Case report: Pilomatrix carcinoma with PDL1 expression and CDKN2A aberrant.

Case report: A 55-year-old male patient developed a mass in the left inguinal area with left lower limb swelling and first visited a local hospital 3 months earlier because of unrelieved pain. An MRI scan suggested left suprapubic branch and left acetabular bone destruction, abnormal soft tissue signals within the iliopsoas muscle of the anterior edge of the left iliac bone, and enlarged lymph nodes in the left iliac fossa and left inguinal region. The patient subsequently underwent left pelvic lesion open biopsy and inguinal lymph node resection biopsy. According to pathological reports, the left inguinal mass was considered to be a malignant tumor of cutaneous accessory origin (pilomatrix carcinoma) with extensive vitreous changes. The suprapupubis branch mass was considered to be a bone metastatic pilomatrix carcinoma. Immunohistochemistry (IHC) revealed a PDL1 combined positive score (CPS) of 8. DNA next-generation sequencing (NGS) showed CDKN2A L65Rfs*53 mutation. The patient received three cycles of gemcitabine and nedaplatin. However, the lesion progressed. Conclusion: Chemotherapy is not effective for treating pilomatrix carcinoma. PDL1 antibodies and CDK4/6 inhibitors might be treatment options for pilomatrix carcinoma.

Efficient and selective recovery of iron phosphate from the leachate of incinerated sewage sludge ash by thermally induced precipitation.

Phosphorus recovery from incinerated sewage sludge ash (ISSA) is important but hindered by low selectivity. Here, a novel strategy of acid leaching followed by thermally induced precipitation was proposed for the efficient and selective recovery of FePO4 from ISSA samples. A high phosphorus leaching efficiency of ∼ 99.6% was achieved with 0.2 mol/L H2SO4 and liquid to solid (L/S) ratio of 50 mL/g. Without removing various co-existing ions (Al3+, Ca2+, SO42-, etc.), high-purity FePO4 of ∼ 92.9% could be facilely produced from this highly acidic H2SO4 leachate (pH = 1.2) by simple addition of Fe(III) at a molar ratio of 1:1 to the phosphorus and reacted at 80 °C for thermally induced precipitation. The remained acid leachate could be further reused for five times to continue leaching phosphorus from the ISSA samples and produce the FePO4 precipitates with a high phosphorus recovery efficiency of 81.1 ± 1.8%. The selective recovery of FePO4 from the acid leachate was demonstrated more thermodynamically favorable compared to other precipitates at this acidic pH of 1.2, and elevated temperature of 80 °C towards thermally induced precipitation. The estimated cost of this strategy was ∼$26.9/kg-P and lower than that of other existing technologies. The recovered FePO4 precipitates could be used as a phosphate fertilizer to promote the growth of ryegrass, and also as a precursor to synthesize high-value LiFePO4 battery material, demonstrating the high-value application potential of the phosphorus from the ISSA.

Effects of Boride Orientation and Si Content on High-Temperature Oxidation Resistance of Directionally Solidified Fe-B Alloys.

In this work, the as-cast directionally solidified (DS) Fe-B alloys with various Si contents and different boride orientation were designed and fabricated, and the as-cast microstructures and static oxidation behaviors of the DS Fe-B alloys were investigated extensively. The as-cast microstructure of the DS Fe-B alloys consists of the well-oriented Fe2B columnar grains and α-Fe, which are strongly refined by Si addition. The oxidation interface of the scales in the DS Fe-B alloy with 3.50 wt.% Si demonstrates an obvious saw-tooth shaped structure and is embedded into the alternating distributed columnar layer structures of the DS Fe-B alloy with oriented Fe2B and α-Fe matrix, which is beneficial to improve the anti-peeling performance of the oxide film compared with lower amounts of Si addition in DS Fe-B alloys with oriented Fe2B [002] orientation parallel to the oxidation direction (i.e., oxidation diffusion direction, labeled as Fe2B// sample). In the DS Fe-B alloys with oriented Fe2B [002] orientation vertical to the oxidation direction (i.e., labeled as Fe2B⟂ sample), due to the blocking and barrier effect of laminated-structure boride, Si is mainly enriched in the lower part of the oxide film to form a dense SiO2 thin layer adhered to layered boride. As a result, the internal SiO2 thin layer plays an obstructed and shielded role in oxidation of the substrate, which hinders the further internal diffusion of oxygen ions and improves the anti-oxidation performance of the Fe2B⟂ sample, making the average anti-oxidation performance better than that of the Fe2B// sample.

Effect of Silicon Content on Microstructures and Properties of Directionally Solidified Fe-B Alloy.

In order to investigate the effect of Si content on the microstructures and properties of directionally solidified (DS) Fe-B alloy, a scanning electron microscope (SEM) with an energy dispersive spectrum (EDS), and X-ray diffraction have been employed to investigate the as-cast microstructures of DS Fe-B alloy. The results show that Si can strongly refine the columnar microstructures of the DS Fe-B alloy, and the columnar grain thickness of the oriented Fe2B is reduced with the increase of Si addition. In addition, Si is mainly distributed in the ferrite matrix, almost does not dissolve in boride, and seems to segregate in the center of the columnar ferrite to cause a strong solid solution strengthening and refinement effect on the matrix, thus raising the microhardness of the matrix and bulk hardness of the DS Fe-B alloy.

Effect of Chromium on Microstructure and Oxidation Wear Behavior of High-Boron High-Speed Steel at Elevated Temperatures.

In order to investigate the effect of Cr content on the microstructures and oxidation wear properties of high-boron high-speed steel (HBHSS), so as to explore oxidation wear resistant materials (e.g., hot rollers), a scanning electron microscope, an X-ray diffractometer, an electron probe X-ray microanalysis and an oxidation wear test at elevated temperatures were employed to investigate worn surfaces and worn layers. The results showed that the addition of Cr resulted in the transformation of martensite into ferrite and pearlite, while the size of the grid morphology of borides in HBHSSs was refined. After oxidation wear, oxide scales were formed and the high-temperature oxidation wear resistance of HBHSSs was gradually improved with increased additions of Cr. Meanwhile, an interaction between temperature and load in HBHSSs during oxidation wear occurred, and the temperature had more influence on the oxidation wear properties of HBHSSs. SEM observations indicated that a uniform and compact oxide film of HBHSSs in the worn surface at elevated temperatures was generated on the worn surface, and the addition of Cr also reduced the thickness of oxides and inhibited the spallation of worn layers, which was attributed to improvements in microhardness and oxidation resistance of the matrix in HBHSSs. A synergistic effect of temperature and load in HBHSSs with various Cr additions may dominate the oxidation wear process and the formation and spallation of oxide films.