[Clinical characteristics and prognostic factors of breast cancer patients with tumor deposits in the ipsilateral axillary region].

Objective: To investigate the clinicopathologic features and prognostic factors of breast cancer patients with tumor deposits in the ipsilateral axillary region. Methods: We retrospectively analyzed the clinicopathologic data and follow-up results of 155 patients with breast cancer diagnosed for the first time and complicated with tumor deposits in the ipsilateral axillary region in the Department of Thyroid-Breast-Vascular Surgery of Xijing Hospital from January 2008 to September 2018. Kaplan-Meier method was used for survival analysis. Log rank test was used for the univariate analysis of prognostic factors, and Cox regression was used for multivariate analysis. Results: The median disease free survival (DFS), median distant metastasis free survival (DMFS), and median overall survival (OS) of the 155 patients were 52.0 months, 66.6 months, and 102.2 months, respectively. The 5-year and 10-year DFS rates were 45.7% and 23.1%, the 5-year and 10-year DMFS rates were 56.9% and 28.9%, and the 5-year and 10-year OS rates were 79.3% and 46.0%, respectively. Multivariate Cox regression analysis showed that family tumor history (HR=0.362, 95% CI: 0.140-0.937), clinical T stage (T3: HR=3.508, 95% CI: 1.380-8.918; T4: HR=2.220, 95% CI: 1.076-4.580), estrogen/progesterone receptor status (HR=0.476, 95% CI: 0.261-0.866), number of tumor deposits (HR=1.965, 95% CI:1.104-3.500) and neoadjuvant chemotherapy (HR=1.961, 95% CI: 1.032-3.725) were independent influencing factors for DFS. Molecular subtype [human epidermal growth factor receptor-2(HER-2) positive and hormone receptor negative: HR=7.862, 95% CI: 3.189-19.379], number of tumor deposits (HR=2.155, 95% CI: 1.103-4.212), neoadjuvant chemotherapy (HR=5.002, 95% CI: 2.300-10.880) and radiotherapy (HR=2.316, 95% CI: 1.005-5.341) were independent influencing factors of DMFS. Histological grade (HR=4.362, 95% CI: 1.932-9.849), estrogen/progesterone receptor expression (HR=0.399, 95% CI: 0.168-0.945), HER-2 expression (HR=2.535, 95% CI: 1.114-5.768) and neoadjuvant chemotherapy (HR=4.080, 95% CI: 1.679-9.913) were independent influencing factors of OS. Conclusions: The presence of tumor deposits weakens the influence of axillary lymph node status and distant metastases on the prognosis of breast cancer patients. Therefore, a clinicopathological staging system taking into account tumor deposits should be developed. Since the number of tumor deposits affects the risk of recurrence and metastasis of breast cancer patients, we recommend that the number of tumor deposits should be reported in detail in the pathological report after breast cancer surgery.

[Genetic analysis of gelatinization temperature in rice via microsatellite(SSR) markers].

Rice gelatinization temperature is an important character contributing to cooking quality. Here the inheritance of gelatinization temperature (GT), which was represented by alkali spreading value (ASV), was reported. Two parents, Balilla (japonica variety) and Nantehao (indica variety), which were significantly different on GT-ASV, were selected to construct a backcross population Balilla/Nantehao//Balilla containing 142 individuals. And ASV was investigated in the population, a continuous distribution with two obvious peaks was observed. It indicated that GT-ASV was controlled by one major gene, also modified by some minor genes. In order to map the major and minor genes and estimate the effects of genes. A total of 119 SSR markers were employed to construct a linkage map; further a genome-wide detection was carried out by interval mapping method. The results showed that 6 QTLs were detected, of which, qASV6-1 located on chromosome 6 was a major gene with 87.6% variance explained, and alleles from parent Nantehao could decrease the value. It shoud be the same locus as the alkali degeneration gene (alk). The other QTLs (qASV2, qASV3, qASV6-2, qASV9, and qASV11) all belong to minor genes, which were located on chromosome 2,3,6,9 and 11, respectively. In two parents, they carried the positive and negative alleles simultaneously. These results will be helpful for rice quality breeding and improvement.

[RFLP analysis of the effect of wide compatibility genes in Aus variety 'Dular'].

RFLP markers were employed to test whether the individuals possess wide compatibility genes (WCGs) in the progenies of Dular, which is one of the typical wide compatibility varieties in ecotype Aus rice. Meanwhile the characteristics of WCGs were also analysed. The results are shown as follows: (1) the effect of WCG at S-5 locus is better than the others, (2) the combination of different wide compatibility loci is obviously effective in increasing the spikelet fertility, (3) intraallelic interaction can cause japonica macrospore abortive, while interallelic interaction has some effects in fertility expression.

[Re-analysis of wide compatibility in rice].

Utilization of heterosis between rice subspecies has fascinated rice breeders for several decades. One of the main obstacles is the hybrid sterility in the F1 populations of subspecies crosses in rice. Wide compatibility varieties are considered to an important way to overcome the problem. But the genetics of the wide compatibility is controversial. This paper dealt with the problem through three kinds of triple crosses in which a wide compatibility variety, Ketan Nangka, was involved. Pollen fertility, spikelet fertility and the correlationship between the two fertilities were analyzed in the three kinds of triple crosses. The results suggested that male and female sterilities existed in indica-japonica hybrids at the same time, while the contribution of male sterility to spikelet fertility varied from cross to cross; The characteristic of wide compatibility in different triple crosses was coordinated with the hybrid sterility between the indica and japonica test varieties used; Ketan Nangka possessed the wide compatibility genes on the loci in which the male and female sterilities between the test varieties were involved; The genetics of wide compatibility gene S-5 fitted to one locus sporo-gametophytic interaction model.

[Integration of the genetic map and the physical map of the subterminal region on the longer arm of rice chromosome 6].

The region between RFLP markers G342 and R1167 was the subterminal part of the longer arm on the rice chromosome 6, because Shen et al. (1998) mapped two telomeric repeat associated sequences distal to G342. In order to integrate the genetic map and the physical map of the region, G342 and R1167 were firstly used to screen BAC library. Based on the positive clones detected by the two markers and chromosome walking by using the outer most insert-end of the overlapping clones, a contig containing 16 BAC clones which spanned 500 kb was constructed. All the insert-ends of the BAC clones could be amplified with thermal asymmetric interlaced PCR. Fourteen insert-ends were subcloned. Seven of them were identified as a single or low copy sequences and five were mapped on the expected sites flanking G342 or R1167. The insert fragment isolated from the minimum tile BAC clones of the contig was used to screen a cDNA library and four different positive clones were detected.

[RFLP analysis on wide compatibility genes in rice variety dular of ecotype aus].

Dular is one of the typical wide compatibility varieties in ecotype Aus of rice. Genetic analysis on wide compatibility genes (WCG) from Dular based on triple crosses (indica//++Dular/japonica) was conducted. In the condition of being shaded for 7 days, the individual spikelet fertility segregated obviously, and the continuous distributions of spikelet fertility with a handful of peaks were observed. This suggested that the segregation of spikelet fertility in triple cross populations was controlled by one or more major genes, also modified by some minor genes. Based on 109 individuals of triple cross Nanjing 11 (indica)//++Dular/2533(japonica, a marker gene line, Rc and g), fertile and semisterile pools were set up by bulked segregant analysis, the RFLP analysis of the two pools led to the discovery of three chromosomal segments co-segregating with fertility. The one is on the interval RG213-C235 on chromosome 6. According to the previous studies, it may be the wide compatibility gene S5n. The other two were on the interval RG901-RG413 and G402-RG651 on chromosome 12, temporarily designated as Sd1(t)n and Sd2(t)n, respectively. Because of the continuous distribution for spikelet fertility, we also used a quantitative model to evaluate the effects of those three loci. On the basis of interval analysis with Mapmaker/QTL, 32.3% of the phenotypic variance associated with spikelet fertility was explained by the S5n (LOD = 9.03), and the other two chromosomal segments were responsible for 10.5%(LOD = 2.61) and 10.9%(LOD = 2.14) phenotypic variance, respectively. The results demonstrated that the wide compatibility variety Dular contained three WCGs. To introgress the three WCGs into a restorer line or an abortive line will overcome the hybrid sterility barrier of indica/japonica crosses, and the precise RFLP mapping will be useful for breeders to accumulate a few genes of interest into one cultivar by means of molecular marker assisted selection.

Cytological identification of an isotetrasomic in rice and its application to centromere mapping.

The aneuploid with isochromosome or telochromosome is ideal material for exploring the position of centromere in lingkage map. For obtaining these aneuploids in rice, the primary trisomics from triplo-1 to triplo-12 and the aneuploids derived from a triploid of indica rice variety Zhongxian 3037 were carefully investigated. From the offsprings of triplo-10, a primary trisomic of chromosome 10 of the variety, an isotetrasomic "triplo-10-1" was obtained. Cytological investigation revealed that a pair of extra isochromosomes of triplo-10-1 were come from the short arm of chromosome 10. In the offsprings of the isotetrasomic, a secondary trisomic "triplo-10-2", in which the extra- chromosome was an isochromosome derived from the short arm of chromosome 10, was identified. With the isotetrasomic, secondary trisomic, primary trisomic and diploid of variety Zhongxian 3037, different molecular markers were used for exploring the position of the centromere of chromosome 10. Based on the DNA dosage effect, it was verified that the molecular markers G1125, G333 and L169 were located on the short arm, G1084 and other 16 available molecular markers were on the long arm of chromosome 10. So the centromere of chromosome 10 was located somewhere between G1125 and G1084 according to the RFLP linkage map given by Kurata et al[1]. The distance from G1125 to G1084 was about 3.2 cM.

The effect of reconstruction after subtotal gastrectomy on release of vasoactive intestinal peptide.

To avoid dumping after Billroth gastrectomy, we designed pylorus and antroseromuscular-flap preserving subtotal gastrectomy (PAFPG). The mean maximal plasma level of VIP (vasoactive intestinal peptide) in PAFPG after oral hypertonic glucose was close to that in the control. Compared with PAFPG group, the plasma VIP concentrations after hypertonic glucose ingestion in BI and BII group were significantly higher, and the concentration of plasma VIP in dumpers was significantly higher than that in non-dumpers after BI or BII gastrectomy. The results suggest that the amount of VIP release is related to the type of reconstruction after gastrectomy.

Surgical management of gastric adenocarcinoma.

This paper has analyzed the results of surgical management of 196 patients with gastric carcinoma treated from 1958 through 1982 at the Brigham and Women's Hospital in Boston and compares the experience during this time period with that of the previous 45 years. Surgical technique, operative mortality and complications, and 5 year survival were recorded. The resectability rate of the tumor in patients explored was 78.1 percent, and the 5 year survival rate for all 153 gastrectomies was 24.9 percent (36.2 percent for curative gastrectomy and 8.6 percent for palliative gastrectomy). Chronologic comparison over the years showed a decrease in the incidence of cancer of the stomach over the past 65 years, a steady increase in the 5 year absolute survival of patients with gastric carcinoma, and a significant decrease in the operative mortality and an increase in the 5 year survival after subtotal gastrectomy.