Endoscopic treatment of submucosal invasive colorectal carcinoma with special reference to risk factors for lymph node metastasis

A clinicopathological analysis of the risk factors for lymph node metastasis was performed in 177 patients with submucosal invasive colorectal carcinoma (CRC). The submucosal deepest invasive portion was histologically subclassified as well (W), moderately (M), or poorly (Por) differentiated. M type was further subdivided into moderately-well (Mw) and moderately-poorly (Mp) differentiated. The pattern of tumor growth was classified as polypoid growth (PG) and non-polypoid growth (NPG). Lymph node metastasis was detected in 21 (12%) of the 177 patients. Macroscopically, type IIc and IIa + IIc lesions showed a significantly higher incidence of lymph node metastasis (44% and 30%) than type IIa and I (4% and 8%). Regarding the histologic subclassification, Por and Mp lesions showed a significantly higher incidence of lymph node metastasis (67% and 37%) than W and Mw lesions (4% and 14%). NPG tumors showed a significantly higher incidence of lymph node metastasis (29%) than PG tumors (7%). The depth of submucosal invasion and lymphatic invasion (ly) were also significantly correlated with the incidence of lymph node metastasis (submucosal scanty (sm-s) invasion 4%, massive invasion 20%; ly(+) 23%, ly(-) 5%). None of the lesions with both sm-s invasion and of W or Mw type showed lymph node metastasis. These results indicate that submucosal invasive CRC with both sm-s invasion and of W or Mw type, which shows no ly, is the appropriate indication for endoscopic curative treatment.     

Malignant histiocytosis-like B-cell lymphoma, a distinct pathologic variant of intravascular lymphomatosis: a report of five cases and review of the literature

Malignant histiocytosis (MH)-like B-cell lymphoma (BCL) is a neoplastic proliferation of large B cells clinically characterized by fever, hepatosplenomegaly, haemophagocytosis and abnormal laboratory data, without lymphadenopathy or skin lesions. Interestingly, most cases have been reported in Asian patients, and it is unclear whether MH-like BCL is biologically distinct from conventional large B-cell lymphomas. We report five Japanese patients with MH-like BCL. Biopsied specimens of bone marrow, liver and/or spleen showed infiltration of neoplastic B cells accompanied by haemophagocytosing histiocytes. Lymphoma cells were positive for CD19, CD20 and HLA-DR surface antigens, and negative for CD5 and CD10. In four cases elevated serum levels of interleukin (IL)-6 and the soluble IL-2 receptor isoform were noted, but not IL-1beta, IL-2 or tumour necrosis factor-alpha. Autopsies of two cases were pathologically diagnosed as intravascular lymphomatosis (IVL). Based on these observations, the current and nine previous cases reported as MH-like BCL in Japan were re-evaluated. They appear to form a peculiar variant of IVL, characterized by bone marrow involvement at presentation, haemophagocytic syndrome, and a rapidly aggressive clinical course, but rarely neurological complications or skin lesions. This variant may merit separate consideration because of the problems posed in the initial diagnosis and therapeutic approaches.     

Study of cysteine residues in the {alpha} subunit of Escherichia coli tryptophan synthase. 2. Role in enzymatic function

To understand the functional roles of Cys residues in the subunitof tryptophan synthase from Escherichia coli, single mutantsof the subunit, in which each of the three Cys residues wassubstituted with Ser, Gly, Ala or Val, were constructed by site-directedmutagenesis. The effects of the substitutions on the functionof tryptophan synthase were investigated by activity measurements,calorimetric measurements of association with the ßsubunit and steadystate kinetic analysis of catalysis. Althoughthe three Cys residues are located away from the apparentlyimportant parts for enzymatic activity, substitutions at position81 by Ser, Ala or Val caused decreases in the intrinsic activityof the subunit. Furthermore, Cys81Ser and Cys81Val reducedstimulation activities in the and ß reactions dueto formation of a complex with the ß subunit. Thelower stimulation activities of the mutant proteins were notcorrelated with their abilities to associate with the ßsubunit but were correlated with decreases in k_cat. The presentresults suggest that position 81 plays an indirectly importantrole in the activity of the subunit itself and the mutual activationmechanism of the complex.     

Spark-Plasma-Sintering Condition Optimization for Producing Transparent MgAl2O4 Spinel Polycrystal

By controlling the heating rate at <10°C/min during spark-plasma-sintering (SPS) processing, transparent polycrystalline spinel with an in-line transmission of 50% and 70% in the visible- and infrared-wavelengths, respectively, can be successfully fabricated for only a 20-min soak at 1300°C. The high transmission can be attained by reducing the residual porosity and pore size, which was achieved by the low-heating rate. At high heating rates, many closed pores are formed due to the high densification rate during the heating process and remain as large pores around grain junctions. At temperatures >1300°C, the coalescence of the residual pores and the precipitation of second phases, which are caused by rapid grain growth, degrade the transparency. The present study demonstrates that although the high heating rates have been regarded as a primary advantage for the SPS processing, the low heating rate is highly effective in attaining a high transparency in the spinel even at low temperatures and for short sintering times.     

Measurements of neutronic characteristics of rectangular and cylindrical coupled hydrogen moderators

Extensive simulation calculations were performed in the design studies of the coupled hydrogen moderator for the pulsed spallation neutron source of the Japan Proton Accelerator Research Facility (J-PARC). It was indicated that a para-hydrogen moderator had an intensity-enhanced region at the fringe part, and that pulse shapes emitted from a cylindrical para-hydrogen moderator gave higher pulse-peak intensities with narrower pulse widths than those from a rectangular one without penalizing the time-integrated intensities. To validate the peculiar distribution and advantages in pulse shapes experimentally, some measurements were performed at the neutron source of the Hokkaido University electron linear accelerator facility. It was observed that the neutron intensity was enhanced at edges of the para-hydrogen moderators, whereas it decreased at the same part of the ortho-rich-hydrogen moderator, where the dimension of those moderators was 50 mm in thickness and 120 mm in width and height. The spatial distribution and pulse shapes were also measured for a cylindrical coupled para-hydrogen moderator that has the same dimensions as for the coupled moderator employed for J-PARC. The measured results from the cylindrical moderator were consistent with the results obtained in the design studies for the moderator for J-PARC.     

Writable and erasable PPV medium by irradiation at 365 nm

Dopings of vaporized cis-1,2-dicyano-1,2-bis(2,4,5-trimethyl-3-thienyl) ethane (CMTE) into poly(methyl methacrylate) (PMMA), polystyrene, and polycarbonate were performed by a vacuum process, and the doping behaviors of CMTE were evaluated. Among the matrix polymers, PMMA was dispersed CMTE densely in its surface region. By using the CMTE-doped PMMA, we could fabricate a novel rewritable medium: a multi-layered film was prepared from over-coating of CMTE-doped PMMA onto poly(p-phenylene vinylene) (PPV) film, which set on a transparent substrate. Image storage could be performed upon irradiation at 365 nm at the side of CMTE/PMMA layer: color of the irradiated area changed a light yellow to a red due to photo-isomerization of CMTE. Next, upon irradiation at 365 nm at the side of the transparent substrate, PPV emitted a green fluorescence at around 530 nm, and the CMTE absorbed the emission from PPV causing image-erasure based on back-isomerization of CMTE.     

Effect of loading schedule on densification of MgAl2O4 spinel during spark plasma sintering (SPS) processing

An increase in the loading temperature during SPS processing can reduce the residual porosity in a spinel and thus attain a high transmission even at the high heating rate of 100 °C/min. This suggests that load controlling is an important factor as well as the heating rate and sintering temperature. Although the transmission is lower than the maximum value attained at the low heating rates of <10 °C/min, the loading schedule optimization enables utilization of the high heating rate processing that is a primary advantage of the SPS technique.