Diagnostic value of endothelial markers and HHV-8 staining in gastrointestinal Kaposi sarcoma and its difference in endoscopic tumor staging

AIM: To clarify the diagnostic values of hematoxylin and eosin (HE), D2-40, CD31, CD34, and HHV-8 immunohistochemical (IHC) staining in gastrointestinal Kaposi's sarcoma (GI-KS) in relation to endoscopic tumor staging. METHODS: Biopsy samples (n = 133) from 41 human immunodeficiency virus-infected patients were reviewed. GI-KS was defined as histologically negative for other GI diseases and as a positive clinical response to KS therapy. The receiver operating characteristic area under the curve (ROC-AUC) was compared in relation to lesion size, GI location, and macroscopic appearances on endoscopy. RESULTS: GI-KS was confirmed in 84 lesions (81.6%). Other endoscopic findings were polyps (n = 9), inflammation (n = 4), malignant lymphoma (n = 4), and condyloma (n = 2), which mimicked GI-KS on endoscopy. ROC-AUC of HE, D2-40, blood vessel markers, and HHV-8 showed results of 0.83, 0.89, 0.80, and 0.82, respectively. For IHC staining, the ROC-AUC of D2-40 was significantly higher (P < 0.05) than that of HE staining only. In the analysis of endoscopic appearance, the ROC-AUC of HE and IHC showed a tendency toward an increase in tumor staging (e.g. , small to large, patches, and polypoid to SMT appearance). D2-40 was significantly (P < 0.05) advantageous in the upper GI tract and for polypoid appearance compared with HE staining. CONCLUSION: The diagnostic value of endothelial markers and HHV-8 staining was found to be high, and its accuracy tended to increase with endoscopic tumor staging. D2-40 will be useful for complementing HE staining in the diagnosis of GI-KS, especially in the upper GI tract and for polypoid appearance.

An Experimental Study on Measurement Methods of Bulk Density and Porosity of Rock Samples

Density and porosity are fundamental and important physical properties of rocks in various geological problems, and affect the other physical properties. Therefore, measurements of density and porosity of rock samples are important investigation items in both geo-science and geo-engineering areas. Several measurement techniques of the density and porosity are available and being applied currently. To ensure the data quality and to conduct its quality assessment, comparison of measurement results by different measurement techniques is necessary since the techniques are based on different principles and test procedures. In this study, we collected eight types of rock samples including a gabbro, a granite, four sandstones, a welded tuff and a mudstone as study materials, and also prepared several metal specimens for the experimental comparison. The porosities of the eight rocks covered a very wide range from 0.3% to 50% approximately. We employed three methods (caliper, buoyancy and helium-displacement pycnometer) to measure volumes of regularly-shaped specimens and to determine their bulk densities and porosities. As a result, the three techniques yielded almost same bulk densities and porosities for all the specimens. In addition, we also applied mercury intrusion porosimetry to measure density and porosity as well as to determine pore size distribution of the rock samples. Porosity values obtained by the porosimetry method were underestimated in the case of high-porosity (soft) rock samples and overestimated for the very low-porosity rock samples. Ability to determine pore size distribution, however, is a very important advantage of the porosimetry method.