Bronchiole adenoma/pulmonary ciliated mucinous nodular papillary tumor: Case series and literature review.

OBJECTIVE: To analyze the clinical-pathological characteristics of 3 cases of bronchiolar adenoma/pulmonary ciliary mucinous nodular papillary tumors, and to improve the understanding of bronchiolar adenoma (BA)/ciliated muconodular papillary tumors (CMPT) (bronchiolar adenoma/ciliated muconodular papillary tumor). METHODS: Retrospective analysis was done on the clinical information, diagnosis, and treatment of 3 instances of BA/CMPT at the Second People's Hospital of Weifang City. By scanning the CNKI, Wanfang, VIP database, and Pubmed database using the English key words "bronchiolar adenoma, ciliated muconodular papillary tumor," respectively patients with comprehensive clinical data were gathered, and studies from January 2002 to August 2021 that were relevant to the patients were examined. RESULTS: A total of 35 articles and 71 instances were found, including 3 cases in our hospital, for a total of 74 cases. There were 31 males and 43 females among them, ranging in age from 18 to 84 years (average 63 years), and 15 cases had a smoking history. The majority of them were discovered by physical examination and had no clinical symptoms. The majority of the imaging revealed solid nodules with variable forms, with some ground-glass nodules displaying vacuole and bronchial inflation signs. BA/CMPT are generally gray-white, gray-brown solid nodules with obvious boundaries but no envelope with a maximum dimension of 4 to 45 mm (average 10.6 mm) on gross examination. Acinar, papillary, and lepidic formations can be seen under the microscope at high magnification; the majority of these structures are made up of tripartite epithelial components, including basal cells, mucous cells, ciliated columnar cells, and alveolar epithelial cells, demonstrating a variety of combinations. An important basis for diagnosis in immunohistochemistry is the continuous positive basal cell layer that is shown by p63, p40, and CK5/6. BRAF and epidermal growth factor receptor are the genes that are most frequently mutated. All of the patients showed no signs of metastasis or recurrence during follow-up period. CONCLUSION: BA/CMPT is a rare benign tumor of lung epithelium. Because imaging and intraoperative cryosection diagnosis are easy to be misdiagnosed as malignant, it is necessary to further improve understanding and improve immunohistochemistry and genetic examination.

Design Computer-Aided Diagnosis System Based on Chest CT Evaluation of Pulmonary Nodules.

At present, the diagnosis and treatment of lung cancer have always been one of the research hotspots in the medical field. Early diagnosis and treatment of this disease are necessary means to improve the survival rate of lung cancer patients and reduce their mortality. The introduction of computer-aided diagnosis technology can easily, quickly, and accurately identify the lung nodule area as an imaging feature of early lung cancer for the clinical diagnosis of lung cancer and is helpful for the quantitative analysis of the characteristics of lung nodules and is useful for distinguishing benign and malignant lung nodules. Growth provides an objective diagnostic reference standard. This paper studies ITK and VTK toolkits and builds a system platform with MFC. By studying the process of doctors diagnosing lung nodules, the whole system is divided into seven modules: suspected lung shadow detection, image display and image annotation, and interaction. The system passes through the entire lung nodule auxiliary diagnosis process and obtains the number of nodules, the number of malignant nodules, and the number of false positives in each set of lung CT images to analyze the performance of the auxiliary diagnosis system. In this paper, a lung region segmentation method is proposed, which makes use of the obvious differences between the lung parenchyma and other human tissues connected with it, as well as the position relationship and shape characteristics of each human tissue in the image. Experiments are carried out to solve the problems of lung boundary, inaccurate segmentation of lung wall, and depression caused by noise and pleural nodule adhesion. Experiments show that there are 2316 CT images in 8 sets of images of different patients, and the number of nodules is 56. A total of 49 nodules were detected by the system, 7 were missed, and the detection rate was 87.5%. A total of 64 false-positive nodules were detected, with an average of 8 per set of images. This shows that the system is effective for CT images of different devices, pixel pitch, and slice pitch and has high sensitivity, which can provide doctors with good advice.

Application of a new validated HPLC-DAD method for simultaneous determination of ten active components in Xiedu San.

In this research, a sensitive high-performance liquid chromatography-diode array detector (HPLC-DAD) method was established and validated for simultaneous detection of ten active constituents (gallic acid, catechin, berberine, palmatine, baicalin, baicalein, wogonin, rhein, emodin and chrysophanol) in Xiedu San, a traditional Chinese medicine compound preparation with effects of clearing away heat and toxic materials. The analysis was achieved on Agilent ZORBAX SB-C18 column (5µm, 250mm×4.6mm) with the temperature of 30°C. Gradient elution was applied using methanol (A)-0.1% phosphoric acid solution (B) as mobile phase at the flow rate of 1.0mL• min-1. The determination was performed at the wavelength of 225, 245, 278 and 348 nm along with the sample volume of 5µL. The tested constituents demonstrated good linear relationships within their respective determination ranges (r>0.9995). Average recoveries varied from 99.97% to 101.12% with RSDs of 0.71% to 1.92%. The contents of tested constituents ranged from 0.970 to 24.602 mg•g-1. The developed method was proved to be simple, accurate and sensitive, which can provide a quantitative analysis method for the quality evaluation and quality control of Xiedu San.

Analysis of Antioxidant Capacity of Chromones in Saposhnikoviae Radix Obtained by Ultrasonic-Assisted Deep Eutectic Solvents Extraction.

In this paper, ultrasonic-assisted deep eutectic solvent (DES) extraction was applied to the acquisition of chromones (cimicifugin, prim-o-glucosylcimifugin, and 5-o-methylvisamminoside) from Saposhnikoviae radix (SR). The extraction effects of 11 prepared DESs were screened taking contents of chromones as indexes. Furthermore, the optimum extraction conditions were confirmed using a single-factor test and response surface optimization test. Scavenging activities of DPPH anion and ABTS cation radicals of different SR extracts (DES, methanol, and ethanol) were studied. The analysis results of best extraction conditions optimized by Design-Expert software were as follows: extraction time (40 min), extraction temperature (60°C), and the solid/liquid ratio (32 mL/g). Scavenging rates of the DES extract for DPPH anion radical and ABTS cation radical were found to be 75.31% and 65.71%, which were higher than those of methanol and ethanol extracts. In conclusion, the developed extraction method can be regarded as a safe, green, and more effective approach for the extraction of chromones in SR.