Characterization of 500 Chinese patients with cervical esophageal cancer by clinicopathological and treatment outcomes

Objective: There are no comprehensive studies on survival outcomes and optimal treatment protocols for cervical esophageal cancer(CEC), due to its rare clinical prevalence. Our objective was to determine the relationship between pathological characteristics, treatment protocols, and survival outcomes in Chinese CEC patients.Methods: A total of 500 Chinese CEC patients were selected from our 500,000 esophageal and gastric cardia carcinoma database(1973–2018). There were two main groups: patients treated with surgery, and patients receiving non-surgical treatments(radiotherapy, radiochemotherapy, and chemotherapy). The Chi-square test and Kaplan–Meier method were used to compare the continuous variables and survival.Results: Among the 500 CEC patients, 278(55.6%) were male, and the median age was 60.9 ± 9.4 years. A total of 496 patients(99.2%) were diagnosed with squamous cell carcinoma. In 171(34.2%) patients who received surgery, 22(12.9%) had undergone laryngectomy. In 322(64.4%) patients who received non-surgical treatments, 245(76.1%) received radiotherapy. Stratified survival analysis showed that only T stage was related with survival outcomes for CEC patients in the surgical group, and the outcomes between laryngectomy and non-laryngectomy patients were similar. It was noteworthy that the 5-year survival rate was similar in CEC patients among the different groups treated with surgery, radiotherapy, chemotherapy, or radiochemotherapy(P = 0.244). Conclusions: The CEC patients had similar survival outcomes after curative esophagectomy and radiotherapy, including those with or without total laryngectomy. These findings suggest that radiotherapy could be the initial choice for treatment of Chinese CEC patients.

Influence of soil density on gas permeability and water retention in soils amended with in-house produced biochar

Biochar has been used as an environment-friendly enhancer to improve the hydraulic properties(e.g.suction and water retention)of soil.However,variations in densities alter the properties of the soil ebiochar mix.Such density variations are observed in agriculture(loosely compacted)and engineering(densely compacted)applications.The influence of biochar amendment on gas permeability of soil has been barely investigated,especially for soil with different densities.The major objective of this study is to investigate the water retention capacity,and gas permeability of biochar-amended soil(BAS)with different biochar contents under varying degree of compaction(DOC)conditions.In-house produced novel biochar was mixed with the soil at different amendment rates(i.e.biochar contents of 0%,5%and 10%).All BAS samples were compacted at three DOCs(65%,80%and 95%)in polyvinyl chloride(PVC)tubes.Each soil column was subjected to dryingewetting cycles,during which soil suction,water content,and gas permeability were measured.A simplified theoretical framework for estimating the void ratio of BAS was proposed.The experimental results reveal that the addition of biochar significantly decreased gas permeability kg as compared with that of bare soil(BS).However,the addition of 5%biochar is found to be optimum in decreasing kg with an increase of DOC(i.e.k_(g,65%)>k_(g,80%)>k_(g,95%))at a relatively low suction range(<200 kPa)because both biochar and compaction treatment reduce the connected pores.