An Alternate Diagnostic Algorithm for the Diagnosis of Intraepithelial Fallopian Tube Lesions.

Intraepithelial fallopian tube neoplasia is thought to be a precursor lesion to high-grade serous carcinoma of the Müllerian adnexae, particularly in women with BRCA1 or BRCA2 mutations. This association has led to recommendations to assess fallopian tubes for intraepithelial atypia. However, the diagnostic reproducibility of a diagnosis of intraepithelial neoplasia is unclear. In this study, 2 gynecologic pathologists independently evaluated sections of fallopian tubes from a sample of women (N=198, 623 slides) undergoing salpingectomy. A total of 101 (54%) women were undergoing risk-reducing salpingo-oophorectomy. Pathologists were blinded to patient histories and prior diagnoses. Pathologists rendered one of three diagnoses for each slide: "negative for fallopian tube intraepithelial neoplasia (FTIN)," "indeterminate for FTIN," or "definite for FTIN." Cases that were considered by histology definite for FTIN or suspicious for FTIN were stained with p53 and Ki67. Pathologists agreed on the diagnosis of "definite for FTIN" 61.5% of the time. There was no agreement on any cases for the diagnosis of "indeterminate for FTIN." Fifteen "indeterminate for FTIN" and 12 "definite for FTIN" cases were stained with p53 and Ki67. Two of the "indeterminate" cases (13%) had p53-positive foci. Five of the "definite" cases had p53-positive foci. In 3 of the other 8 "definite" cases, there was obvious carcinoma present, but the carcinoma did not stain with p53, suggesting a possible null phenotype. We propose that immunostains should only be used to aid in the diagnosis of FTIN in cases with indeterminate histology. The use of p53 immunohistochemistry in cases that were considered "definite for FTIN" by histology was minimally helpful, and in fact often served to further confuse the diagnosis.

Shell potentials for microgravity Bose-Einstein condensates.

Extending the understanding of Bose-Einstein condensate (BEC) physics to new geometries and topologies has a long and varied history in ultracold atomic physics. One such new geometry is that of a bubble, where a condensate would be confined to the surface of an ellipsoidal shell. Study of this geometry would give insight into new collective modes, self-interference effects, topology-dependent vortex behavior, dimensionality crossovers from thick to thin shells, and the properties of condensates pushed into the ultradilute limit. Here we propose to implement a realistic experimental framework for generating shell-geometry BEC using radiofrequency dressing of magnetically trapped samples. Such a tantalizing state of matter is inaccessible terrestrially due to the distorting effect of gravity on experimentally feasible shell potentials. The debut of an orbital BEC machine (NASA Cold Atom Laboratory, aboard the International Space Station) has enabled the operation of quantum-gas experiments in a regime of perpetual freefall, and thus has permitted the planning of microgravity shell-geometry BEC experiments. We discuss specific experimental configurations, applicable inhomogeneities and other experimental challenges, and outline potential experiments.