Histopathological staging and differential diagnosis of marginal zone lymphoma of gastric mucosa-associated lymphoid tissue.

The purpose of this study was to explore the histopathological staging and differential diagnosis of marginal zone lymphoma in gastric mucosa-associated lymphoid tissue (MALT lymphoma). We performed detailed histomorphology and immunohistochemistry investigations as well as genetic testing on endoscopic biopsy and endoscopic mucosal resection specimens from 18 patients with gastric MALT lymphoma. We found that gastric MALT lymphoma typically begins as a small, isolated area outside the lymphoid follicular mantle zone or proliferates in a multifocal, patchy manner, gradually spreads to the interfollicular zone, forming diffuse proliferation, invades the gastric mucosal glands, and infiltrates or proliferates into the center of peripheral reactive lymphoid follicles. Abnormally proliferating lymphocytes invade the surrounding lymphoid follicles, resulting in damage, atrophy, and disappearance of their normal follicles as well as of the gastric mucosa glands, forming diffuse proliferation. Redifferentiation and proliferation lead to the transformation of lymphocytes; that is, MALT transitions into highly invasive lymphoma. Based on our findings in this study, we propose the following five stages in the process of development and progression of gastric MALT lymphoma: the stage of cell proliferation outside the lymphoid follicular mantle zone; the stage of heterogeneous proliferative lymphoepithelial lesion; the stage of reactive lymphoid follicular implantation; the stage of lymphoid follicular clonal proliferation; and the stage of MALT transforming into highly invasive lymphoma. We examined the differential diagnosis of histopathological features at each stage. The clinicopathological staging of gastric MALT lymphoma can help clinicians provide accurate treatment and track malignant cell transformation, thus playing a significant role in controlling its development and progression.

Microalgae cultivation and nutrients removal from sewage sludge after ozonizing in algal-bacteria system.

The feasibility of growing algae in concentrated wastewater generated from sludge ozonation for simultaneous nutrients removal and biomass production was studied. The effects of bacteria addition into microalgae on nutrients removal, biomass yield and settleability, the growth rate of algae and concentrations of extracellular polymeric substances (EPS) and soluble microbial products (SMP) were investigated. The results showed that the growth rate of algae in algal-bacteria system (0.2182) was improved than in algae-only system (0.1852), while both of them are comparable with others reported previously. And the addition of bacteria enhanced COD, NH4+-N, TN and TP removal rate by 23.9 ±â€¯3.3%, 27.7 ±â€¯3.6%, 16.6 ±â€¯1.8% and 14.9 ±â€¯2.2%, respectively. And 32.8 ±â€¯0.7% of the TN and 50.3 ±â€¯1.8% of the TP were recycled from ozonated sludge-supernatant (OSS) being absorbed into algal-bacterial biomass. The algal-bacteria system also demonstrated advantages on biomass settleability and heavy metals removal. Finally, the mechanism involving matter exchange and algal-bacteria system on OSS treatment in this study were discussed through evaluation of nutrients, SMP and EPS contents, nitrogen and phosphorus balance.