Tubular apocrine adenoma with eccrine and apocrine immunophenotypes or papillary tubular adenoma?

A case of papillary tubular adenoma is reported. On microscopic examination the lesion, located on the scalp, showed a tubular-branching pattern, opening on the skin surface, and features of decapitation secretion. Immunohistochemical evidence of both eccrine and apocrine differentiation was found. This case, which on a clinicopathological basis alone could be classified as tubular apocrine adenoma, illustrates the difficulties in contrasting the latter to its eccrine counterpart (papillary eccrine adenoma) and suggests that the terms papillary tubular adenoma or tubulopapillary hidradenoma more accurately describe these lesions.     

Spiradenoma associated with apocrine adenoma component

We present a case of spiradenoma associated with an apocrine adenoma component. The transitions between the spiradenoma and apocrine adenoma components were gradual. It could be observed that the small dark cells seen at the peripheries of the cell nodules of the spiradenoma component were replaced by the peripheral flat myoepithelial cell layer in the apocrine component. Similarly, the large pale cells within the centers of the cell nodules of the spiradenoma component were replaced by the brightly eosinophilic secretory cells with decapitations secretion in the apocrine component of the tumor. The reported case proves that at least some spiradenomas are tumors with distinct apocrine instead of eccrine differentiation.     

Tubular adenoma of the gallbladder with spindle cell metaplasia

A simple mathematical homogeneous model of competition is used to describe Neanderthal extinction in Europe. It considers two interacting species, Neanderthals and Early Modern Men, in the same ecological niche. Using paleontological data we claim that the parameter of similarity, between both species, fluctuates between 0.992 and 0.997. An extension of the model including migration (diffusion) is also discussed; nevertheless, extinction of Neanderthal seems unavoidable. Numerical analysis of travelling wave solutions (fronts) confirms the extinction. The wave-front-velocity is estimated from linear analysis and numerical simulations confirm this estimation. We conjecture a mathematical formulation for the principle of exclusion between competitive interacting species (Gause).     

Immunohistochemical analysis of apocrine breast lesions. Consistent over-expression of androgen receptor accompanied by the loss of estrogen and progesterone receptors in apocrine metaplasia and apocrine carcinoma in situ

Apocrine phenotype is observed in a spectrum of breast epithelial lesions spanning from benign metaplasias to apocrine carcinoma. Apocrine metaplasia is a common finding in fibrocystic change of the female breast. In situ and invasive apocrine carcinomas are rare variants of ductal carcinoma. All breast apocrine lesions were shown to be associated with increased androgen hormones metabolism. We have evaluated 10 cases of apocrine metaplasia, 3 cases of in situ apocrine carcinoma and 10 cases of invasive apocrine carcinomas using immunostaining method for steroid hormone receptors (estrogen, progesterone, androgen), p53, bcl-2 and BRST-2. Paraffin embedded tissue and avidin-biotin peroxidase complex system were used. Androgen receptor (AR) expression is consistently increased in all cases of apocrine metaplasia when compared with surrounding normal, non-apocrine breast epithelium. This androgen receptor over-expression is accompanied by the loss of immuno-detectable estrogen and progesterone receptor, and also the loss of bcl-2. An identical pattern of immuno-reactivity is seen in in situ apocrine carcinomas, but it is observed with less frequency in invasive apocrine carcinomas, which only infrequently express AR as the only steroid hormone receptor.     

管状带式输送机的改造

针对管状带式输送机经常发生胀管、扭转、跑偏、叠管等故障的现状,分析设备的结构特点和发生故障的原因,开展技术改造,解决了故障频发的难题,提高了各项技术经济指标.     

Thyrotropin-secreting pituitary adenoma

Thyrotropin (TSH)-secreting pituitary adenoma (TSPA) is a rare cause of hyperthyroidism and detailed reports of this entity in Taiwan are uncommon. We report a patient with TSPA with symptoms of hyperthyroidism and describe the presentation, endocrine and histologic findings, and treatment. The patient, a 42-year-old man, presented with a 2-year history of weight loss, palpitation, anxiety, and bad temper. He had increased basal serum thyroxine (T4, 18.3 micrograms/dL) and triiodothyronine (T3, 250 ng/dL) concentrations. The TSH concentration was normal (4.6 microIU/mL) and showed impaired response to stimulation by TSH-releasing hormone. Tests for antithyroid antibodies were negative. Thyroid scintigraphy showed mild thyroid enlargement. The thyroid uptake of radioactive iodine (131I) was high at 2 hours (34%) and 24 hours (63%) after 131I administration. Other serum hormone concentrations were within normal limits. Magnetic resonance imaging of the brain showed a microadenoma in the pituitary region. Octreotide and bromocriptine tests showed 78.4% and 58.3% inhibition of TSH, respectively. The patient underwent trans-sphenoidal pituitary tumor excision, and the symptoms of hyperthyroidism subsided after surgery. Six months after the operation, there was no evidence of recurrence of the tumor or symptoms of hyperthyroidism. Hormonal supplements were also not necessary. In conclusion, TSPA is a rare cause of hyperthyroidism. However, in patients with symptoms of hyperthyroidism and increased basal serum T1 and T3 concentrations, but normal or even elevated serum TSH concentrations, TSPA should be considered in the differential diagnosis.     

Multiple Moll''s gland cysts (apocrine hidrocystomas) of the eyelids

A 90-year-old man with a longstanding bilateral essential tremor presented with right-sided weakness of sudden onset. The CT scan of the brain showed a hypodense area in the left side of the pons consistent with an infarction. The paralysis disappeared without recurrence of the tremor on the right, but the tremor persisted on the left. It is likely that the fronto-rubro-spinal pathway had been interrupted at the level of the pons abolishing the tremor on the right side.     

Dermabrasion for adenoma sebaceum

Two patients with tuberous sclerosis but without mental retardation were dermabraded for adenoma sebaceum. The treatment was effective and cosmetically satisfying.     

Heterotopic pharyngeal hypophyseal adenoma

Juvenile fibroma, carcinoma and sarcoma are the most frequent tumors of the nasopharynx. Ontogenetic tumors that originate from the base of the skull are found very rarely. The case reported deals with a heterotopic pharyngeal pituitary adenoma, that started growing from the epipharynx.     

Bilateral deoxycorticosterone-secreting adrenocortical adenoma

A case of a 58-year-old man with bilateral deoxycorticosterone (DOC)-secreting adrenocortical adenoma is reported. Before surgery, plasma levels of DOC and corticosterone were markedly elevated, but both adrenal hormone levels normalized after the surgical removal of the bilateral adrenal tumors. The histologic examination revealed bilateral adrenocortical adenoma, but curiously, the tissue concentrations of DOC and corticosterone were elevated only in the right adrenal gland.     

管状钯膜的研究进展

钯膜的发展经历了从最初的纯钯膜、钯合金膜(主要为钯银、钯钇合金)到目前备受关注并具有良好应用前景的钯及钯基复合膜(如多孔陶瓷、多孔不锈钢基体等).但仍有很多方面值得去改进.综述近年来国内外制备管状钯膜技术的研究进展状况,着重介绍了管状钯合金膜的种类,制备技术及新的改进技术.并对钯基合金膜存在的技术问题及其发展方向进行了讨论.只有从开发新的加工方法,载体的活化.密封以及钯膜使用工艺条件等方面综合考虑,才能使钯膜发挥它的真正的优越性.     

Filamentary and Tubular Silicon Carbide Nanocrystals

Filamentary crystals and nanotubes of 3C-SiC containing -SiC are prepared. The nanostructures of SiC are synthesized from a mixture of hydrocarbons, chlorosilane and hydrogen in the presence of iron (Fe(CO)₅) at 1250° C. The average nanofilament diameter is 30 nm. The nanotube diameter ranges from 10 to 200 nm.__________Translated from Poroshkovaya Metallurgiya, Nos. 1–2(441), pp. 3–7, January–February, 2005.     

膨胀管道的有限元仿真分析研究

膨胀管技术是二十一世纪石油钻采行业中最有发展前景的一项技术.利用有限元分析软件对于膨胀管的整个膨胀过程进行分析,从分析所得出的数据来寻找膨胀工具模角与膨胀变形力之间的关系,进而为设计膨胀工具及制定膨胀工艺参数提供合理的理论依据.     

Adrenocortical adenoma producing 18-hydroxycorticosterone

Hereditary hydronephrosis is a rare condition but several families are described in the literature. The inheritance pattern is autosomal dominant (McKusick number 143400) but the exact aetiology of the hydronephrosis is not clear. However, linkage with the HLA region on chromosome six has been shown previously. We report a family not showing linkage to this region, giving further evidence of genetic heterogeneity in this condition.     

Treatment of pituitary adenoma]

RECOMMENDED TREATMENTS: The different therapeutic strategies proposed for pituitary adenomas are relatively well-known thanks to numerous studies evaluating their effect on outcome. Unfortunately, large comparative clinical trials are difficult to construct due to the small number of cases of this rare condition. Therapeutic recommendations are thus generally based on the opinion of recognized experts. MICROADENOMA: Small (< 10 mm) prolactin-secreting adenomas should be treated surgically, generally by transsphenoidal adenomectomy, or medically by dopaminergic agonists: bromocriptin, quinagolide or cabergolin (the two latter drugs are more effective and better tolerated than their parent compound bromocriptin). MACROADENOMA: The expected success rate for surgical treatment of macroadenomas is low and dopaminergic agonists is generally recommended (including cases with visual impairment since the effect can be very rapid). Prolactin levels can be lowered and tumor volume reduced (in > 70% of cases). ACROMEGALY: Surgery is the firs intention treatment for acromegaly. In case of unsuccessful surgery (the criteria for "cure" are much more strict in 1998 than previously), somatostatin analog and/or hypothalamo-hypophyseal radiotherapy are recommended. Slow release formulations of somatostatin analogs can now be given by monthly (octreotide LP) or biweekly (lanreotide LP) injections. CUSHING'S DISEASE: Cure can be achieved in > 80% of cases with surgery, the first intention treatment of choice. If surgery is unsuccessful, radiotherapy can be proposed associated with anticortisol drugs (mitotane), if needed, while waiting for the late effect of radiotherapy. CLINICALLY SILENT ADENOMAS: Non-functional adenomas should be operated. Some propose adjuvant radiotherapy in all cases and others only if residual tissue persists post-operatively.