ⅳ patients were 91.7% and 50.1%, respectively(P<0.05). The 5-year survival rate for MCCHL-R was lower than typical MCCHL patients. Single factor analysis showed that age of >45 years, extranodal involvement and stage Ⅲ-Ⅳ were correlated with poorer 5-year survival rate(P<0.05). Multiple factors Cox proportional hazards regression showed that extranodal involvement was the independent prognostic factor(RR: 4.352, 95%CI: 1.122-16.879, P<0.05). Conclusions: MCCHL-R is more common in young people. The tumor has pathological features of classic Hodgkin lymphoma enriched with the tumor cells(>10%) and similar immunophenotype to classical Hodgkin lymphoma. Compared with typical MCCHL, extranodal disease is an independent prognostic factor of MCCHL-R.
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Affiliation(s)
- W H Hou
- Department of Pathology, 152 Hospital of PLA, Pingdingshan 467000, China
| | - P Wei
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Shi XL, Xie JL, Zhou XG. [Left cervical lymph node enlargement with pain]. Zhonghua Bing Li Xue Za Zhi 2017; 46:726-727. [PMID: 29050078 DOI: 10.3760/cma.j.issn.0529-5807.2017.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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30
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Chen HX, Zhang Q, Lian ZY, Liu J, Shi ZY, Miao XH, Feng HR, Du Q, Xie JL, Yao SL, Zhou HY. Muscle damage in patients with neuromyelitis optica spectrum disorder. Neurol Neuroimmunol Neuroinflamm 2017; 4:e400. [PMID: 28955716 PMCID: PMC5608564 DOI: 10.1212/nxi.0000000000000400] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Accepted: 08/04/2017] [Indexed: 02/05/2023]
Abstract
Objective: Increasing evidence has shown that skeletal muscle damage plays a role in neuromyelitis optica spectrum disorder (NMOSD). The objective of this study was to compare the serum creatine kinase (sCK) levels in NMOSD patients with different clinical statuses. Methods: In the observational study, levels of sCK were measured during the acute and stable phases for patients with NMOSD and healthy controls (HCs). Results: We enrolled 168 patients with NMOSD (female:male ratio, 153:15; age: 43.9 ± 13.1 years) in the acute phase, and blood samples were collected from 85 of the patients with NMOSD during both acute and stable phases to determine the sCK levels. The mean log sCK levels of the patients with NMOSD in the acute phase were higher (4.51 ± 1.17, n = 85) than those of the patients with NMOSD in the stable phase (3.85 ± 0.81, n = 85, p = 0.000). Furthermore, the log sCK levels of the patients with NMOSD in the stable phase were lower than those of the HCs (4.31 ± 0.39, n = 200, p = 0.000). In patients with sCK levels within the normal limits, these differences were also observed (p < 0.05). In the multivariable linear regression model performed for the patients with NMOSD in the acute phase, it suggested that a higher estimated glomerular filtration rate (p = 0.026), patients with the core clinical characteristics of optic neuritis (p = 0.005), and serum anti-SSA positivity (p = 0.019) predicted lower log sCK levels. Conclusions: Muscle damage occurs in patients with NMOSD and is aggravated during the acute phase.
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Affiliation(s)
- Hong-Xi Chen
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Qin Zhang
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Zhi-Yun Lian
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Ju Liu
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Zi-Yan Shi
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Xiao-Hui Miao
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Hui-Ru Feng
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Qin Du
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Jing-Lu Xie
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Shao-Li Yao
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
| | - Hong-Yu Zhou
- Department of Neurology, West China Hospital of Sichuan University, Chengdu, China
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Liu YY, Xie JL, Zhou XG. [Multiple cutaneous erythematous lesions]. Zhonghua Bing Li Xue Za Zhi 2017; 46:642-643. [PMID: 28910877 DOI: 10.3760/cma.j.issn.0529-5807.2017.09.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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Abstract
Objective: To investigate the pathological types and prognostic factors of primary lymphoma of breast (PLB). Methods: The clinical pathological data of 115 cases of PLB during October 2006 to October 2016 were retrospectively analyzed, and the basic clinical and pathological data, pathology types and the immunohistochemical slides by EliVision two-step method for staining were summarized. Results: Almost all the patients were women (113/115), and the median age was 52 years old (range: 27 to 81 years old). The main symptom was painless progressive mass in breast. Ten cases (8.7%) showed B symptoms. The masses were mainly confined to the unilateral breast (80.9%, 93/115), of which 22 cases showed axillary lymph nodes enlargement in the same side. The average diameter of masses was 3.0 cm (range from 0.5 to 9.0 cm). There is no differences between the sides (left or right). Pathologically, 106 cases (92.2%) were mature non-Hodgkin's B-cell lymphomas, of which there were mainly diffuse large B cell lymphoma (DLBCL, 64.3%) and mucosa associated lymphoid tissue (MALT) extranodal marginal lymphoma (17.4%). Five cases (4.4%) were mature T/NK cell lymphomas, including extranodal nasal NK/T cell lymphoma (1.7%), peripheral T-cell lymphoma non-specific type (0.9%), subcutaneous panniculitis-like T cells lymphoma (0.9%) and undivided (0.9%). Four cases were lymphoblastic lymphoma. According to Ann Arbor staging criteria, 93 cases were stage ⅠE (6 cases were stage ⅠEB), 22 cases were stage ⅡE (4 cases were stage ⅡEB). Ninety-two cases were followed 1 to 122 months (median: 36 months). The five-year overall survival rate was 85.3%, and 13 patients dead. B symptom was one of the factors that affect the prognosis (P<0.05), but the pathological type has no relationship with the prognosis (P>0.05). Conclusions: PLB is relatively rare, the main clinical manifestation is painless mass, which is difficult to distinguish with breast carcinoma. The most common type is DLBCL, followed by MALT lymphoma, while T cell lymphoma is rarely seen. PLB is early stage tumor with good prognosis, while patients with B symptom turn out to suffer worse prognosis.
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Affiliation(s)
- Z J Zhou
- Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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He W, Xie JL, Zhou XG. [Nodular lesions of lung]. Zhonghua Bing Li Xue Za Zhi 2017; 46:567-568. [PMID: 28810299 DOI: 10.3760/cma.j.issn.0529-5807.2017.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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Zhou XG, Zhang YL, Xie JL, Huang YH, Zheng YY, Li WS, Chen H, Liu F, Pan HX, Wei P, Wang Z, Hu YC, Yang KY, Xiao HL, Wu MJ, Yin WH, Mei KY, Chen G, Yan XC, Meng G, Xu G, Li J, Tian SF, Zhu J, Song YQ, Zhang WJ. [The understanding of Epstein-Barr virus associated lymphoproliferative disorder]. Zhonghua Bing Li Xue Za Zhi 2017; 45:817-821. [PMID: 28056294 DOI: 10.3760/cma.j.issn.0529-5807.2016.12.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
In recent years, there are increasing articles concerning Epstein-Barr virus associated lymphoproliferative disorder (EBV+ LPD), and the name of EBV+ LPD is used widely. However, the meaning of EBV+ LPD used is not the same, which triggered confusion of the understanding and obstacles of the communication. In order to solve this problem. Literature was reviewed with combination of our cases to clarify the concept of EBV+ LPD and to expound our understanding about it. In general, it is currently accepted that EBV+ LPD refers to a spectrum of lymphoid tissue diseases with EBV infection, including hyperplasia, borderline lesions, and neoplastic diseases. According to this concept, EBV+ LPD should not include infectious mononucleosis (IM) and severe acute EBV infection (EBV+ hemophagocytic lymphohistiocytosis, fatal IM, fulminant IM, fulminant T-cell LPD), and should not include the explicitly named EBV+ lymphomas (such as extranodal NK/T cell lymphoma, aggressive NK cell leukemia, Burkitt lymphoma, and Hodgkin lymphoma, etc.) either. EBV+ LPD should currently include: (1) EBV+ B cell-LPD: lymphomatoid granulomatosis, EBV + immunodeficiency related LPD, chronic active EBV infection-B cell type, senile EBV+ LPD, etc. (2) EBV+ T/NK cell-LPD: CAEBV-T/NK cell type, hydroa vacciniforme, hypersensitivity of mosquito bite, etc. In addition, EBV+ LPD is classified, based on the disease process, pathological and molecular data, as 3 grades: grade1, hyperplasia (polymorphic lesions with polyclonal cells); grade 2, borderline (polymorphic lesions with clonality); grade 3, neoplasm (monomorphic lesions with clonality). There are overlaps between EBV+ LPD and typical hyperplasia, as well as EBV+ LPD and typical lymphomas. However, the most important tasks are clinical vigilance, early identification of potential severe complications, and treating the patients in a timely manner to avoid serious complications, as well as the active treatment to save lives when the complications happened.
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Affiliation(s)
- X G Zhou
- Department of Pathology, Beijing Friendship Hospital Capital Medical University, Beijing 100050, China
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Wang MY, Liu AD, Zhou C, Hu JQ, Li H, Lan T, Xie JL, Ding WX, Liu WD, Yu CX. A novel approach to estimating the Doppler shift frequency from quadrature mixer output. Rev Sci Instrum 2017; 88:073503. [PMID: 28764541 DOI: 10.1063/1.4991018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Doppler backscattering systems (DBSs) have been widely used in magnetic confinement fusion devices to measure the density fluctuations and propagation velocity of turbulence. However, the received signals of a DBS usually include both zero-order reflection and backscattering components, which results in interference in calculating the Doppler shift frequency from the backscattering components. A novel method is introduced here for estimating the Doppler shift frequency by separating the zero-order reflection and backscattering components using the cross-phase spectrum between the I-signal and Q-signal from a quadrature mixer, based on the difference in symmetrical characteristics between the zero-order reflection and backscattering signal spectra. It is proven that this method is more effective than traditional approaches, such as multiple signal classification and fast Fourier transformation, for extracting Doppler shift information.
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Affiliation(s)
- M Y Wang
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - A D Liu
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - C Zhou
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - J Q Hu
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - H Li
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - T Lan
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - J L Xie
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - W X Ding
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - W D Liu
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - C X Yu
- CAS Key Laboratory of Geospace Environment, Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
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Hu JQ, Zhou C, Liu AD, Wang MY, Doyle EJ, Peebles WA, Wang G, Zhang XH, Zhang J, Feng X, Ji JX, Li H, Lan T, Xie JL, Ding WX, Liu WD, Yu CX. An eight-channel Doppler backscattering system in the experimental advanced superconducting tokamak. Rev Sci Instrum 2017; 88:073504. [PMID: 28764527 DOI: 10.1063/1.4991855] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Doppler backscattering system can measure the perpendicular velocity and fluctuation amplitude of the density turbulence with intermediate wavenumber. An eight-channel Doppler backscattering system has been installed in the Experimental Advanced Superconducting Tokamak (EAST), which can probe eight different radial locations simultaneously by launching eight fixed frequencies (55, 57.5, 60, 62.5, 67.5, 70, 72.5, 75 GHz) into plasma. The quasi-optical system consists of circular corrugated waveguide transmission, a fixed parabolic mirror, and a rotatable parabolic mirror which are integrated with quasi-optics front-end of the profile reflectometer inside the vacuum vessel. The incidence angle can be chosen from 5° to 12°, and the wavenumber range is 2-15/cm with the wavenumber resolution Δk/k≤0.21. Ray tracing simulations are used to calculate the scattering locations and the perpendicular wavenumber. The dynamic range of this new eight-channel Doppler backscattering system can be as large as 40 dB in the EAST. In this article, the hardware design, the ray tracing, and the preliminary experimental results in the EAST will be presented.
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Affiliation(s)
- J Q Hu
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - C Zhou
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - A D Liu
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - M Y Wang
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - E J Doyle
- Physics and Astronomy Department and PSTI, University of California, Los Angeles, California 90095, USA
| | - W A Peebles
- Physics and Astronomy Department and PSTI, University of California, Los Angeles, California 90095, USA
| | - G Wang
- Physics and Astronomy Department and PSTI, University of California, Los Angeles, California 90095, USA
| | - X H Zhang
- School of Computer and Information, Hefei University of Technology, Hefei, Anhui 230026, China
| | - J Zhang
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - X Feng
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - J X Ji
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - H Li
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - T Lan
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - J L Xie
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - W X Ding
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - W D Liu
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
| | - C X Yu
- KTX Laboratory and Department of Modern Physics, University of Science and Technology of China, Anhui Hefei 230026, China
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Chen YP, Chen G, Xie JL, Zhen YY, Zhou XG. [Clinicopathologic analysis of Epstein-Barr virus-positive mucocutaneous ulcer]. Zhonghua Bing Li Xue Za Zhi 2017; 46:261-262. [PMID: 28376595 DOI: 10.3760/cma.j.issn.0529-5807.2017.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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38
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Zhu YL, Xie JL, Yu CX, Zhao ZL, Gao BX, Chen DX, Liu WD, Liao W, Qu CM, Luo C, Hu X, Spear AG, Luhmann NC, Domier CW, Chen M, Ren X, Tobias BJ. Millimeter-wave imaging diagnostics systems on the EAST tokamak (invited). Rev Sci Instrum 2016; 87:11D901. [PMID: 27910310 DOI: 10.1063/1.4959162] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Millimeter-wave imaging diagnostics, with large poloidal span and wide radial range, have been developed on the EAST tokamak for visualization of 2D electron temperature and density fluctuations. A 384 channel (24 poloidal × 16 radial) Electron Cyclotron Emission Imaging (ECEI) system in F-band (90-140 GHz) was installed on the EAST tokamak in 2012 to provide 2D electron temperature fluctuation images with high spatial and temporal resolution. A co-located Microwave Imaging Reflectometry (MIR) will be installed for imaging of density fluctuations by December 2016. This "4th generation" MIR system has eight independent frequency illumination beams in W-band (75-110 GHz) driven by fast tuning synthesizers and active multipliers. Both of these advanced millimeter-wave imaging diagnostic systems have applied the latest techniques. A novel design philosophy "general optics structure" has been employed for the design of the ECEI and MIR receiver optics with large aperture. The extended radial and poloidal coverage of ECEI on EAST is made possible by innovations in the design of front-end optics. The front-end optical structures of the two imaging diagnostics, ECEI and MIR, have been integrated into a compact system, including the ECEI receiver and MIR transmitter and receiver. Two imaging systems share the same mid-plane port for simultaneous, co-located 2D fluctuation measurements of electron density and temperature. An intelligent remote-control is utilized in the MIR electronics systems to maintain focusing at the desired radial region even with density variations by remotely tuning the probe frequencies in about 200 μs. A similar intelligent technique has also been applied on the ECEI IF system, with remote configuration of the attenuations for each channel.
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Affiliation(s)
- Y L Zhu
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - J L Xie
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - C X Yu
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - Z L Zhao
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - B X Gao
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - D X Chen
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - W D Liu
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - W Liao
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - C M Qu
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - C Luo
- School of Physics, University of Science and Technology of China, Anhui 230026, China
| | - X Hu
- University of California, Davis, California 95616, USA
| | - A G Spear
- University of California, Davis, California 95616, USA
| | - N C Luhmann
- University of California, Davis, California 95616, USA
| | - C W Domier
- University of California, Davis, California 95616, USA
| | - M Chen
- University of California, Davis, California 95616, USA
| | - X Ren
- University of California, Davis, California 95616, USA
| | - B J Tobias
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
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Zhang XH, Liu AD, Zhou C, Hu JQ, Wang MY, Yu CX, Liu WD, Li H, Lan T, Xie JL. Influence of lithium coating on the optics of Doppler backscatter system. Rev Sci Instrum 2015; 86:103503. [PMID: 26520951 DOI: 10.1063/1.4932185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This paper presents the first investigation of the effect of lithium coating on the optics of Doppler backscattering. A liquid lithium limiter has been applied in the Experimental Advanced Superconducting Tokamak (EAST), and a Doppler backscattering has been installed in the EAST. A parabolic mirror and a flat mirror located in the vacuum vessel are polluted by lithium. An identical optical system of the Doppler backscattering is set up in laboratory. The power distributions of the emission beam after the two mirrors with and without lithium coating (cleaned before and after), are measured at three different distances under four incident frequencies. The results demonstrate that the influence of the lithium coating on the power distributions are very slight, and the Doppler backscattering can work normally under the dosage of lithium during the 2014 EAST campaign.
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Affiliation(s)
- X H Zhang
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - A D Liu
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - C Zhou
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - J Q Hu
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - M Y Wang
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - C X Yu
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - W D Liu
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - H Li
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - T Lan
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
| | - J L Xie
- Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026, China
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Chang C, Verboncoeur J, Guo MN, Zhu M, Song W, Li S, Chen CH, Bai XC, Xie JL. Ultrafast high-power microwave window breakdown: nonlinear and postpulse effects. Phys Rev E Stat Nonlin Soft Matter Phys 2014; 90:063107. [PMID: 25615205 DOI: 10.1103/physreve.90.063107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2014] [Indexed: 06/04/2023]
Abstract
The time- and space-dependent optical emissions of nanosecond high-power microwave discharges near a dielectric-air interface have been observed by nanosecond-response four-framing intensified-charged-coupled device cameras. The experimental observations indicate that plasma developed more intensely at the dielectric-air interface than at the free-space region with a higher electric-field amplitude. A thin layer of intense light emission above the dielectric was observed after the microwave pulse. The mechanisms of the breakdown phenomena are analyzed by a three-dimensional electromagnetic-field modeling and a two-dimensional electromagnetic particle-in-cell simulation, revealing the formation of a space-charge microwave sheath near the dielectric surface, accelerated by the normal components of the microwave field, significantly enhancing the local-field amplitude and hence ionization near the dielectric surface. The nonlinear positive feedback of ionization, higher electron mobility, and ultraviolet-driven photoemission due to the elevated electron temperature are crucial for achieving the ultrafast discharge. Following the high-power microwave pulse, the sheath sustains a glow discharge until the sheath collapses.
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Affiliation(s)
- C Chang
- Laboratory on Science and Technology of High Power Microwave, Northwest Institute of Nuclear Technology, Xi'an, Shaanxi 710024, China and Key Laboratory of Physical Electronics and Devices of the Ministry of Education, Xi'an Jiaotong University, Xi'an, Shaanxi 710049, China and Department of Engineering Physics, Tsinghua University, Beijing 100084, China
| | - J Verboncoeur
- Department of Electrical and Computer Engineering, Michigan State University, East Lansing, Michigan 48824, USA
| | - M N Guo
- Laboratory on Science and Technology of High Power Microwave, Northwest Institute of Nuclear Technology, Xi'an, Shaanxi 710024, China
| | - M Zhu
- Laboratory on Science and Technology of High Power Microwave, Northwest Institute of Nuclear Technology, Xi'an, Shaanxi 710024, China
| | - W Song
- Laboratory on Science and Technology of High Power Microwave, Northwest Institute of Nuclear Technology, Xi'an, Shaanxi 710024, China
| | - S Li
- Laboratory on Science and Technology of High Power Microwave, Northwest Institute of Nuclear Technology, Xi'an, Shaanxi 710024, China
| | - C H Chen
- Laboratory on Science and Technology of High Power Microwave, Northwest Institute of Nuclear Technology, Xi'an, Shaanxi 710024, China
| | - X C Bai
- Laboratory on Science and Technology of High Power Microwave, Northwest Institute of Nuclear Technology, Xi'an, Shaanxi 710024, China
| | - J L Xie
- Laboratory on Science and Technology of High Power Microwave, Northwest Institute of Nuclear Technology, Xi'an, Shaanxi 710024, China
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Zhou C, Liu AD, Zhang XH, Hu JQ, Wang MY, Li H, Lan T, Xie JL, Sun X, Ding WX, Liu WD, Yu CX. Microwave Doppler reflectometer system in the Experimental Advanced Superconducting Tokamak. Rev Sci Instrum 2013; 84:103511. [PMID: 24182112 DOI: 10.1063/1.4825344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
A Doppler reflectometer system has recently been installed in the Experimental Advanced Superconducting (EAST) Tokamak. It includes two separated systems, one for Q-band (33-50 GHz) and the other for V-band (50-75 GHz). The optical system consists of a flat mirror and a parabolic mirror which are optimized to improve the spectral resolution. A synthesizer is used as the source and a 20 MHz single band frequency modulator is used to get a differential frequency for heterodyne detection. Ray tracing simulations are used to calculate the scattering location and the perpendicular wave number. In EAST last experimental campaign, the Doppler shifted signals have been obtained and the radial profiles of the perpendicular propagation velocity during L-mode and H-mode are calculated.
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Affiliation(s)
- C Zhou
- Department of Modern Physics, CAS Key Laboratory of Geospace Environment, University of Science and Technology of China, Hefei, Anhui 230026, China
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Chen Z, Xie JL, Zhou C, Chen X. Technical modifications of hand-assisted retroperitoneoscopic living donor nephrectomy: a single-center experience. Transplant Proc 2012; 44:1218-21. [PMID: 22663988 DOI: 10.1016/j.transproceed.2011.12.079] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2011] [Revised: 10/17/2011] [Accepted: 12/14/2011] [Indexed: 12/26/2022]
Abstract
OBJECTIVES To report a single-center experience and technical modifications of hand-assisted retroperitoneoscopic living donor nephrectomy (HARLDN). METHODS A total of 78 living donors underwent HARLDN from June 2004 to November 2009. We used a three-port, finger-dissecting, routine retroperitoneal approach. After almost complete mobilization of the kidney, the renal pedicle was dissected to expose the renal vessels. The ureter was dissected and divided at the level of the iliac vessels. An approximately 7-cm Gibson incision was made as the hand-assisted port. The surgeon's hand was introduced through this incision directly. With hand assistance, the renal artery was clipped using two Hem-o-lok clips at the proximal end, and then sheared by scissors without any clips on the kidney side. The renal vein was controlled similarly. Then the kidney was rapidly removed through the incision by hand. RESULTS HARLDN was effectively and safely completed in 78 (100%) donors. No conversion to an open operation was necessary. The mean operative time and mean warm ischemic time were 121 minutes (range, 90-134) and 146 seconds (range, 112-247) respectively. The mean blood loss was 61 mL (range, 32-85). Clavien 1 complications including subcutaneous emphysema in 5.1% (4/78). The mean visual analog scales on postoperative days 1 to 5 were: 2.5, 1.2, 0.8, 0.5, and 0.1, respectively. The mean time to resume oral diet was 1.5 days. The mean hospital stay was 4.5 days (range, 4-5). The mean level of postoperative serum creatinines of the donors at 7 days and 1 month thereafter were 1.06 mg/dL (range, 0.74-1.43) and 1.15 mg/dL (range, 0.79-1.61) mg/dL, respectively. The mean level of postoperative serum creatinines of the recipients at 7 days and 1 month were 1.40 mg/dL (range 0.81-1.67) and 1.52 mg/dL (range, 0.76-1.83), respectively. The mean incision length was 6.5 cm (range, 6.0-7.2). CONCLUSIONS The modified HARLDN combines the purely laparoscopic technique with quicker, safer organ retrieval by the open access.
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Affiliation(s)
- Z Chen
- Department of Urology, Xiangya Hospital, Central South University, Changsha, China
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Ren XM, Nishihara S, Akutagawa T, Noro S, Nakamura T, Fujita W, Awaga K, Ni ZP, Xie JL, Meng QJ, Kremer RK. Quasi-one-dimensional molecular magnets based on derivatives of (fluorobenzyl)pyridinium with the [M(mnt)2] monoanion (M = Ni, Pd or Pt; mnt2- = maleonitriledithiolate): syntheses, crystal structures and magnetic properties. Dalton Trans 2006:1988-94. [PMID: 16609769 DOI: 10.1039/b514278d] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The syntheses, structural characterizations and magnetic behaviors of three new complexes, 1-(3',4',5'-trifluorobenzyl)pyridinium [M(mnt)2]- [M = Ni (1), Pd (2) or Pt (3)], are reported. These complexes are isomorphous and their prominent structural character is that the [M(mnt)2]- anions form columnar stacks, in which the dimerization was observed. Complexes 2 and 3 are diamagnetic, while 1 possesses an energy gap of 2474 K. For crystal 4, 1-(4'-fluorobenzyl)pyridinium [Ni(mnt)2] (its structure and magnetic susceptibility were briefly reported earlier), the magnetic behavior can be divided into two regimes, namely, weakly ferromagnetic coupling above 93 K and strongly antiferromagnetic coupling below 93 K. A transition occurs at 93 K which switches the magnetic exchange nature from ferromagnetic to antiferromagnetic. A sharp thermal abnormality with lambda-shape, associated with the transition, appears from its heat capacity measurement to indicate that the transition is first order. The temperature dependences of the superlattice diffractions revealed the existence of the pretransitional phenomena up to at least 140 K. The unusual magnetic behavior of 4, such as the origin of the ferromagnetic interaction in the high temperature phase and what causes the spin transition, are discussed further.
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Affiliation(s)
- X M Ren
- Research Institute for Electronic Science, Hokkaido University, Sapporo 060-0812, Japan.
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Xie JL, Lin JY, Wang YH, Narayanan B, Wang MR, Kumar R. Effect of thermal treatment on carbon-doped silicon oxide low dielectric constant materials. J Nanosci Nanotechnol 2005; 5:550-7. [PMID: 16004118 DOI: 10.1166/jnn.2005.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Carbon-doped silicon oxide (SiOCH) low dielectric constant (low-k) material is a good candidate for advanced interconnect technology. Good thermal stability of the dielectric is required due to the many thermal processes involved during IC fabrication. The thermal stability of tetramethylcyclotetrasiloxane (TMCTS) based plasma-enhanced chemical vapor deposition (PECVD) carbon doped low-k material with annealing temperature from 400 to 800 degrees C in N2 was studied. The thermal stability temperature of TMCTS based carbon doped low-k material is 600 degrees C. Above 600 degrees C annealing, the thermal energy can break Si-CH3, Si-C, Si-H, and C-H bonds leading to outgasing, which results in film composition change, weight loss, and thickness shrinkage. Film composition changes, especially carbon loss and oxygen incorporation, can degrade its reliability extremely. Carbon is desorbed in the form of CH4, CO, and other hydrocarbon.
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Affiliation(s)
- J L Xie
- Institute of Microelectronics, 11 Science Park Road, Singapore
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Abstract
Electron spin resonance technique and spin-trapping methods were used to determine the photoproduction of 1O2 and O2.- by hypomycin B (HMB), a novel perylenequinonoid pigment (PQP) possessing only one hydroxyl group. It was found that the yields of 1O2 and O2.- for HMB were comparable to those for hypocrellin A, a typical natural PQP with good photosensitivity. In addition, the absorption and fluorescence spectra for HMB were investigated. The pKa values in the ground and excited states of HMB were determined to be 8.94 and 5.54, respectively. Thus, the photodynamic mechanisms of HMB may involve not only the photogeneration of 1O2 and O2.- but also the light-induced acidification. Consequently, HMB is proposed to be a good photodynamic therapeutic agent.
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Affiliation(s)
- H Y Zhang
- Laboratory for Computational Biology, Shandong Provincial Research Center for Bioinformatic Engineering and Technique, Zibo University, Zibo, People's Republic of China.
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Liu WZ, Ma LY, Li C, Chen YT, Xie JL. [Structural elucidation of a new perylenequinone]. Yao Xue Xue Bao 2001; 36:313-4. [PMID: 12580065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
AIM To study the chemical constituents from the mycelia of Hypomyces sp. METHODS Silica gel column chromatography was employed for the isolation and purification. The structure of compound 1 was elucidated on the basis of spectral analysis. RESULTS AND CONCLUSION A new perylenequinone, named hypomycin B 1, was isolated from the mycelia of Hypomyces sp.
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Affiliation(s)
- W Z Liu
- Chemistry Teaching and Research Department, Binzhou Medical College, Binzhou 256603, China.
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47
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Abstract
This study examined how cultural differences and efficacy perceptions influence the role of job control in coping with job demands. Perceiving higher control mitigated the effects of demands on psychological health symptoms and turnover intentions only among American bank tellers reporting high job self-efficacy. Among American tellers reporting low job self-efficacy, perceived control exacerbated the effects of demands. However, in a matched Hong Kong sample, collective efficacy interacted in the same way with control and demands as job self-efficacy had in the American sample. These differences appear to be explained by the individual attributes of idiocentrism and allocentrism that are linked to the societal norms of individualism and collectivism, respectively.
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Affiliation(s)
- J Schaubroeck
- Department of Management, LeBow College of Business, Drexel University, Philadelphia, Pennsylvania 19014, USA.
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48
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Chen HD, Xie JL, Lai W. [The effect of combined treatment of recombinant human growth hormone and insulin-like growth factor-1 on wound healing and protein catabolism in burned rats]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 1999; 13:386-9. [PMID: 12080844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
OBJECTIVE To investigate the effect of combined treatment of recombinant human growth hormone (rhGH) and insulin-like growth factor-1 (IGF-1) on wound healing and protein catabolism in burned rats. METHODS Forty Wistar rats with deep II degree scald injury were divided randomly into four groups and received rhGH (0.1 U/kg.d), rhGH (0.1 U/kg.d) plus IGF-1 (2.0 mg/kg.d), IGF-1 (2.0 mg/kg.d) and Ringer's solution (2 ml/kg.d, as control group) respectively. The wound healing time and protein catabolism levels of every groups were compared after 2 weeks. RESULTS Total body weight began to increase after 2 weeks in rhGH group and rhGH plus IGF-1 group, but in control group, it was occurred after 4-5 weeks. The body weight of rhGH plus IGF-1 group was 1.65 times than that of rhGH group. The wound healing time in rhGH plus IGF-1 group (17.1 +/- 4.4) days was significantly lower than that of rhGH (20.5 +/- 4.8) days and control group (29.7 +/- 6.3) days. The protein level of rhGH plus IGF-1 group was significantly higher than that of control group and rhGH group. CONCLUSION It suggests that rhGH plus IGF-1 with synergism is more effective in promoting wound healing and increasing the protein catabolism.
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Affiliation(s)
- H D Chen
- Department of Burn Surgery, Guangdong Provincial People's Hospital, Guangzhou, Guangdong, P. R. China 510080
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49
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Abstract
Cross-cultural theory was marshaled to predict how views of absence from work would be similar and different in Canada and the People's Republic of China. Respondents (N = 1,209) from both cultures had self-serving perceptions of their own absence levels, seeing them as exemplary compared with those of their work group and occupational peers. The Chinese showed a stronger tendency to generate estimates that favored their work group. Both cultural groups underreported their own actual absence. Chinese managers and employees agreed on absence norms, whereas Canadian managers provided lower estimates than did employees. Canadians and Chinese ranked the legitimacy of reasons for absence and attendance fairly similarly, but ratings showed that Canadians were less likely to endorse domestic reasons for absence, whereas Chinese were less likely to endorse illness, stress, and depression.
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Affiliation(s)
- G Johns
- Department of Management, Concordia University, Montreal, Quebec, Canada.
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50
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