Carcinoma Showing Thymus-like Differentiation (CASTLE) with Synchronous Papillary Thyroid Carcinoma: A Case Report and Review.

Carcinoma showing thymus-like differentiation (CASTLE) is a rare malignant tumor that accounts for 0.1%-0.15% of all thyroid cancers. More than half of the patients have tumor extension to adjacent organs, including the recurrent laryngeal nerve, trachea, and esophagus. The diagnosis of CASTLE is based on histology and immunohistochemistry. A 58-year-old female patient complained of hoarseness for one and half years. Right side vocal cord palsy was diagnosed by fiberscopy. Thyroid sonography revealed right thyroid tumors, which were reported to be papillary thyroid carcinoma through FNAC. Total thyroidectomy with central lymph node dissection was performed. Pathologist found 2 isolated malignancy tumors. One patient in the right thyroid lobe had papillary thyroid carcinoma features. The other extrathyroid tumor seemed to be separated from the first tumor and invaded the thyroid capsule. After multiple immunohistochemical studies, PTC synchronous CASTLE was the final diagnosis. Coexisting PTC and CASTLE is very rare. This is the first report to describe a case showing PTC at first, while subsequent pathologic examination revealed the presence of CASTLE in addition to PTC. Since the prognosis of CASTLE is favorable, the treatment is different from other aggressive thyroid cancers, such as poorly differentiated or anaplastic thyroid carcinoma.

Energy transfer of highly vibrationally excited 2-methylnaphthalene: Methylation effects.

The methylation effects in the energy transfer between Kr atoms and highly vibrationally excited 2-methylnaphthalene in the triplet state were investigated using crossed-beam/time-sliced velocity-map ion imaging at a translational collision energy of approximately 520 cm(-1). Comparison of the energy transfer between naphthalene and 2-methylnaphthalene shows that the difference in total collisional cross section and the difference in energy transfer probability density functions are small. The ratio of the total cross sections is sigma(naphthalene): sigma(methylnaphthalene)=1.08+/-0.05:1. The energy transfer probability density function shows that naphthalene has a little larger probability at small T-->VR energy transfer, DeltaE(u)<300 cm(-1), and 2-methylnaphthalene has a little larger probability at large V-->T energy transfer, -800 cm(-1)

Energy transfer of highly vibrationally excited naphthalene. II. Vibrational energy dependence and isotope and mass effects.

The vibrational energy dependence, H and D atom isotope effects, and the mass effects in the energy transfer between rare gas atoms and highly vibrationally excited naphthalene in the triplet state were investigated using crossed-beam/time-sliced velocity-map ion imaging at various translational collision energies. Increase of vibrational energy from 16 194 to 18 922 cm(-1) does not make a significant difference in energy transfer. The energy transfer properties also remain the same when H atoms in naphthalene are replaced by D atoms, indicating that the high vibrational frequency modes do not play important roles in energy transfer. They are not important in supercollisions either. However, as the Kr atoms are replaced by Xe atoms, the shapes of energy transfer probability density functions change. The probabilities for large translation to vibration/rotation energy transfer (T-->VR) and large vibration to translation energy transfer (V-->T) decrease. High energy tails in the backward scatterings disappear, and the probability for very large vibration to translation energy transfer such as supercollisions also decreases.

Energy transfer of highly vibrationally excited naphthalene. I. Translational collision energy dependence.

Energy transfer between highly vibrationally excited naphthalene and Kr atom in a series of translational collision energies (108-847 cm(-1)) was studied separately using a crossed-beam apparatus along with time-sliced velocity map ion imaging techniques. Highly vibrationally excited naphthalene in the triplet state (vibrational energy: 16,194 cm(-1); electronic energy: 21,400 cm(-1)) was formed via the rapid intersystem crossing of naphthalene initially excited to the S(2) state by 266 nm photons. The collisional energy transfer probability density functions were measured directly from the scattering results of highly vibrationally excited naphthalene. At low collision energies a short-lived naphthalene-Kr complex was observed, resulting in small amounts of translational to vibrational-rotational (T-->VR) energy transfer. The complex formation probability decreases as the collision energy increases. T-->VR energy transfer was found to be quite efficient at all collision energies. In some instances, nearly all of the translational energy is transferred to vibrational-rotational energy. On the other hand, only a small fraction of vibrational energy is converted to translational energy. The translational energy gained from vibrational energy extend to large energy transfer (up to 3000 cm(-1)) as the collision energy increases to 847 cm(-1). Substantial amounts of large V-->T energy transfer were observed in the forward and backward directions at large collision energies.