Invasive stratified mucin-producing carcinoma(ISMC)is a recently described histologic variant of high-risk human papillomavirus(HPV)-associated endocervical adenocarcinoma,as the putative invasive counterpart of the s...Invasive stratified mucin-producing carcinoma(ISMC)is a recently described histologic variant of high-risk human papillomavirus(HPV)-associated endocervical adenocarcinoma,as the putative invasive counterpart of the stratified mucin-producing intraepithelial lesion(SMILE).ISMC can display variable architectural patterns and usually coexists with other more conventional types of HPV-associated carcinomas,which makes diagnosis and differential diagnosis of ISMC is difficult for pathologists.Moreover,the prognosis of ISMC is still controversial.We analyzed 6 ISMCs with detailed pathological and clinical information.Intraepithelial lesion,including 1 high-grade squamous intraepithelial lesion and 1 SMILE,was found.Various architectures were observed(including nest,glandular,solid,trabecular,and single cell).Nuclear peripheral palisading,apoptotic bodies and mitoses,and variable cytoplasmic mucin vacuoles were seen in all of our cases.The predominance of neutrophils infiltration was seen in only 1 tumor.All the tumors infiltrated the cervical stroma in Silva pattern C manner.p63 and/or p40 was characteristically expressed in the peripheral cells in only 2 cases.High-risk HPV infection was observed in 3/3 detected cases.All the patients were alive during the follow-up time.Recognition of this infrequent tumor may help pathologists and oncologists for an accurate diagnosis and a better understanding of the clinicopathological behavior.展开更多
Focusing on the Shuixiakou Section(Xikou area,Zhen’an County,Shaanxi Province,southeastern Qinling region,China),the Roadian-Wordian conodonts are investigated.More than 2000 conodont elements including 6 genera and ...Focusing on the Shuixiakou Section(Xikou area,Zhen’an County,Shaanxi Province,southeastern Qinling region,China),the Roadian-Wordian conodonts are investigated.More than 2000 conodont elements including 6 genera and 14 species have been obtained.Based on these materials,the Guadalupian Jinogondolella nankingensis and J.aserrata zones have been recognized.The Roadian-Wordian boundary is tentatively defined by the first occurrence of J.aserrata in the lower part of UnitⅢin the Shuixiakou Formation.The sedimentary succession of Xikou area records similar sea-level changes to those observed in Laibin area(South China).The 40 m-thick bioclastic limestone of UnitⅣin this section can be correlated with the reefs of Bed 114 in Laibin area.A temperature drop indicated byδ18Oapatite values suggests this Wordian interval coincides with a period of glaciation and global regression.展开更多
基金the Scientific Research Funds Project of the Science and Technology Department of Sichuan Province(Grant No.21YYJC1616 to Liu Y).
文摘Invasive stratified mucin-producing carcinoma(ISMC)is a recently described histologic variant of high-risk human papillomavirus(HPV)-associated endocervical adenocarcinoma,as the putative invasive counterpart of the stratified mucin-producing intraepithelial lesion(SMILE).ISMC can display variable architectural patterns and usually coexists with other more conventional types of HPV-associated carcinomas,which makes diagnosis and differential diagnosis of ISMC is difficult for pathologists.Moreover,the prognosis of ISMC is still controversial.We analyzed 6 ISMCs with detailed pathological and clinical information.Intraepithelial lesion,including 1 high-grade squamous intraepithelial lesion and 1 SMILE,was found.Various architectures were observed(including nest,glandular,solid,trabecular,and single cell).Nuclear peripheral palisading,apoptotic bodies and mitoses,and variable cytoplasmic mucin vacuoles were seen in all of our cases.The predominance of neutrophils infiltration was seen in only 1 tumor.All the tumors infiltrated the cervical stroma in Silva pattern C manner.p63 and/or p40 was characteristically expressed in the peripheral cells in only 2 cases.High-risk HPV infection was observed in 3/3 detected cases.All the patients were alive during the follow-up time.Recognition of this infrequent tumor may help pathologists and oncologists for an accurate diagnosis and a better understanding of the clinicopathological behavior.
基金supported by the National Natural Science Foundation of China(Nos.41572002,41830320,and 41661134047)。
文摘Focusing on the Shuixiakou Section(Xikou area,Zhen’an County,Shaanxi Province,southeastern Qinling region,China),the Roadian-Wordian conodonts are investigated.More than 2000 conodont elements including 6 genera and 14 species have been obtained.Based on these materials,the Guadalupian Jinogondolella nankingensis and J.aserrata zones have been recognized.The Roadian-Wordian boundary is tentatively defined by the first occurrence of J.aserrata in the lower part of UnitⅢin the Shuixiakou Formation.The sedimentary succession of Xikou area records similar sea-level changes to those observed in Laibin area(South China).The 40 m-thick bioclastic limestone of UnitⅣin this section can be correlated with the reefs of Bed 114 in Laibin area.A temperature drop indicated byδ18Oapatite values suggests this Wordian interval coincides with a period of glaciation and global regression.
