报告1例腺癌多发转移合并Sister Mary Joseph结节。患者男,49岁。脐部斑块、结节6个月,腰痛2个月。皮肤科检查:脐部一直径3.5 cm的淡红色浸润性斑块,表面可见多个直径1~5 mm淡红色丘疹、结节,簇集呈菜花样外观,质地坚韧,活动度差。CT检...报告1例腺癌多发转移合并Sister Mary Joseph结节。患者男,49岁。脐部斑块、结节6个月,腰痛2个月。皮肤科检查:脐部一直径3.5 cm的淡红色浸润性斑块,表面可见多个直径1~5 mm淡红色丘疹、结节,簇集呈菜花样外观,质地坚韧,活动度差。CT检查示纵隔内淋巴结增大,腰3~腰5椎体等多处骨质破坏;锝亚甲基二膦酸盐(^(99m)Tc-MDP)全身骨显像示全身骨骼多处异常放射性浓聚灶。皮损组织病理检查:表皮大致正常,真皮全层致密增生的胶原束间肿瘤细胞呈单个或条索状、列兵样排列,部分肿瘤细胞核大、深染,有明显异形性。免疫组化:细胞角蛋白(CK)、CK7、绒毛蛋白(villin)均阳性表达。腰4椎体针吸组织病理检查符合转移性腺癌,免疫组化示CK及低分子质量细胞角蛋白(CAM)5.2均阳性表达。诊断:腺癌多发转移合并Sister Mary Joseph结节。治疗:患者拒绝接受治疗,随访至13个月时死亡。展开更多
With the rapid development of digital information technology,images are increasingly used in various fields.To ensure the security of image data,prevent unauthorized tampering and leakage,maintain personal privacy,and...With the rapid development of digital information technology,images are increasingly used in various fields.To ensure the security of image data,prevent unauthorized tampering and leakage,maintain personal privacy,and protect intellectual property rights,this study proposes an innovative color image encryption algorithm.Initially,the Mersenne Twister algorithm is utilized to generate high-quality pseudo-random numbers,establishing a robust basis for subsequent operations.Subsequently,two distinct chaotic systems,the autonomous non-Hamiltonian chaotic system and the tentlogistic-cosine chaotic mapping,are employed to produce chaotic random sequences.These chaotic sequences are used to control the encoding and decoding process of the DNA,effectively scrambling the image pixels.Furthermore,the complexity of the encryption process is enhanced through improved Joseph block scrambling.Thorough experimental verification,research,and analysis,the average value of the information entropy test data reaches as high as 7.999.Additionally,the average value of the number of pixels change rate(NPCR)test data is 99.6101%,which closely approaches the ideal value of 99.6094%.This algorithm not only guarantees image quality but also substantially raises the difficulty of decryption.展开更多
BACKGROUND A Sister Mary Joseph nodule(SMJN)is an uncommon cutaneous metastasis found in the umbilicus,indicating an advanced malignancy.SMJNs typically originate from intra-abdominal sources,rarely from breast cancer...BACKGROUND A Sister Mary Joseph nodule(SMJN)is an uncommon cutaneous metastasis found in the umbilicus,indicating an advanced malignancy.SMJNs typically originate from intra-abdominal sources,rarely from breast cancer.Diagnosis suggests a poor prognosis with a median survival of approximately 8 mo after detection.Managing patients with SMJNs is challenging,as most receive limited palliative care only.The optimal strategy for long-term survival of these patients remains unclear.CASE SUMMARY A 58-year-old female,previously diagnosed with right breast cancer 17 years ago and underwent breast-conserving surgery,adjuvant radiotherapy,and endocrine therapy,presented with a 2-cm umbilical nodule.Thirteen years previously,metastases were detected in the right supraclavicular,infraclavicular,hilar,and mediastinal lymph nodes.An umbilical nodule emerged four years before the date of presentation,confirmed as a skin metastasis of primary breast cancer upon excisional biopsy.Despite initial removal,the nodule recurred and grew,leading to her referral to our hospital.The patient underwent extensive excision of the umbilical tumor and immediate abdominal wall reconstruction.Endocrine therapy was continued postoperatively.Five years later,no local recurrence was observed,and the patient continued to work full-time,achieving over 9 years of survival following SMJN diagnosis.CONCLUSION This case study aimed to identify the optimal strategy for achieving extended survival outcomes in patients with SMJN through comprehensive treatment.We presented a case of the longest survival in a patient after undergoing a multidisciplinary treatment regimen.Our findings underscore the significance of adopting a multimodal treatment approach comprising timely and wide excision along with adjunctive therapy.This approach can control the disease,prolong survival,and improve the quality of life in patients with SMJN.展开更多
In this study, we will introduce the modified (G'/G<sup>2</sup>)-expansion method to explore some of the exact traveling wave solutions of some nonlinear partial differential equations namely, Phi-4 eq...In this study, we will introduce the modified (G'/G<sup>2</sup>)-expansion method to explore some of the exact traveling wave solutions of some nonlinear partial differential equations namely, Phi-4 equation, Joseph-Egri (TRLW) equation, and Calogro-Degasperis (CD) equation. As a result, we have obtained solutions for the equations expressed in terms of trigonometric, hyperbolic and rational functions. Moreover, some selected solutions are plotted using some specific values for the parameters.展开更多
十八世纪法国地图学家、版画家及建筑师勒胡日(Georges Louis Le Rouge)出版的《英中式园林》(Jardins anglo-chinois)系列图册提供了大量中国园林图像,其中57幅中国皇帝南巡行宫铜版画翻刻自法国来华传教士钱德明从中国寄出的画作。这...十八世纪法国地图学家、版画家及建筑师勒胡日(Georges Louis Le Rouge)出版的《英中式园林》(Jardins anglo-chinois)系列图册提供了大量中国园林图像,其中57幅中国皇帝南巡行宫铜版画翻刻自法国来华传教士钱德明从中国寄出的画作。这两套收藏于法国国家图书馆的南巡行宫图尚未见于已有研究,且与目前已知南巡行宫图均有所不同,是还没有被认知和利用的新材料。鉴于此,有必要核定行宫图基本信息,追踪行宫图来源及流传过程,本文综罗图文史料重新梳理康乾南巡历史和图像涉及的南巡行宫园林建置沿革,考证图绘背景和年代,揭示了行宫图分别绘于乾隆首次及第四次南巡前,弥补了康熙至乾隆中期南巡行宫图像的缺失,具有重要的史料和艺术价值。展开更多
Sister Mary Joseph’s结节(Sister Mary Joseph’s nodule,SMJN)是指腹腔内恶性肿瘤导致的脐部转移性结节,1949年由Hamilton Bailey命名以纪念St.Mary’s Hospital的护士Sister Joseph。SMJN并不多见,但个案报道屡屡见诸文献。这种脐...Sister Mary Joseph’s结节(Sister Mary Joseph’s nodule,SMJN)是指腹腔内恶性肿瘤导致的脐部转移性结节,1949年由Hamilton Bailey命名以纪念St.Mary’s Hospital的护士Sister Joseph。SMJN并不多见,但个案报道屡屡见诸文献。这种脐部转移可以与腹腔内肿瘤同时出现或异时出现,是预后极差的表现。SMJN最常见原发肿瘤为胃癌及卵巢癌,结肠癌特别是右侧结肠癌引起的SMJN极其罕见。另外右侧结肠癌转移至腹股沟淋巴结未见文献报道。本文报道一例右侧结肠癌同时伴有SMJN及腹股沟淋巴结转移,并对相关文献进行综述。展开更多
报告1例可能为胃癌转移的Sister Mary Joseph结节1例。患者男,44岁。脐部出现暗红色大小不等的结节7个月。皮损组织病理检查:真皮全层胶原束间散在呈腺样分化的肿瘤细胞,免疫组化染色:癌胚抗原(CEA)阳性、细胞角蛋白(CK)20阳性、CK7阳...报告1例可能为胃癌转移的Sister Mary Joseph结节1例。患者男,44岁。脐部出现暗红色大小不等的结节7个月。皮损组织病理检查:真皮全层胶原束间散在呈腺样分化的肿瘤细胞,免疫组化染色:癌胚抗原(CEA)阳性、细胞角蛋白(CK)20阳性、CK7阳性、甲状腺转录因子(TTF)-1阴性。糖链抗原(CA)19-9、CA72-4、CA24-2均升高。腹部B超检查示:胃幽门部胃壁增生性病变,肝右叶多发偏强回声结节,腹水。展开更多
文摘报告1例腺癌多发转移合并Sister Mary Joseph结节。患者男,49岁。脐部斑块、结节6个月,腰痛2个月。皮肤科检查:脐部一直径3.5 cm的淡红色浸润性斑块,表面可见多个直径1~5 mm淡红色丘疹、结节,簇集呈菜花样外观,质地坚韧,活动度差。CT检查示纵隔内淋巴结增大,腰3~腰5椎体等多处骨质破坏;锝亚甲基二膦酸盐(^(99m)Tc-MDP)全身骨显像示全身骨骼多处异常放射性浓聚灶。皮损组织病理检查:表皮大致正常,真皮全层致密增生的胶原束间肿瘤细胞呈单个或条索状、列兵样排列,部分肿瘤细胞核大、深染,有明显异形性。免疫组化:细胞角蛋白(CK)、CK7、绒毛蛋白(villin)均阳性表达。腰4椎体针吸组织病理检查符合转移性腺癌,免疫组化示CK及低分子质量细胞角蛋白(CAM)5.2均阳性表达。诊断:腺癌多发转移合并Sister Mary Joseph结节。治疗:患者拒绝接受治疗,随访至13个月时死亡。
基金supported by the Open Fund of Advanced Cryptography and System Security Key Laboratory of Sichuan Province(Grant No.SKLACSS-202208)the Natural Science Foundation of Chongqing(Grant No.CSTB2023NSCQLZX0139)the National Natural Science Foundation of China(Grant No.61772295).
文摘With the rapid development of digital information technology,images are increasingly used in various fields.To ensure the security of image data,prevent unauthorized tampering and leakage,maintain personal privacy,and protect intellectual property rights,this study proposes an innovative color image encryption algorithm.Initially,the Mersenne Twister algorithm is utilized to generate high-quality pseudo-random numbers,establishing a robust basis for subsequent operations.Subsequently,two distinct chaotic systems,the autonomous non-Hamiltonian chaotic system and the tentlogistic-cosine chaotic mapping,are employed to produce chaotic random sequences.These chaotic sequences are used to control the encoding and decoding process of the DNA,effectively scrambling the image pixels.Furthermore,the complexity of the encryption process is enhanced through improved Joseph block scrambling.Thorough experimental verification,research,and analysis,the average value of the information entropy test data reaches as high as 7.999.Additionally,the average value of the number of pixels change rate(NPCR)test data is 99.6101%,which closely approaches the ideal value of 99.6094%.This algorithm not only guarantees image quality but also substantially raises the difficulty of decryption.
文摘BACKGROUND A Sister Mary Joseph nodule(SMJN)is an uncommon cutaneous metastasis found in the umbilicus,indicating an advanced malignancy.SMJNs typically originate from intra-abdominal sources,rarely from breast cancer.Diagnosis suggests a poor prognosis with a median survival of approximately 8 mo after detection.Managing patients with SMJNs is challenging,as most receive limited palliative care only.The optimal strategy for long-term survival of these patients remains unclear.CASE SUMMARY A 58-year-old female,previously diagnosed with right breast cancer 17 years ago and underwent breast-conserving surgery,adjuvant radiotherapy,and endocrine therapy,presented with a 2-cm umbilical nodule.Thirteen years previously,metastases were detected in the right supraclavicular,infraclavicular,hilar,and mediastinal lymph nodes.An umbilical nodule emerged four years before the date of presentation,confirmed as a skin metastasis of primary breast cancer upon excisional biopsy.Despite initial removal,the nodule recurred and grew,leading to her referral to our hospital.The patient underwent extensive excision of the umbilical tumor and immediate abdominal wall reconstruction.Endocrine therapy was continued postoperatively.Five years later,no local recurrence was observed,and the patient continued to work full-time,achieving over 9 years of survival following SMJN diagnosis.CONCLUSION This case study aimed to identify the optimal strategy for achieving extended survival outcomes in patients with SMJN through comprehensive treatment.We presented a case of the longest survival in a patient after undergoing a multidisciplinary treatment regimen.Our findings underscore the significance of adopting a multimodal treatment approach comprising timely and wide excision along with adjunctive therapy.This approach can control the disease,prolong survival,and improve the quality of life in patients with SMJN.
文摘In this study, we will introduce the modified (G'/G<sup>2</sup>)-expansion method to explore some of the exact traveling wave solutions of some nonlinear partial differential equations namely, Phi-4 equation, Joseph-Egri (TRLW) equation, and Calogro-Degasperis (CD) equation. As a result, we have obtained solutions for the equations expressed in terms of trigonometric, hyperbolic and rational functions. Moreover, some selected solutions are plotted using some specific values for the parameters.
文摘十八世纪法国地图学家、版画家及建筑师勒胡日(Georges Louis Le Rouge)出版的《英中式园林》(Jardins anglo-chinois)系列图册提供了大量中国园林图像,其中57幅中国皇帝南巡行宫铜版画翻刻自法国来华传教士钱德明从中国寄出的画作。这两套收藏于法国国家图书馆的南巡行宫图尚未见于已有研究,且与目前已知南巡行宫图均有所不同,是还没有被认知和利用的新材料。鉴于此,有必要核定行宫图基本信息,追踪行宫图来源及流传过程,本文综罗图文史料重新梳理康乾南巡历史和图像涉及的南巡行宫园林建置沿革,考证图绘背景和年代,揭示了行宫图分别绘于乾隆首次及第四次南巡前,弥补了康熙至乾隆中期南巡行宫图像的缺失,具有重要的史料和艺术价值。
文摘Sister Mary Joseph’s结节(Sister Mary Joseph’s nodule,SMJN)是指腹腔内恶性肿瘤导致的脐部转移性结节,1949年由Hamilton Bailey命名以纪念St.Mary’s Hospital的护士Sister Joseph。SMJN并不多见,但个案报道屡屡见诸文献。这种脐部转移可以与腹腔内肿瘤同时出现或异时出现,是预后极差的表现。SMJN最常见原发肿瘤为胃癌及卵巢癌,结肠癌特别是右侧结肠癌引起的SMJN极其罕见。另外右侧结肠癌转移至腹股沟淋巴结未见文献报道。本文报道一例右侧结肠癌同时伴有SMJN及腹股沟淋巴结转移,并对相关文献进行综述。
文摘报告1例可能为胃癌转移的Sister Mary Joseph结节1例。患者男,44岁。脐部出现暗红色大小不等的结节7个月。皮损组织病理检查:真皮全层胶原束间散在呈腺样分化的肿瘤细胞,免疫组化染色:癌胚抗原(CEA)阳性、细胞角蛋白(CK)20阳性、CK7阳性、甲状腺转录因子(TTF)-1阴性。糖链抗原(CA)19-9、CA72-4、CA24-2均升高。腹部B超检查示:胃幽门部胃壁增生性病变,肝右叶多发偏强回声结节,腹水。
