Clinical characteristics and prognostic analysis of primary extranodal non-Hodgkin lymphoma of the head and neck.

OBJECTIVE: Primary extranodal non-Hodgkin's lymphoma (PE-NHL) of the head and neck is the second common site of extranodal lymphoma, accounting for approximately one-third of all extranodal non-Hodgkin's lymphoma (E-NHL). However, in recent years, large-scale PE-NHL case studies in China and worldwide are rare and not comprehensive enough. This work analyzed the clinical manifestations, pathological features, immunophenotypes and diagnosis of PE-NHL, as well as the factors affecting the treatment and prognosis. METHODS: A retrospective study was performed on 74 patients who were diagnosed with head and neck PE-NHL and treated for the first time. The clinical manifestations, pathological features, and immunophenotypes were summarized, and the factors related to the treatment and prognosis were analyzed. RESULTS: The most common site of this disease was the Waldeyer's ring, followed by the nasal cavity. Diffuse large B-cell lymphoma was the most common type, followed by extranodal NK T-cell lymphoma nasal type. The 1-year, 2-year, and 5-year progression-free survival (PFS) rates were 76.4%, 67.9%, and 59.3%. The 1-year, 2-year, and 5-year overall survival (OS) rates were 89.4%, 85.6%, and 63.2%. ECOG score ≥ 2, Ann Arbor stage III or IV and IPI risk stratification identifying patients as the high-risk group were independent risk factors affecting the OS of patients with PE-NHL of the head and neck. CONCLUSIONS: The most common site of PE-NHL in these Chinese patients was the Waldeyer's ring, but the incidence in the nasal cavity was higher than that reported in Western countries. Radiotherapy combined with chemotherapy had better efficacy than chemotherapy alone, and the prognosis depended on the ECOG score and clinical stage. IPI had a better prognostic value in patients in the high-risk group of head and neck PE-NHL.

[Diffuse large B-cell lymphoma of thyroid invading the superior mediastinum with hashimoto's thyroiditis: a case report and literature review].

This article reports a case of primary thyroid diffuse large B-cell lymphoma involving the superior mediastinum with Hashimoto's thyroiditis admitted to the Department of Otolaryngology and Head and Neck Surgery, First Hospital of Jilin University. This patient underwent right thyroid lobectomy and was transferred to the Department of Hematology of the Oncology Center for 6 courses of chemotherapy with R-CHOP protocol. The postoperative recovery was good, and the patient was regularly followed up for 12 months after the operation. The patient's condition was stable, and CT showed no abnormally high metabolism in the operation area indicating the inhibition of tumor activity, superficial lymph nodes and peripheral blood cells were normal. The case encountered many difficulties in the diagnosis process, and the diagnosis was not confirmed after puncture in two Grade III Class A hospitals in China. There are few patients with primary thyroid diffuse large B-cell lymphoma complicated with Hashimoto's thyroiditis, and it is particularly rare to invade the mediastinum. There is no report in China and abroad in the literature we reviewed. Therefore, this article reports the case and retrospectively analyzes the etiology, clinical symptoms, diagnosis and treatment of primary thyroid lymphoma.

Dual growth factor-modified microspheres nesting human-derived umbilical cord mesenchymal stem cells for bone regeneration.

BACKGROUND: Modular tissue engineering (MTE) is a novel "bottom-up" approach that aims to mimic complex tissue microstructural features. The constructed micromodules are assembled into engineered biological tissues with repetitive functional microunits and form cellular networks. This is emerging as a promising strategy for reconstruction of biological tissue. RESULTS: Herein, we constructed a micromodule for MTE and developed engineered osteon-like microunits by inoculating human-derived umbilical cord mesenchymal stem cells (HUMSCs) onto nHA/PLGA microspheres with surface modification of dual growth factors (BMP2/bFGF). By evaluating the results of proliferation and osteogenic differentiation ability of HUMSCs in vitro, the optimal ratio of the dual growth factor (BMP2/bFGF) combination was derived as 5:5. In vivo assessments showed the great importance of HUMSCs for osteogneic differentiation. Ultimately, direct promotion of early osteo-differentiation manifested as upregulation of Runx-2 gene expression. The vascularization capability was evaluated by tube formation assays, demonstrating the importance of HUMSCs in the microunits for angiogenesis. CONCLUSIONS: The modification of growth factors and HUMSCs showed ideal biocompatibility and osteogenesis combined with nHA/PLGA scaffolds. The micromodules constructed in the current study provide an efficient stem cell therapy strategy for bone defect repair.

Droplet Characteristics at the Maximum Adhesion on Curved Surfaces.

For applications involving droplet detachment from solid surfaces, it is vital to study the droplet characteristics (e.g., contact angle and base width) when the droplet is experiencing the maximum force that detaches the droplet (maximum adhesion state). Historically, such investigations were mainly conducted on flat two-dimensional surfaces and the characteristics on curved surfaces with the third dimension remain unknown. Thus, the generalized description of such characteristics has not been established yet. Here, by vertically pulling liquid droplets using a microbalance, we study the droplet characteristics at the maximum adhesion on curved homogeneous surfaces. Variables in this study include liquid surface tension, initial droplet base area, and the asymmetry in solid surface curvature. Results show that the contact angle is identical everywhere along the droplet perimeter on curved surfaces irrespective of the asymmetry in surface curvature. In addition, we found that the droplet base is nonaxisymmetric (not circular) at the maximum adhesion, opposing previous understanding that was formulated for flat surfaces. As a result, we propose a more generalized and quantitative description of the droplet characteristics at the maximum adhesion, derived from the component of the surface tension force acting along the droplet perimeter.

A rare case report of an solitary neurofibroma in postcricoid region of hypopharynx.

RATIONALE: Postcricoid neurofibroma is an extremely rare hypopharynx tumor that can be challenging in both diagnosis and treatment. This case sheds light on the possibility of treatment with transoral microsurgery before pursuing open cervical incisions. PATIENT CONCERNS: : A 43-year-old man presented with a four months history of a persistent foreign body sensation and mild dysphagia. Indirect and direct laryngoscopy at admission revealed a round and smooth submucosal mass in the postcricoid region. DIAGNOSIS: A laryngeal enhanced computed tomography and laryngoscopy suggested that the tumor located in hypopharynx, with clear boundary and slightly strengthened edge. A supporting laryngoscopy surgery was performed under general anesthesia and a biopsy confirmed solitary neurofibroma of the postcricoid region. INTERVENTIONS: The tumor was successfully resected en bloc transorally through supporting laryngoscope, and obviated the need for open cervical surgery and tracheostomy. OUTCOMES: The patient recovered well without any intraoperative or postoperative complication and was discharged from hospital 2 days after surgery. There was no recurrence after 6 months follow-up. LESSONS: Postcricoid neurofibroma is an extremely rare hypopharynx tumor that can be diagnostically challenging. To the best of our knowledge, this is the first case reported of solitary neurofibroma originating from the postcricoid region of the hypopharynx and was surgically removed with transoral surgery through supporting laryngoscope.

Mechanistic study on calcium ion diffusion into fayalite: A step toward sustainable management of copper slag.

Copper slag, which contains Fe-rich fayalite (Fe2SiO4), is a valuable solid waste that warrants further research in order to recover iron. Calcium oxide (CaO) can significantly enhance iron recovery from copper slag; however, the associated mechanism has not yet been explored. In this study, we investigated the interaction between CaO and Fe2SiO4 to obtain detailed understanding of the role of CaO in enhancing iron recovery. The presence of CaO was found to accelerate the decomposition of Fe2SiO4 via an ion-exchange-like process. Specifically, CaO dissociated into Ca(II) and a Ca-deficient Ca1-yO species at high temperatures. The Fe(II) ion at the M2 site of Fe2SiO4 was substituted by the released Ca(II) ion, resulting in the formation of [(Fe(2-x)Cax)SiO4]∙xFe(II). Subsequently, the substituted Fe(II) occupied the Ca vacancy in Ca1-yO to form (Ca(1-y)Fe(II)y)O. The disproportionation of Fe(II) and the combination reaction between CaO and the SiO2 separated from Fe2SiO4 led to the generation of the final products, viz. Fe2O3, Fe3O4, and CaSiO3. This study explains the specific role of CaO in decomposing Fe2SiO4. It would not only provide theoretical guidance for iron recovery from copper slag but also present a new perspective on the recycling of valuable resources from many other smelting slags (e.g., iron slag, lead slag, and nickel slag).

Tetrandrine partially reverses multidrug resistance of human laryngeal cancer cells.

OBJECTIVE: Studies have demonstrated that tetrandrine reverses multidrug resistance (MDR) in animal models or cell lines derived from multiple cancer types. We examined the potential MDR reversal activity of tetrandrine in a multidrug-resistant variant of a human laryngeal cancer Hep-2 cell line and explored potential mechanisms involved. METHODS: We developed the multidrug-resistant variant cell line (Hep-2/v) by exposing Hep-2 cells to stepwise increasing concentrations of vincristine (VCR). After Hep-2 or Hep-2/v cells were treated with tetrandrine (2.52 µg/mL), MDR was measured by MTT assay, rhodamine 123 retention was measured by flow cytometry, and mRNA and protein expression of multidrug resistance 1 (MDR1), regulator of G-protein signaling 10 (RGS10), high-temperature requirement protein A1 (HTRA1), and nuclear protein 1 (NUPR1) were detected by real-time reverse transcription-PCR and western blotting, respectively. RESULTS: Tetrandrine significantly lowered the half-maximal inhibitory concentration (IC50) of VCR in Hep-2/v cells, resulting in a 2.22-fold reversal of MDR. Treatment with tetrandrine increased rhodamine 123 retention, downregulated the mRNA and protein expression of MDR1 and RGS10, and upregulated expression of HTRA1 in Hep-2/v cells. CONCLUSION: We showed that tetrandrine exerts anti-MDR activity in Hep-2/v cells, possibly by inhibiting MDR1 overexpression-mediated drug efflux and by altering expression of HTRA1 and RGS10.

Multiple symmetric lipomatosis with secondary laryngeal obstruction: A case report.

INTRODUCTION: Multiple symmetric lipomatosis (MSL) is an uncommon medical condition characterized by symmetric fat accumulation mainly in the neck and other upper body regions. The involvement of the larynx is rare according to the literature, and we present a case of MSL with larynx involvement treated with a surgical approach. PATIENT CONCERNS: A 55-year-old male was admitted to our hospital due to progressively aggravated breathing difficulty, and tracheotomy was performed before transfer. When he tried to block the cannula, the breathing difficulty returned. The patient's neck had been thickening for the past 2 years. DIAGNOSIS: Pathological examination confirmed the diagnosis of MSL. INTERVENTIONS: The patient underwent lumpectomy and neck exploration. OUTCOMES: The lipoma was removed, the patient was free of any dyspnea symptoms and recovered well, and the tracheal cannula was removed at a local hospital. CONCLUSION: MSL can infiltrate the larynx and grow into the preepiglottic space and paraglottic spaces, resulting in breathing difficulties. Lipomas present in the spaces described above must be removed at the same time; otherwise, symptoms of dyspnea cannot be alleviated.

Integrated analysis revealing genome-wide chromosomal copy number variation in supraglottic laryngeal squamous cell carcinoma.

Laryngeal squamous cell carcinoma (LSCC) is a genetically complex tumor type and one of the leading causes of cancer-associated disability and mortality. Genetic instability, such as chromosomal instability, is associated with the tumorigenesis of LSCC. Copy number variations (CNVs) have been demonstrated to contribute to the genetic diversity of tumor pathogenesis. Comparative genomic hybridization (CGH) has emerged as a high-throughput genomic technology that facilitates the aggregation of high-resolution data of cancer-associated genomic imbalances. In the present study, a total of 38 primary supraglottic LSCC cases were analyzed by high-resolution array-based CGH (aCGH) to improve the understanding of the genetic alterations in LSCC. Additionally, integration with bioinformatic analysis of microarray expression profiling data from the Gene Expression Omnibus (GEO) database provided a fundamental method for the identification of putative target genes. Genomic CNVs were detected in all cases. The size of net genomic imbalances per case ranged between a loss of 682.3 Mb (~24% of the genome) and a gain of 1,958.6 Mb (~69% of the genome). Recurrent gains included 2pter-q22.1, 3q26.1-qter, 5pter-p12, 7p22.3p14.1, 8p12p11.22, 8q24.13q24.3, 11q13.2q13.4, 12pter-p12.2, 18pter-p11.31 and 20p13p12.1, whereas recurrent losses included 3pter-p21.32, 4q28.1-q35.2, 5q13.2-qter, 9pter-p21.3 and monosomy 13. Gains of 3q26.1-qter were associated with tumor stage, poor differentiation and smoking history. Additionally, through integration with bioinformatic analysis of data from the GEO database, putative target oncogenes, including sex-determining region Y-box 2, eukaryotic translation initiation factor 4 gamma 1, fragile X-related gene 1, disheveled segment polarity protein 3, defective n cullin neddylation 1 domain containing 1, insulin like growth factor 2 mRNA binding protein 2 and CCDC26 long non-coding RNA, and tumor suppressor genes, such as CUB and sushi multiple domains 1, cyclin dependent kinase inhibitor 2A, protocadherin 20, serine peptidase inhibitor Kazal type 5 and Nei like DNA glycosylase 3, were identified in supraglottic LSCC. Supraglottic LSCC is a genetically complex tumor type and aCGH was demonstrated to be effective in the determination of molecular profiles with higher resolution. The present results enable the identification of putative target oncogenes and tumor suppressor gene mapping in supraglottic LSCC.

Selective adsorption of a high-performance depressant onto dolomite causing effective flotation separation of magnesite from dolomite.

This research focused on the adsorption features and depression mechanism of 1-hydroxyethylene-1,1-diphosphonic acid (HEDP) used as a novel dolomite depressant on dolomite and magnesite surfaces, to extend the application of HEDP for the selective flotation of magnesite from dolomite. The depression impacts of HEDP on the flotation behaviors of the two minerals were investigated through micro-flotation tests. The flotation results indicated that, when sodium oleate (NaOl) was used as the collector, HEDP displayed an outstanding depression effect on the dolomite flotation, whereas it had only a slight influence on the magnesite flotation. Dolomite and magnesite could be efficiently separated at approximately pH 10 with a reagent scheme of 200 mg/L HEDP and 120 mg/L NaOl. The selective depression mechanism of HEDP for dolomite was revealed using contact angle, X-ray photoelectron spectroscopy (XPS), zeta potential, and infrared spectrum (IR) analyses. The results from the contact angle tests indicated that HEDP selectively reduced the surface hydrophobicity of dolomite in the NaOl system. Besides, zeta-potential measurements and IR analyses revealed that the addition of HEDP prior to NaOl had no significant impact on the adsorption of NaOl onto magnesite; however, this addition strongly prevented NaOl from being adsorbed onto dolomite, resulting in a significant difference in the flotation performances of the two minerals. Furthermore, crystal chemistry calculations and XPS analyses confirmed that the strong adsorption of HEDP on the dolomite surface could be attributed to the interaction between the HEDP electron-rich groups and the calcium species exposed to dolomite. Thus, HEDP could be used as a high-performance depressant for the dolomite flotation to realize the decalcification of the magnesite flotation.

Isothermal Coal-Based Reduction Kinetics of Fayalite in Copper Slag.

The coal-based reduction of fayalite was characterized using thermogravimetric (TG) and differential TG methods with reduction temperatures from 1123 to 1273 K. The results of fayalite isothermal reduction indicate that the reduction process is divided two stages. The corresponding apparent activation energy E was gained using the isoconversional and model-fitting methods. At the first stage, the effect of temperature on the reduction degree was not clear, and the phase boundary chemical reaction was the controlling step, with an apparent activation energy E value of 175.32-202.37 kJ·mol-1. At the second stage, when the temperature was more than 1123 K, the conversion degree and the reaction rate increased nonlinearly with increasing temperature, and two-dimensional diffusion, three-dimensional diffusion, one-dimensional diffusion, and phase boundary-controlled reaction were the controlling stages, with an apparent activation energy E ranging from 194.81 to 248.96 kJ·mol-1. For the whole reduction process, the average activation energy E and pre-exponential factor A were 185.07-225.67 kJ·mol-1 and 0.796-0.797 min-1, respectively.

Mechanical property and structural evolution of alkali-activated slag-phosphate mine tailings mortars.

The present work studies consolidation of phosphate mine tailings through alkaline activation process with the addition of slag for adjusting the gel structure. As increasing slag contents in the raw materials, more (Na,K)2O-CaO-Al2O3-SiO2-H2O (C-A-S-H) and (Na,K)2O-Al2O3-SiO2-H2O (N-A-S-H) gels were formed in the mine tailings-based mortars. Compressive strength of the mortars increased as increasing the slag contents from 0 to 40%, and then it kept a plateau. Evolution in microstructure of these mortars were characterized through scanning electron microscopy (SEM), X-ray diffraction (XRD) and nuclear magnetic resonance (NMR) measurements. The study provides fundamentals for the co-disposal of phosphate mine tailings with blast furnace slag through alkaline activation process.

Contact Line and Adhesion Force of Droplets on Concentric Ring-Textured Hydrophobic Surfaces.

Advances made in fabrication of patterned surfaces with well-defined dimensions of topographic features and their lateral dissemination drive the progress in interpretation of liquid spreading, adhesion, and retreat on engineered solid surfaces. Despite extensive studies on liquid droplet spreading and adhesion on textured surfaces in recent years, conformation of the three-phase contact line and its effect on macroscopic contact angle and droplet adhesion remain the focus of intensive debate. Here, we investigate the effect of surface topography on the adhesion force of Cassie-Baxter-state droplets on concentric ring-textured hydrophobic surfaces having rings with lateral dimensions of 5, 10, and 45 µm and separated by 5, 6, and 7 µm trenches, respectively, with fixed depth of 15 µm. Unlike mostly tested surfaces textured with straight ridges, pores, and pillars, where the droplet base contact line is anisotropic and its conformation varies along the apparent boundary, concentric rings are symmetrical and reinforce the microscopic contact line to align to a circular one that reflects the shape of the pattern. In this study, adhesion forces were calculated based on surface tension and Laplace pressure forces and were compared with the experimental forces for both water and ethylene glycol droplets having a varying contact diameter on the concentric ring-pattern at the point of maximum adhesion force. Results show that the microscopic contact line of the liquid retains its circular shape controlled by circular rings of the pattern, irrespectively of the droplet base diameter larger than 0.8 mm, and there is a good agreement between the experimental and calculated adhesion forces.

Pepsin promotes laryngopharyngeal neoplasia by modulating signaling pathways to induce cell proliferation.

Pepsin plays an important role in laryngopharyngeal reflux (LPR), a risk factor for the development of hypopharyngeal squamous cell carcinomas (HPSCC). However, the role of pepsin in HPSCC is not clear. We show by immunohistochemistry that pepsin positivity occurs in a significant proportion of human primary HPSCC specimens, and in many cases matched adjacent uninvolved epithelia are negative for pepsin. Pepsin positivity is associated with nodal involvement, suggesting that pepsin may have a role in metastasis. Treatment of FaDu cancer cells with pepsin increased cell proliferation, possibly by inducing G1/S transition. We also observed significant changes in expression of genes involved in NF-kappaB, TRAIL and Notch signaling. Our data suggest that pepsin plays an important role in HPSCC and that targeting pepsin could have potential therapeutic benefits.

Failure of standard methods for retrieving an unusual foreign body in esophagus: A case report.

RATIONALE: The ingestion of a foreign body (FB) with complete impaction of the esophagus is not common. Here we report a rare case of successful retrieval of a spherical stone in the esophagus of a man with mental retardation, using gallbladder grasping forceps and rigid endoscope. PATIENT CONCERNS: A mental retarded man came to the emergency department presenting with recurrent nausea, vomiting, and dysphagia after swallowing a spherical stone. He had previously undergone an FB extraction under general anesthesia by fiberoptic esophagoscopy, which failed. DIAGNOSIS: The diagnosis of FB ingestion was confirmed by anteroposterior plain film x-ray of the chest and chest computed tomography (CT), which showed the ingested spherical FB in the upper esophagus. INTERVENTIONS: After multiple failed attempts using other instruments, the FB was successfully removed with gallbladder grasping forceps through a rigid esophagoscope. OUTCOMES: The patient was discharged without any complications. The nasogastric tube was extubated at the 10-day follow-up. LESSONS SUBSECTIONS AS PER STYLE: For esophageal retrieval of uncommon FBs, the instrument used is crucial. We report our experience retrieving a large and spherical FB in the upper esophagus using gallbladder grasping forceps. This proved to be an effective strategy, eliminating the need for thoracotomy.

Improvement Effect of FeSO4·7H2O on Flotation Separation of Scheelite from Fluorite.

In this study, FeSO4·7H2O was used as an auxiliary depressant to improve the selective depression effect on fluorite. Microflotation tests using oleic acid as the collector showed that the pre-addition of FeSO4·7H2O and subsequent addition of sodium silicate (SS) resulted in a stronger selective depression effect on fluorite compared with SS alone. Addition of FeSO4·7H2O reduced the required dosage of SS and had little negative effects on scheelite recovery. The selective depression mechanism of FeSO4·7H2O was investigated in detail. X-ray photoelectron spectroscopy indicated that the difference in the number of surface active sites was the mechanism for improved differential flotation of scheelite from fluorite. The improved depression of fluorite was attributed to both ferrous and sulphate ions. The pre-adsorption of ferrous species increased the number of active sites, enhancing the adsorption of silicate species on the fluorite surface. Simultaneously, sulfate ions were selectively adsorbed on the fluorite surface to form hydrophilic calcium sulfate, reducing the floatability of fluorite.

Association Between Matrix Metalloproteinase-1, 2, 3 Polymorphisms and Oral Cancer Risk: A Meta-Analysis.

PURPOSE: Numerous studies have estimated the association between matrix metalloproteinases (MMPs) polymorphisms and the risk of oral cancer; the results, however, are inconsistent and conflicting. Therefore, we conducted a meta-analysis to evaluate the association of MMP-1, 2, and 3 polymorphisms with oral cancer risk. METHODS: A computerized literature search was conducted of electronic databases and search engines. Odds ratios (OR) and 95% confidence intervals (CI) were calculated for each gene, and the heterogeneity among studies was estimated using the Q-test and I2 values. Overall and subgroup analyses were undertaken. Statistical analyses were conducted using Review Manager v5.3 and Stata v12.0 software. RESULTS: Eighteen studies were included in this meta-analysis. For MMP-1(-1607) 1G/2G, a significant association was observed using the recessive genetic model (OR = 1.47; 95% CI = 1.14-1.91; I2 = 64%, pheterogeneity = 0.003). In the subgroup studies, a significant association was observed in the Asian subgroup (OR = 1.68; 95% CI = 1.42-1.99; I2 = 17%, pheterogeneity = 0.30 for the recessive model; and OR = 1.59; 95% CI = 1.19-2.13; I2 = 80%, pheterogeneity < 0.00001 for the allelic contrast model) and in the European subgroup (OR = 0.65; 95% CI = 0.44-0.98; I2 = 21%, pheterogeneity = 0.26 for the allelic contrast model). No significant associations were observed with either MMP-2(-1306) C/T or MMP-3(-1171) 5A/6A. CONCLUSIONS: The MMP-1(-1607) 1G/2G polymorphism is associated with oral cancer risk, and the 2G allele played different roles in Asian and European populations.

Indocyanine Green-Loaded Gold Nanoflowers@Two Layers of Silica Nanocomposites for Photothermal and Photodynamic Therapy of Oral Carcinoma.

Both photothermal therapy (PTT) and photodynamic therapy (PDT) are phototherapeutic approaches, which have been widely investigated for cancer therapy mediated by near infrared (NIR) light irradiation. Here, we successfully constructed a single-light triggered indocyanine green (ICG)-loaded gold nanocomposites which were composed of gold nanoflower core/two layers silica shell (AuNFs@SiO2@mSiO2-ICG) for enhanced PDT/PTT synergistic effect to oral carcinoma. The AuNFs@SiO2@mSiO2-ICG nanocomposites had no obviously cytotoxicity and could effectively arrest Cal27 cells in the G1 phase. Moreover, the conjugation of ICG caused significantly higher reactive oxygen species (ROS) productivity and apoptotic Cal27 cells compared to free ICG or free AuNFs@SiO2@mSiO2. In this study, compared with PTT or PDT alone, synchronous PTT and PDT produced by AuNFs@SiO2@mSiO2-ICG under NIR light irradiation induced enhanced Cal27 cells lethality in vitro and tumor growth inhibition in vivo, which might be a promising strategy for cancer treatment.