We report port site and distant metastases of unsuspected gallbladder cancer after laparoscopic cholecystectomy diagnosed by positron emission tomography (PET) in two patients. Patient 1, a 72-year-old woman was diagn...We report port site and distant metastases of unsuspected gallbladder cancer after laparoscopic cholecystectomy diagnosed by positron emission tomography (PET) in two patients. Patient 1, a 72-year-old woman was diagnosed as cholelithiasis and cholecystitis and received laparoscopic cholecystectomy. Unsuspected gallbladder cancer was discovered with histological result of well-differentiated squamous cell carcinoma of the gallbladder inf iltrating the entire wall. A PET scan using F-18-fl uorodeoxyglucose (FDG- PET) before radical resection revealed residual tumor in the gallbladder fossa and recurrence at port site and metastases in bilateral hilar lymph nodes. Patient 2, a 69-year-old woman underwent laparoscopic cholecystectomy more than one year ago with pathologically confi rmed unsuspected adenosquamous carcinoma of stage pT1b. At 7-mo follow-up after surgery, the patient presented with nodules in the periumbilical incision. Excisional biopsy of the nodule revealed adenosquamous carcinoma. The patient was examined by FDG-PET, demonstrating increased FDG uptake in the right lobe of the liver and mediastinal lymph nodes consistent with metastatic disease. This report is followed by a discussion about the utility of FDG-PET in the gallbladder cancer.展开更多
High translucency is one of the excellent properties of AlN ceramics because of its wide optical band gap energy of 6.2 eV. We have achieved success in producing AlN ceramic tube of 98% total visible light transmittan...High translucency is one of the excellent properties of AlN ceramics because of its wide optical band gap energy of 6.2 eV. We have achieved success in producing AlN ceramic tube of 98% total visible light transmittance at 0.6 mm thick tube wall by applying an improved sintering technique. This AlN ceramic was produced by sintering at 1880℃ using Ca3Al2O6 as a sintering additive and in reduction atmosphere to remove the sintering additive from the final sintered material. After the sintering, the annealing with Al2O3 was carried out to improve the transmittance of AlN ceramics. The amount of metal impurities and carbon were 27ppm and 100ppm, respectively. It is noteworthy that the amount of oxygen in AlN ceramics after the annealing was 0.36wt% which was higher than the 0.07wt% of the as-sintered AlN ceramics. Therefore, total transmittance was improved by the oxygen doping. On the other hand, thermal conductivity of AlN after the annealing was lowered by 35% compared with that of as-sintered AlN. Positron Annihilation Lifetime (PAL) measurement was applied to investigation of a relationship between the total transmittance and lattice defects. The present PAL results confirms the presence of negatively charged atomic-size vacancies that is aluminum site vacancies and also sug-gests the increase in the concentration of the vacancies after the annealing compared with that of the as-sintered material. However, it can be concluded that there is no relation between aluminum site va-cancies and the light transmittance of AlN ceramics.展开更多
文摘We report port site and distant metastases of unsuspected gallbladder cancer after laparoscopic cholecystectomy diagnosed by positron emission tomography (PET) in two patients. Patient 1, a 72-year-old woman was diagnosed as cholelithiasis and cholecystitis and received laparoscopic cholecystectomy. Unsuspected gallbladder cancer was discovered with histological result of well-differentiated squamous cell carcinoma of the gallbladder inf iltrating the entire wall. A PET scan using F-18-fl uorodeoxyglucose (FDG- PET) before radical resection revealed residual tumor in the gallbladder fossa and recurrence at port site and metastases in bilateral hilar lymph nodes. Patient 2, a 69-year-old woman underwent laparoscopic cholecystectomy more than one year ago with pathologically confi rmed unsuspected adenosquamous carcinoma of stage pT1b. At 7-mo follow-up after surgery, the patient presented with nodules in the periumbilical incision. Excisional biopsy of the nodule revealed adenosquamous carcinoma. The patient was examined by FDG-PET, demonstrating increased FDG uptake in the right lobe of the liver and mediastinal lymph nodes consistent with metastatic disease. This report is followed by a discussion about the utility of FDG-PET in the gallbladder cancer.
文摘High translucency is one of the excellent properties of AlN ceramics because of its wide optical band gap energy of 6.2 eV. We have achieved success in producing AlN ceramic tube of 98% total visible light transmittance at 0.6 mm thick tube wall by applying an improved sintering technique. This AlN ceramic was produced by sintering at 1880℃ using Ca3Al2O6 as a sintering additive and in reduction atmosphere to remove the sintering additive from the final sintered material. After the sintering, the annealing with Al2O3 was carried out to improve the transmittance of AlN ceramics. The amount of metal impurities and carbon were 27ppm and 100ppm, respectively. It is noteworthy that the amount of oxygen in AlN ceramics after the annealing was 0.36wt% which was higher than the 0.07wt% of the as-sintered AlN ceramics. Therefore, total transmittance was improved by the oxygen doping. On the other hand, thermal conductivity of AlN after the annealing was lowered by 35% compared with that of as-sintered AlN. Positron Annihilation Lifetime (PAL) measurement was applied to investigation of a relationship between the total transmittance and lattice defects. The present PAL results confirms the presence of negatively charged atomic-size vacancies that is aluminum site vacancies and also sug-gests the increase in the concentration of the vacancies after the annealing compared with that of the as-sintered material. However, it can be concluded that there is no relation between aluminum site va-cancies and the light transmittance of AlN ceramics.
