BACKGROUND Lipid metabolism reprogramming is suspected to exist in pre-cancerous lesions,including colorectal adenoma.Screening colonoscopy frequently reveals chicken skin mucosa(CSM;white or yellow-white speckled muc...BACKGROUND Lipid metabolism reprogramming is suspected to exist in pre-cancerous lesions,including colorectal adenoma.Screening colonoscopy frequently reveals chicken skin mucosa(CSM;white or yellow-white speckled mucosa)surrounding colo-rectal polyps,caused by macrophages engulfing and accumulating the lipids decomposed by colon cells or adjacent tumors.CSM-positive colorectal polyps are associated with various diseases;however,their prognosis varies greatly.Cold snare polypectomy is commonly used to resect lesions up to 10 to 15 mm in diameter without signs of submucosal invasion but is controversial for CSM-positive colorectal polyps.Improved imaging is required to diagnose and treat CSM-positive colorectal polyps.METHODS This retrospective cohort study included 177 patients with CSM-positive colorectal polyps diagnosed using endoscopy.All patient-related information was extracted from the Goldisc soft-clinic DICOM system or electronic medical record system.Based on the pathological results,patients were classified as non-neoplastic polyps(five juvenile polyps),neoplastic polyps,non-invasive high-grade neoplasia(NHGN),or submucosal invasive carcinoma(SM stage cancer).We analyzed and compared the clinical features,suspected risk factors for malignant transformation of neoplastic polyps,and early infiltration of sub-mucosal carcinoma.RESULTS The diameters of NHGN and SM polyps were much smaller than those of neoplastic polyps.Most NHGN polyps had a deeper red mucosal color.On logistic regression analyses,diameter and deeper red mucosal color were independent risk factors for malignant transformation of neoplastic polyps.Type 1 CSM was more common in high-grade intraepithelial neoplasia and SM;type 2 CSM was more common in neoplastic polyps.Logistic regression analyses revealed no significant differences in the malignant transformation of neoplastic polyps or early submucosal invasion of CSM-positive colorectal cancer.Changes in the CSM mucosa surrounding neoplastic polyps and submucosal invasion of colorectal cancer disappeared within 12 months.No tumor recurrence was found during either partial or complete endoscopic resection of the CSM.CONCLUSION CSM-positive colorectal polyps>1 cm in diameter or with deeper red mucosa may be related to NHGN.Resection of CSM surrounding colorectal adenomas did not affect tumor recurrence.展开更多
Predicting high-quality volcanic reservoirs is one of the key issues for oil and gas exploration in the Songnan gas field.Core,seismic,and measurement data were used to study the lithologies,facies,reservoir porosity,...Predicting high-quality volcanic reservoirs is one of the key issues for oil and gas exploration in the Songnan gas field.Core,seismic,and measurement data were used to study the lithologies,facies,reservoir porosity,and reservoir types of the volcanic rocks in the Songnan gas field.The primary controlling factors and characteristics of the high-quality volcanic reservoirs of the Yingcheng Formation in the Songnan gas field were investigated,including the volcanic eruptive stage,edifice,edifice facies,cooling unit,lithology,facies,and diagenesis.Stages with more volatile content can form more high-quality reservoirs.The effusive rhyolite,explosive tuff,and tuff lava that formed in the crater,near-crater,and proximal facies and in the high-volatility cooling units of large acidic-lava volcanic edifices are the most favorable locations for the development of the high-quality reservoirs in the Songnan gas field.Diagenesis dissolution,which is controlled by tectonic action,can increase the size of secondary pores in reservoirs.Studying the controlling factors of the high-quality reservoirs can provide a theoretical basis for the prediction and analysis of high-quality volcanic reservoirs.展开更多
基金the Science and Technology Plan Project of Chengdu Municipal Health Commission,No.2019007.
文摘BACKGROUND Lipid metabolism reprogramming is suspected to exist in pre-cancerous lesions,including colorectal adenoma.Screening colonoscopy frequently reveals chicken skin mucosa(CSM;white or yellow-white speckled mucosa)surrounding colo-rectal polyps,caused by macrophages engulfing and accumulating the lipids decomposed by colon cells or adjacent tumors.CSM-positive colorectal polyps are associated with various diseases;however,their prognosis varies greatly.Cold snare polypectomy is commonly used to resect lesions up to 10 to 15 mm in diameter without signs of submucosal invasion but is controversial for CSM-positive colorectal polyps.Improved imaging is required to diagnose and treat CSM-positive colorectal polyps.METHODS This retrospective cohort study included 177 patients with CSM-positive colorectal polyps diagnosed using endoscopy.All patient-related information was extracted from the Goldisc soft-clinic DICOM system or electronic medical record system.Based on the pathological results,patients were classified as non-neoplastic polyps(five juvenile polyps),neoplastic polyps,non-invasive high-grade neoplasia(NHGN),or submucosal invasive carcinoma(SM stage cancer).We analyzed and compared the clinical features,suspected risk factors for malignant transformation of neoplastic polyps,and early infiltration of sub-mucosal carcinoma.RESULTS The diameters of NHGN and SM polyps were much smaller than those of neoplastic polyps.Most NHGN polyps had a deeper red mucosal color.On logistic regression analyses,diameter and deeper red mucosal color were independent risk factors for malignant transformation of neoplastic polyps.Type 1 CSM was more common in high-grade intraepithelial neoplasia and SM;type 2 CSM was more common in neoplastic polyps.Logistic regression analyses revealed no significant differences in the malignant transformation of neoplastic polyps or early submucosal invasion of CSM-positive colorectal cancer.Changes in the CSM mucosa surrounding neoplastic polyps and submucosal invasion of colorectal cancer disappeared within 12 months.No tumor recurrence was found during either partial or complete endoscopic resection of the CSM.CONCLUSION CSM-positive colorectal polyps>1 cm in diameter or with deeper red mucosa may be related to NHGN.Resection of CSM surrounding colorectal adenomas did not affect tumor recurrence.
基金Project(2009CB219306)supported by the National Basic Research Program of ChinaProject supported by the Key-Lab for Evolution of Past Lift and Environment in Northeast Asia,Ministry of Education,China+1 种基金Project supported by the third-phase Project 211 at Jilin University,ChinaProject supported by the Basic Research Fund of the Ministry of Education in 2009(Innovation Team Development Program,Jilin University)
文摘Predicting high-quality volcanic reservoirs is one of the key issues for oil and gas exploration in the Songnan gas field.Core,seismic,and measurement data were used to study the lithologies,facies,reservoir porosity,and reservoir types of the volcanic rocks in the Songnan gas field.The primary controlling factors and characteristics of the high-quality volcanic reservoirs of the Yingcheng Formation in the Songnan gas field were investigated,including the volcanic eruptive stage,edifice,edifice facies,cooling unit,lithology,facies,and diagenesis.Stages with more volatile content can form more high-quality reservoirs.The effusive rhyolite,explosive tuff,and tuff lava that formed in the crater,near-crater,and proximal facies and in the high-volatility cooling units of large acidic-lava volcanic edifices are the most favorable locations for the development of the high-quality reservoirs in the Songnan gas field.Diagenesis dissolution,which is controlled by tectonic action,can increase the size of secondary pores in reservoirs.Studying the controlling factors of the high-quality reservoirs can provide a theoretical basis for the prediction and analysis of high-quality volcanic reservoirs.
