“Sisters”is the first novel in Irish-American author Colum McCann’s short story collection-Fishing the Sloe-Black River,which tells the story of Sheona’s search for her identity between Ireland and the United Stat...“Sisters”is the first novel in Irish-American author Colum McCann’s short story collection-Fishing the Sloe-Black River,which tells the story of Sheona’s search for her identity between Ireland and the United States.Colum McCann is skilled in writing about the spiritual dilemmas and identity search of ethnic minorities living in a foreign land.Employing the space theory and Sheona’s perspective,this paper examines her identity loss in Ireland’s patriarchal system,her migration to the US for identity pursuit,and her subsequent transnational journey between the two nations to reconstruct her identity amidst physical and mental trauma.展开更多
Complex kinship identification such as half‑sibling identification is a difficult task in forensic biology Here we represented an approach in dealing with half‑sisters from different mothers,with the combination of au...Complex kinship identification such as half‑sibling identification is a difficult task in forensic biology Here we represented an approach in dealing with half‑sisters from different mothers,with the combination of autosomal and X chromosomal short‑tandem repeats(STRs)data.X chromosomal STRs can offer additional information,especially in some cases where autosomal STRs alone may not provide enough information for an accurate opinion.In this case,half‑sister or unrelated relationship between two women(S_(1)and S_(2))with different mothers were distinguished.23 autosomal and 31 X chromosomal STRs of S_(1),S_(2),S_(1)’s mother(M1),S_(2)’s mother(M2)and S_(1)’s grandmother(G1)were profiled with three different commercial kits.As to X‑chromosome STRs,likelihood ratios(LRs)were calculated by FamLinkX with consideration of linkage,linkage disequilibrium,and mutations.When only the profiles of the two individuals(S_(1)and S_(2))were available,LRs between S_(1)and S_(2)were 1.1110×10^(2)based on 23 autosomal STRs and 3.2257 om107 based on 31 X chromosomal STRs.When the maternal genotypes were taken into consideration,LRs increased to 2.5297×10^(3)and 3.0563×10^(18).Therefore,both the DNA profiles of each mothers and X chromosomal STRs are important in dealing with the identification of half‑sisters from different mothers.展开更多
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
As the opening work of“Fishing the Sloe-Black River Stories,”Irish-American writer Colum McCann’s short story“Sisters”has attracted scholars’interest with its profuse historical background and themes of the time...As the opening work of“Fishing the Sloe-Black River Stories,”Irish-American writer Colum McCann’s short story“Sisters”has attracted scholars’interest with its profuse historical background and themes of the times.From the perspective of narratology,this paper considers that the writer uses narrative techniques such as non-linear narration and embedded structure to express multi-level narrative voices through a first-person narrator,Sheona.These narrative techniques help to fully reflect the theme of the work and endow the work with great aesthetic and ideological value.展开更多
This essay analyses Theodore Dreiser’s Sister Carrie through the lens of cultural studies,examining the portrayal of domesticity and the quest for an ideal home in late-nineteenth-century America.It explores the comp...This essay analyses Theodore Dreiser’s Sister Carrie through the lens of cultural studies,examining the portrayal of domesticity and the quest for an ideal home in late-nineteenth-century America.It explores the complex relationships between the main characters,Carrie and Hurstwood,and their families,as well as their struggles with materialism and alienation.Through close analysis of societal context,the characters’familial backgrounds and emotional yearnings,the essay delves into the characters’longing for stability and belonging and their journey toward understanding the true essence of dwelling amidst the changing urban landscape.It argues that Dreiser’s novel critiques the superficial pursuit of material comforts and highlights the importance of introspection and self-discovery in finding lasting happiness amidst societal turmoil.Ultimately,through the prism of domesticity,the essay delves into broader themes of identity,belonging,and existential fulfillment in a heartless society marked by materialism and alienation.展开更多
Half-Heusler(HH)合金由于其本身具有较为优异的力学性能和高温热稳定性,已成为目前最具有应用前景的中高温热电材料之一。然而,其本身较高的本征晶格热导率阻碍了热电性能的进一步提升。本文以P型Zr Co Sb0.85Sn0.15合金为研究对象,基...Half-Heusler(HH)合金由于其本身具有较为优异的力学性能和高温热稳定性,已成为目前最具有应用前景的中高温热电材料之一。然而,其本身较高的本征晶格热导率阻碍了热电性能的进一步提升。本文以P型Zr Co Sb0.85Sn0.15合金为研究对象,基于同构合金化具有优异P型热电性能的(Nb0.8Ta0.2)0.8Ti0.2Fe Sb,通过磁悬浮熔炼和放电等离子烧结设计并制备出一种(Zr Co Sb0.85Sn0.15)1-x[(Nb0.8Ta0.2)0.8Ti0.2Fe Sb]x(x=0,0.2,0.3,0.4,0.5)高熵HH合金。微观组织分析表明,同构合金化这一策略引入了大量多尺度多衬度的第二相,这将有效增强对声子的散射。其中,当同构合金化含量为0.3时,晶格热导率在923 K时从Zr Co Sb0.85Sn0.15的4.72 W·m-1·K-1降至3.07 W·m-1·K-1,降低了35%。然而,由于多位点合金化元素间存在较为复杂的掺杂效果,使其电导率和塞贝克系数同时降低,最终导致热电优值存在一定的降低。本研究工作表明,高熵合金设计思想是一种降低HH热电合金晶格热导率的有力措施。展开更多
Sense and Sensibility,one of Jane Austen's masterpieces,has undergone a long time study and the two sisters in the book—Elinor and Marianne have been researched from various kinds of perspectives except"mela...Sense and Sensibility,one of Jane Austen's masterpieces,has undergone a long time study and the two sisters in the book—Elinor and Marianne have been researched from various kinds of perspectives except"melancholy philosophy".This paper aims to analyze the two sisters in Sense and Sensibility under the guidance of"melancholy philosophy".展开更多
Editor's Note: In August,in order to collect material for our magazine China Standardization,Ms.Zhao Hongchun(the chief editor of our press) and I went to SAC to meet Mr.Ji Erming who is responsible for the servic...Editor's Note: In August,in order to collect material for our magazine China Standardization,Ms.Zhao Hongchun(the chief editor of our press) and I went to SAC to meet Mr.Ji Erming who is responsible for the service standardization in the service department of SAC.As we wanted to understand the service standardization and the implementation in corporate social responsibility in China,we asked him to recommend a few展开更多
On the early morning of 2003 New Year’s Day, Li Daolei and his wife got breakfast ready and then woke up their two daughters from a deep sleep. After the breakfast, the family of four went aboard a coach traveling fr...On the early morning of 2003 New Year’s Day, Li Daolei and his wife got breakfast ready and then woke up their two daughters from a deep sleep. After the breakfast, the family of four went aboard a coach traveling from Jiaozuo in central China’s Henan Province to the provincial capital Zhengzhou. Li and his wife would help their two daughters fulfill their wish—to visit their "mother" at the Zhengzhou Center for Street Urchin Protection. As the coach was speeding along the highway against the cold wind. thonghts and emotions surged through the couple’s minds like the tides. Watching their simple and lovely daughters who appeared eager to see "mother", they recalled what happened six months ago. Years passed since Li’s ex-wife died. She left him a daughter, Caixia, who is now 14 years old. On the evening of July 27, 2002, Caixia talked back to her stepmother because of a trifle. The father blamed the daughter: So, Caixia harbored a grudge against the couple and vowed to "teach them a lesson".展开更多
Background: In oral and maxillofacial surgery, synthetic bone grafts are most widely used as bone substitutes, due to the limited sources of autologous bone. The aim of this study was to examine the influence of three...Background: In oral and maxillofacial surgery, synthetic bone grafts are most widely used as bone substitutes, due to the limited sources of autologous bone. The aim of this study was to examine the influence of three different synthetic bone grafts (Cerasorb, Fortoss and Perioglass) on sisters chromatide exchanges (SCEs) in peripheral lymphocytes. Materials and Methods: Peripheral blood samples taken from 68 patients (45 females and 23 males), who underwent oral surgery procedures, such as apical resection, cyst enucleation or periodontal curretage, were obtained for SCE a day before and two months after the surgeries. A control group included 30 patients, while the study group was made of the patients who underwent bone grafting with Cerasorb? (11 patients), Fortoss? VITAL (10 patients) or Perioglass? (17 patients). Results: Comparing with the results of the study group before and after the treatment, it was concluded that the results were statistically significant (p = 0.001). In the Perioglass? subgroup, a greater statistical significance (p = 0.003) was noted, than that in either the Cerasorb? (p = 0.620) or Fortoss? (p = 0.210) subgroups, in which there was no statistical significance. Conclusions: Although further investigations may be necessary, our results suggest that the synthetic bone grafts might have an influence on SCE in peripheral lymphocytes.展开更多
In February 2013, just after the traditional Spring Festival, the Changchun Railway Station was crowded with people going out to find work in other cities. Amidst the crowd, a red banner at- tracted peoples' eyes. On...In February 2013, just after the traditional Spring Festival, the Changchun Railway Station was crowded with people going out to find work in other cities. Amidst the crowd, a red banner at- tracted peoples' eyes. On it were written four golden characters: "Jinlin Big Sisters." Under the banner was a group of hundreds of women workers organized by the Jilin Women's Employment Guidance Center, the first group of Jilin Big Sisters organized in 2013 to work in Guangzhou. A team leader said, "We send out over 100 teams like this every year." How is such a large group of women workers organized? It all starts with the hard work and great effort put forth by the Women's Employment Guidance Center of Jilin Province over the last 10 or more years to take care of des- titute women.展开更多
Before the Victorian era,it was rare for women to be authors and writers to fix the protagonists of their works as female characters.However,in the 19^(th)century,there was a rapid increase of women writers and emphas...Before the Victorian era,it was rare for women to be authors and writers to fix the protagonists of their works as female characters.However,in the 19^(th)century,there was a rapid increase of women writers and emphasis on feminist consciousness.Among all the works of women writers,Jane Eyre and Wuthering Heights which were written by the Bronte sisters were distinctive.The Bronte sisters conveyed their feminist consciousness and described the society in their works.Both works emphasized romantic relationships as the narrative thread.By shaping the female characters in their works as self-reliant women who fought for equivalence and freedom in the era where male chauvinism occupied leadership roles,the Bronte sisters conveyed their eagerness for freedom,equality,and their feminist consciousness.This paper combines features of the Victorian era and the Bronte sisters’life experiences to analyze feminist consciousness in these two works and make comparisons between them.展开更多
We show an example of a bounded potential on the half-line obtained as the image of an Inverse Transformation Operator of the Bessel singular potential of the Reduced Radial Schrödinger Equation, and show us ...We show an example of a bounded potential on the half-line obtained as the image of an Inverse Transformation Operator of the Bessel singular potential of the Reduced Radial Schrödinger Equation, and show us the Estimates of the A(α) amplitude.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
文摘“Sisters”is the first novel in Irish-American author Colum McCann’s short story collection-Fishing the Sloe-Black River,which tells the story of Sheona’s search for her identity between Ireland and the United States.Colum McCann is skilled in writing about the spiritual dilemmas and identity search of ethnic minorities living in a foreign land.Employing the space theory and Sheona’s perspective,this paper examines her identity loss in Ireland’s patriarchal system,her migration to the US for identity pursuit,and her subsequent transnational journey between the two nations to reconstruct her identity amidst physical and mental trauma.
基金This work was financially supported by the project of Humanities and Social Sciences Research of the Ministry of Education(No.19YJA820050).
文摘Complex kinship identification such as half‑sibling identification is a difficult task in forensic biology Here we represented an approach in dealing with half‑sisters from different mothers,with the combination of autosomal and X chromosomal short‑tandem repeats(STRs)data.X chromosomal STRs can offer additional information,especially in some cases where autosomal STRs alone may not provide enough information for an accurate opinion.In this case,half‑sister or unrelated relationship between two women(S_(1)and S_(2))with different mothers were distinguished.23 autosomal and 31 X chromosomal STRs of S_(1),S_(2),S_(1)’s mother(M1),S_(2)’s mother(M2)and S_(1)’s grandmother(G1)were profiled with three different commercial kits.As to X‑chromosome STRs,likelihood ratios(LRs)were calculated by FamLinkX with consideration of linkage,linkage disequilibrium,and mutations.When only the profiles of the two individuals(S_(1)and S_(2))were available,LRs between S_(1)and S_(2)were 1.1110×10^(2)based on 23 autosomal STRs and 3.2257 om107 based on 31 X chromosomal STRs.When the maternal genotypes were taken into consideration,LRs increased to 2.5297×10^(3)and 3.0563×10^(18).Therefore,both the DNA profiles of each mothers and X chromosomal STRs are important in dealing with the identification of half‑sisters from different mothers.
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。
文摘As the opening work of“Fishing the Sloe-Black River Stories,”Irish-American writer Colum McCann’s short story“Sisters”has attracted scholars’interest with its profuse historical background and themes of the times.From the perspective of narratology,this paper considers that the writer uses narrative techniques such as non-linear narration and embedded structure to express multi-level narrative voices through a first-person narrator,Sheona.These narrative techniques help to fully reflect the theme of the work and endow the work with great aesthetic and ideological value.
文摘This essay analyses Theodore Dreiser’s Sister Carrie through the lens of cultural studies,examining the portrayal of domesticity and the quest for an ideal home in late-nineteenth-century America.It explores the complex relationships between the main characters,Carrie and Hurstwood,and their families,as well as their struggles with materialism and alienation.Through close analysis of societal context,the characters’familial backgrounds and emotional yearnings,the essay delves into the characters’longing for stability and belonging and their journey toward understanding the true essence of dwelling amidst the changing urban landscape.It argues that Dreiser’s novel critiques the superficial pursuit of material comforts and highlights the importance of introspection and self-discovery in finding lasting happiness amidst societal turmoil.Ultimately,through the prism of domesticity,the essay delves into broader themes of identity,belonging,and existential fulfillment in a heartless society marked by materialism and alienation.
文摘Half-Heusler(HH)合金由于其本身具有较为优异的力学性能和高温热稳定性,已成为目前最具有应用前景的中高温热电材料之一。然而,其本身较高的本征晶格热导率阻碍了热电性能的进一步提升。本文以P型Zr Co Sb0.85Sn0.15合金为研究对象,基于同构合金化具有优异P型热电性能的(Nb0.8Ta0.2)0.8Ti0.2Fe Sb,通过磁悬浮熔炼和放电等离子烧结设计并制备出一种(Zr Co Sb0.85Sn0.15)1-x[(Nb0.8Ta0.2)0.8Ti0.2Fe Sb]x(x=0,0.2,0.3,0.4,0.5)高熵HH合金。微观组织分析表明,同构合金化这一策略引入了大量多尺度多衬度的第二相,这将有效增强对声子的散射。其中,当同构合金化含量为0.3时,晶格热导率在923 K时从Zr Co Sb0.85Sn0.15的4.72 W·m-1·K-1降至3.07 W·m-1·K-1,降低了35%。然而,由于多位点合金化元素间存在较为复杂的掺杂效果,使其电导率和塞贝克系数同时降低,最终导致热电优值存在一定的降低。本研究工作表明,高熵合金设计思想是一种降低HH热电合金晶格热导率的有力措施。
文摘Sense and Sensibility,one of Jane Austen's masterpieces,has undergone a long time study and the two sisters in the book—Elinor and Marianne have been researched from various kinds of perspectives except"melancholy philosophy".This paper aims to analyze the two sisters in Sense and Sensibility under the guidance of"melancholy philosophy".
文摘Editor's Note: In August,in order to collect material for our magazine China Standardization,Ms.Zhao Hongchun(the chief editor of our press) and I went to SAC to meet Mr.Ji Erming who is responsible for the service standardization in the service department of SAC.As we wanted to understand the service standardization and the implementation in corporate social responsibility in China,we asked him to recommend a few
文摘On the early morning of 2003 New Year’s Day, Li Daolei and his wife got breakfast ready and then woke up their two daughters from a deep sleep. After the breakfast, the family of four went aboard a coach traveling from Jiaozuo in central China’s Henan Province to the provincial capital Zhengzhou. Li and his wife would help their two daughters fulfill their wish—to visit their "mother" at the Zhengzhou Center for Street Urchin Protection. As the coach was speeding along the highway against the cold wind. thonghts and emotions surged through the couple’s minds like the tides. Watching their simple and lovely daughters who appeared eager to see "mother", they recalled what happened six months ago. Years passed since Li’s ex-wife died. She left him a daughter, Caixia, who is now 14 years old. On the evening of July 27, 2002, Caixia talked back to her stepmother because of a trifle. The father blamed the daughter: So, Caixia harbored a grudge against the couple and vowed to "teach them a lesson".
文摘Background: In oral and maxillofacial surgery, synthetic bone grafts are most widely used as bone substitutes, due to the limited sources of autologous bone. The aim of this study was to examine the influence of three different synthetic bone grafts (Cerasorb, Fortoss and Perioglass) on sisters chromatide exchanges (SCEs) in peripheral lymphocytes. Materials and Methods: Peripheral blood samples taken from 68 patients (45 females and 23 males), who underwent oral surgery procedures, such as apical resection, cyst enucleation or periodontal curretage, were obtained for SCE a day before and two months after the surgeries. A control group included 30 patients, while the study group was made of the patients who underwent bone grafting with Cerasorb? (11 patients), Fortoss? VITAL (10 patients) or Perioglass? (17 patients). Results: Comparing with the results of the study group before and after the treatment, it was concluded that the results were statistically significant (p = 0.001). In the Perioglass? subgroup, a greater statistical significance (p = 0.003) was noted, than that in either the Cerasorb? (p = 0.620) or Fortoss? (p = 0.210) subgroups, in which there was no statistical significance. Conclusions: Although further investigations may be necessary, our results suggest that the synthetic bone grafts might have an influence on SCE in peripheral lymphocytes.
文摘In February 2013, just after the traditional Spring Festival, the Changchun Railway Station was crowded with people going out to find work in other cities. Amidst the crowd, a red banner at- tracted peoples' eyes. On it were written four golden characters: "Jinlin Big Sisters." Under the banner was a group of hundreds of women workers organized by the Jilin Women's Employment Guidance Center, the first group of Jilin Big Sisters organized in 2013 to work in Guangzhou. A team leader said, "We send out over 100 teams like this every year." How is such a large group of women workers organized? It all starts with the hard work and great effort put forth by the Women's Employment Guidance Center of Jilin Province over the last 10 or more years to take care of des- titute women.
文摘Before the Victorian era,it was rare for women to be authors and writers to fix the protagonists of their works as female characters.However,in the 19^(th)century,there was a rapid increase of women writers and emphasis on feminist consciousness.Among all the works of women writers,Jane Eyre and Wuthering Heights which were written by the Bronte sisters were distinctive.The Bronte sisters conveyed their feminist consciousness and described the society in their works.Both works emphasized romantic relationships as the narrative thread.By shaping the female characters in their works as self-reliant women who fought for equivalence and freedom in the era where male chauvinism occupied leadership roles,the Bronte sisters conveyed their eagerness for freedom,equality,and their feminist consciousness.This paper combines features of the Victorian era and the Bronte sisters’life experiences to analyze feminist consciousness in these two works and make comparisons between them.
文摘We show an example of a bounded potential on the half-line obtained as the image of an Inverse Transformation Operator of the Bessel singular potential of the Reduced Radial Schrödinger Equation, and show us the Estimates of the A(α) amplitude.
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.