Spontaneous rupture of hepatocellular carcinoma(HCC) is a life-threatening complication and its prognosis is significantly poor because of the high recurrence rate after initial hepatectomy. Resection of isolated extr...Spontaneous rupture of hepatocellular carcinoma(HCC) is a life-threatening complication and its prognosis is significantly poor because of the high recurrence rate after initial hepatectomy. Resection of isolated extrahepatic metastasis of HCC has been advocated to obtain a possibility of long-term survival. However, it is a challenge for clinicians to detect implantation metastasis of spontaneously ruptured HCC. Accurate re-staging plays the most important role in making a decision on isolated metastasis resection. 18F-fluorodeoxyglucose(18F-FDG) positron emission tomography/computed tomography(PET/CT) is useful in detecting intraabdominal implantation metastasis from a variety of malignancies and shows superior accuracy to conventional imaging modalities in determining the location of metastasis. We present one patient with a new isolated pelvic implantation metastasis detected by 18F-FDG PET/CT and pathologically confirmed by PET/CT-guided percutaneous biopsy, who had a history of resection of spontaneously ruptured HCC two years ago. The patient's condition was stable at the 6-mo follow-up after resection of the isolated pelvic metastasis.展开更多
High-resolution oxygen isotope records over the last 2249 ka (MIS 1-86) have been obtained from cores of the upper section (105.08 m) at ODP Site 1143 (water depth of 2772 m)drilled in the Nansha area, southern South ...High-resolution oxygen isotope records over the last 2249 ka (MIS 1-86) have been obtained from cores of the upper section (105.08 m) at ODP Site 1143 (water depth of 2772 m)drilled in the Nansha area, southern South China Sea. The sampling resolution is at about 2 ka intervals, resulting in one of the best oxygen isotope records over the global ocean. The oxygen isotope curves, displaying details in the Pleistocene glacial cycles, have revealed a nearly 300 ka long stage of transition from a predominant 40 ka to 100 ka periodicity. Therefore, the 'Mid-Pleistocene Revolution' should be considered as a process of transition rather than an abrupt change. Within the 100 ka glacial cycles, the changes in tropical sea surface water were found to lead those in high-latitude ice sheet. Our comparisons show that the ice sheet expansion and the glacial stage extension in the Northern Hemisphere with the 100 ka cycles must have been driven not by ice sheet itself, but by processes outside the high latitudes of the Northern Hemisphere.展开更多
基金Supported by National Science Foundation for Yong Scholars of China,No.81101067
文摘Spontaneous rupture of hepatocellular carcinoma(HCC) is a life-threatening complication and its prognosis is significantly poor because of the high recurrence rate after initial hepatectomy. Resection of isolated extrahepatic metastasis of HCC has been advocated to obtain a possibility of long-term survival. However, it is a challenge for clinicians to detect implantation metastasis of spontaneously ruptured HCC. Accurate re-staging plays the most important role in making a decision on isolated metastasis resection. 18F-fluorodeoxyglucose(18F-FDG) positron emission tomography/computed tomography(PET/CT) is useful in detecting intraabdominal implantation metastasis from a variety of malignancies and shows superior accuracy to conventional imaging modalities in determining the location of metastasis. We present one patient with a new isolated pelvic implantation metastasis detected by 18F-FDG PET/CT and pathologically confirmed by PET/CT-guided percutaneous biopsy, who had a history of resection of spontaneously ruptured HCC two years ago. The patient's condition was stable at the 6-mo follow-up after resection of the isolated pelvic metastasis.
基金the National Natural Science Foundation of China (Grant No. 49999560) and NKBRSF Project (Grant No. 2000078500).
文摘High-resolution oxygen isotope records over the last 2249 ka (MIS 1-86) have been obtained from cores of the upper section (105.08 m) at ODP Site 1143 (water depth of 2772 m)drilled in the Nansha area, southern South China Sea. The sampling resolution is at about 2 ka intervals, resulting in one of the best oxygen isotope records over the global ocean. The oxygen isotope curves, displaying details in the Pleistocene glacial cycles, have revealed a nearly 300 ka long stage of transition from a predominant 40 ka to 100 ka periodicity. Therefore, the 'Mid-Pleistocene Revolution' should be considered as a process of transition rather than an abrupt change. Within the 100 ka glacial cycles, the changes in tropical sea surface water were found to lead those in high-latitude ice sheet. Our comparisons show that the ice sheet expansion and the glacial stage extension in the Northern Hemisphere with the 100 ka cycles must have been driven not by ice sheet itself, but by processes outside the high latitudes of the Northern Hemisphere.
