Tumor deposits in axillary adipose tissue in patients with breast cancer:Do they matter?

Tumor deposits(TDs)are defined as discrete,irregular clusters of tumor cells lying in the soft tissue adjacent to but separate from the primary tumor,and are usually found in the lymphatic drainage area of the primary tumor.By definition,no residual lymph node structure should be identified in these tumor masses.At present,TDs are mainly reported in colorectal cancer,with a few reports in gastric cancer.There are very few reports on breast cancer(BC).For TDs,current dominant theories suggest that these are the result of lymph node metastasis of the tumor with complete destruction of the lymph nodes by the tumor tissue.Even some pathologists classify a TD as two lymph node metastases for calculation.Some pathologists also believe that TDs belong to the category of disseminated metastasis.Therefore,regardless of the origin,TDs are an indicator of poor prognosis.Moreover,for BC,sentinel lymph node biopsy is generally used at present.Whether radical axillary lymph node dissection should be adopted for BC with TDs in axillary lymph nodes is still inconclusive.The present commentary of this clinical issue has certain guiding significance.It is aimed to increase the awareness of the scientific community towards this under-recognized problem in BC pathology.

Two Super-Large Gold Deposits Have Been Discovered in Jiaodong Peninsula of China

During 2015, gold prospecting in Laizhou City of Shandong Peninsula in China has achieved a major breakthrough. Deposits containing 470 and 389 tons of gold metal were discovered in the northern sea area of Sanshandao and the Shaling area, respectively. As a result, the gold prospective resources in the entire Jiaodong Peninsula have now exceeded 4000 tons, fully indicative of the super-large prospecting potential of the Jiaojia-type deposits.

The Major Ore Clusters of Super-Large Iron Deposits in the World, Present Situation of Iron Resources in China, and Prospect

The metamorphosed sedimentary type of iron deposits（BIF） is the most important type of iron deposits in the world, and super-large iron ore clusters of this type include the Quadrilatero Ferrifero district and Carajas in Brazil, Hamersley in Australia, Kursk in Russia, Central Province of India and Anshan-Benxi in China. Subordinated types of iron deposits are magmatic, volcanic-hosted and sedimentary ones. This paper briefly introduces the geological characteristics of major super-large iron ore clusters in the world. The proven reserves of iron ores in China are relatively abundant, but they are mainly low-grade ores. Moreover, a considerate part of iron ores are difficult to utilize for their difficult ore dressing, deep burial or other reasons. Iron ore deposits are relatively concentrated in 11 metallogenic provinces（belts）, such as the Anshan-Benxi, eastern Hebei, Xichang-Central Yunnan Province and middle-lower reaches of Yangtze River. The main minerogenetic epoches vary widely from the Archean to Quaternary, and are mainly the Late Archean to Middle Proterozoic, Variscan, and Yanshanian periods. The main 7 genetic types of iron deposits in China are metamorphosed sedimentary type（BIF）, magmatic type, volcanic-hosted type, skarn type, hydrothermal type, sedimentary type and weathered leaching type. The iron-rich ores occur predominantly in the skarn and marine volcanic-hosted iron deposits, locally in the metamorphosed sedimentary type（BIF） as hydrothermal reformation products. The theory of minerogenetic series of mineral deposits and minerogenic models has applied in investigation and prospecting of iron ore deposits. A combination of deep analyses of aeromagnetic anomalies and geomagnetic anomalies, with gravity anomalies are an effective method to seeking large and deep-buried iron deposits. China has a relatively great oresearching potential of iron ores, especially for metamorphosed sedimentary, skarn, and marine volcanic-hosted iron deposits. For the lower guarantee degree of iron and steel industry, China should give a trading and open the foreign mining markets.

Super-Large Pb-Zn Deposits Discovered in Danaopo,Huayuan County,Hunan Province

Geological Brigade 405 of Hunan Provincial Geology and Mineral Exploration and Development Bureau discovered the Danaopo and Yangjiazhai super-large Pb- Zn deposits through 5 years （2009-2014） of exploration in Huayuan County, Hunan Province. These deposits contain 208.4942 million tons of （332＋333） class Pb＋Zn ores and 4.8746 million tons of metal amounts, of which metal amounts of 333 class zinc are 4.1198 million tons and metal amounts of lead are 0.7548 million tons, associated with useful components of Cd, Ag and Se. In addition, the Limei, Qingshuitang and Yutang Pb-Zn deposits were proven betbre and this region has thus been ranked as a Pb-Zn ore resource base with a hundred-ton scale （Fig. 1）.

Super-Large Manganese Deposits Have Been Discovered at Pujue and Taoziping,Songtao County in Guizhou Province

In 2016,the Geological Brigade No.103 of Guizhou Geology and Mineral Exploration and Development Bureau discovered two super-large manganese deposits at Pujue and Taoziping,in Songtao County,Guizhou Province（Fig.1）.The Pujue manganese deposit has191.59 million tons of proven（332＋333）class ore reserves,including 35.54 million tons of 332 class and

Metallogenic mechanisms of super-large Cu and Au deposits in the Dexing region and simulating experiments

Based on the results of previous studies and under the direction of the theory of "ore deposit genesis",the authors made use of high temperature and high pressure experimental facilities and conditions at the Tectono-geochemistry Research Room under the State Key Laboratory of Ore Deposit Geochemistry,Institute of Geochemistry,Chinese Academy of Sciences,and put the focus on the multi-source of tectonically controlling ore-forming materials,the characteristics of multi-stage and multi-episode hydrothermal activities and mineralization and the characteristics of multi-genesis and multi-ore deposition so as to shed light on the metallogenic mechanisms of super-large Cu and Au deposits.In addition simulating experiments were made on multi-stage and multi-episode tectonic activities and rock and ore deformation,multi-stage and multi-episode tectonic activities and mobilization and migration of ore-forming materials,and multi-stage and multi-episode tectonic activities and superimposition and enrichment of ore-forming materials.The experimental results showed that under the action of multi-stage and multi-episode tectonic stress the deformation and fragmentation of not only rocks and ores have been intensified,and but also the ore-forming materials originally disbursed in the rocks and ores have been mobilized and migrated and superimposed and enriched.The experimental results also provided the scientific experimental data and grounds for deep-going research on the rules of metallogenesis and geneses of super-large ore deposits in the Dexing region,Jiangxi Province.

Classification and mineralization of global lithium deposits and lithium extraction technologies for exogenetic lithium deposits

A reasonable classification of deposits holds great significance for identifying prospecting targets and deploying exploration. The world ’s keen demand for lithium resources has expedited the discovery of numerous novel lithium resources. Given the presence of varied classification criteria for lithium resources presently, this study further ascertained and classified the lithium resources according to their occurrence modes, obtaining 10 types and 5 subtypes of lithium deposits(resources) based on endogenetic and exogenetic factors. As indicated by surveys of Cenozoic exogenetic lithium deposits in China and abroad,the formation and distribution of the deposits are primarily determined by plate collision zones, their primary material sources are linked to the anatectic magmas in the deep oceanic crust, and they were formed primarily during the Miocene and Late Paleogene. The researchers ascertained that these deposits,especially those of the salt lake, geothermal, and volcanic deposit types, are formed by unique slightly acidic magmas, tend to migrate and accumulate toward low-lying areas, and display supernormal enrichment. However, the material sources of lithium deposits(resources) of the Neopaleozoic clay subtype and the deep brine type are yet to be further identified. Given the various types and complex origins of lithium deposits(resources), which were formed due to the interactions of multiple spheres, it is recommended that the mineralization of exogenetic lithium deposits(resources) be investigated by integrating tectono-geochemistry, paleoatmospheric circulation, and salinology. So far, industrialized lithium extraction is primarily achieved in lithium deposits of the salt lake, clay, and hard rock types. The lithium extraction employs different processes, with lithium extraction from salt lake-type lithium deposits proving the most energy-saving and cost-effective.

Risk factors predict microscopic extranodal tumor deposits in advanced stage Ⅲ colon cancer patients

BACKGROUND Colorectal cancer is a frequent cause of cancer-related mortality in patients with lymph node or distant metastases.Pericolonic tumor deposits(TDs)are considered prognostically distinct from lymph node metastases.AIM To investigate risk factors for extranodal TDs in stage III colon cancer.METHODS This was a retrospective cohort study.We selected 155 individuals diagnosed with stage III colon cancer from the database of the Cancer Registry of the Tri-Service General Hospital.The patients were allocated into the groups with/without N1c.Multivariate Cox regression analysis and Kaplan-Meier method were done.The primary outcomes investigate the association between the covariates and extranodal TDs,and prognostic significance of the covariates regarding the survival.RESULTS There were 136 individuals in the non-N1c group and 19 individuals in the N1c group.Patients with lymphovascular invasion(LVI)had a higher risk of TDs.Overall survival rates of patients with and without LVI were 6.64 years and 8.61 years,respectively(P=0.027).The N1c patients without LVI had higher overall survival than those who with LVI(7.73 years vs 4.42 years,P=0.010).CONCLUSION Patients having stage III colon cancer with LVI have a higher probability of having TDs than those with stage III colon cancer without LVI.Stage III colon cancer patients with TDs and LVI could have poor prognosis and outcome.

Volcanism Pacing Slumping Gravity Flow Deposits during the Late Carboniferous in the Southern Margin of the Junggar Basin,China

Deep-water gravity depositional processes and evolution in arc systems have become topics of intense research focus in recent years.This study discusses the co-evolution of volcanism and deep-water gravity flow deposits at the southern margin of the Junggar Basin,based on petrology,geochronology and geochemical analyses.The results show that a massive collapse of unstable sediments from the slope was triggered by volcanism,resulting in the formation of slumping gravity flows.The occurrence of volcanic beds in the slump deposits confirm that synchronous volcanism likely affected sediment instability,triggering gravity flows.The Th/Yb,Ta/Yb and Th/Ta elemental ratios,U-Pb ages of detrital zircons and paleocurrent directions indicate that the North Tianshan(NTS)island arc represents the provenance of the Qianxia Formation.Moreover,statistical data on the pyroclastic components in the gravity flow deposits reveal an intensity index of volcanism,indicating that volcanism is strongly related to gravity flow deposits,especially in terms of the type and distribution of the deposits.A model for volcanically-triggered deep-water gravity flow deposits is established,in order to provide a more in-depth understanding of the co-evolution of volcanism and gravity flow deposits within the depositional setting of the late Paleozoic NTS oceanic subduction margin in the Junggar Basin.

Incorporation of perigastric tumor deposits into the TNM staging system for primary gastric cancer

BACKGROUND The current prognostic significance of perigastric tumor deposits(TDs)in gastric cancer(GC)remains unclear.AIM To assess the prognostic value of perigastric TDs and put forward a new TNM staging framework involving TDs for primary GC.METHODS This study retrospectively analyzed the pathological data of 6672 patients with GC who underwent gastrectomy or surgery for GC with other diseases from January 1,2012 to December 31,2017 at the Chinese PLA General Hospital.According to the presence of perigastric TDs or not,the patients were divided into TD-positive and TD-negative groups by using the method of propensity score matching.The differences between TD-positive and TD-negative patients were analyzed using binary logistic regression modeling.The Kaplan-Meier method was used to plot survival curves.Multivariate Cox regression modeling and the log-rank test were used to analyze the data.RESULTS Perigastric TDs were found to be positive in 339(5.09%)of the 6672 patients with GC,among whom 237 were men(69.91%)and 102 were women(30.09%)(2.32:1).The median age was 59 years(range,27 to 78 years).Univariate and multivariate survival analyses indicated that TD-positive GC patients had a poorer prognosis than TD-negative patients(P<0.05).The 1-,3-,and 5-year overall survival rates of GC patients with TDs were 68.3%,19.6%,and 11.2%,respectively,and these were significantly poorer than those without TDs of the same stages.There was significant variation in survival according to TD locations among the GC patients(P<0.05).A new TNM staging framework for GC was formulated according to TD location.When TDs appear in the gastric body,the original stages T1,T2,and T3 are classified as T4a with the new framework,and the original stages T4a and T4b both are classified as T4b.When TDs appear in the lesser curvature,the previous stages N0,N1,N2,and N3 now both are classified as N3.When TDs appear in the greater curvature or the distant tissue,the patient should be categorized as having M1.With the new GC staging scheme including TDs,the survival curves of patients in the lower grade TNM stage with TDs were closer to those of patients in the higher grade TNM stage without TDs.CONCLUSION TDs are a poor prognostic factor for patients with primary GC.The location of TDs is associated with the prognosis of patients with primary GC.Accordingly,we developed a new TNM staging framework involving TDs that is more appropriate for patients with primary GC.

A Super-Large Rb-Nb Rare Metal Deposit has been Discovered in Huashi Village of Xinglong County, Hebei Province

Objective The Huashi Village in Xinglong County of Hebei Province is located in the Yanshan subsidence zone in the central eastern North China Plate, which is 137 km away from Beijing City （Fig. la）. This area has undergone large -scale magmatic intrusion affected by the tectonic compression of the Pacific Plate in the Mesozoic （known as the Yanshanian movement） to form many alkaline rocks such as the Wulingshan rock mass. Previous studies have conducted petrological research and reconnaissance survey of rare metal ores in this area （Tian Shuzhang and Guo Zongshan, 1981; Xu Baoling et al., 1996）. In 2016, the Qinhuangdao Mineral and Hydrology Engineering Geological Brigade of Hebei Bureau of Geology and Mineral Resources Exploration implemented the project of Reconnaissance of Rare Metal Ores Including Rubidium in Huashi Village of Xinglong County, Hebei Province, and discovered super-large rare metal deposits of rubidium and biobium in the Madi alkali feldspar granite bodies in the Huashi Village to achieve great breakthrough of rare metal ore prospecting.

A super-large graphite deposit discovered in granite rocks at Huangyangshan, Xinjiang,China

1.Objective A graphite deposit has been discovered in Sujiquan, Xinjiang in 1980s,which provides detailed geological settings for the super-large graphite deposit discovered in Huangyangshan pluton with total reserves up to 7.264×10^9 t in 2017.Outcrops of igneous rocks in the study area include Middle Devonian plagioclase granite and Late Carboniferous alkali feldspar granite that is referred to the Huangyangshan pluton,which includes the Lower Carboniferous Heishantou Formation and Jiangbasi Formation,both of which consist of volcanic-sedimentary rocks (Fig.1).Sujiquan fault provided passage for the migration of volcanic intrusions.Graphite deposits are usually hosted by metamorphic rocks,but Huangyanshan deposits are hosted by granite rocks,which are rarely known.The Huangyangshan graphite deposit hosted by granite pluton at Huangyangshan area was discovered by Xinjiang Branch of China National Geological Exploration Center of Building Materials Industry since 2015.

Application of Tectono Geochemical Study in Deep Concealed Ore Body Exploration--As the Huize Super-Large Lead-Zinc Deposit an exemple

1 Geological Background of Minerlization or Geologic Setting The northeast of Yunnan1 Pb-Zn-Ag-Ge polymetallic ore district is an important part of the southwestern margin of the Yangtze block Sichuan-Yunnan-Guizhou

Types,characteristics and geological significance of event deposits of Chang 9 Member of Triassic Yanchang Formation in southwestern Ordos Basin,NW China

Through core observation,thin section identification,and logging and testing data analysis,the types and characteristics of event deposits in the ninth member of Yanchang Formation of Triassic(Chang 9 Member)in southwestern Ordos Basin,China,are examined.There are 4 types and 9 subtypes of event deposits,i.e.earthquake,gravity flow,volcanic and anoxic deposits,in the Chang 9 Member in the study area.Based on the analysis of the characteristics and distribution of such events deposits,it is proposed that the event deposits are generally symbiotic or associated,with intrinsic genetic relations and distribution laws.Five kinds of sedimentary microfacies with relatively developed event deposits are identified,and the genetic model of event deposits is discussed.Seismites are mainly developed in the lake transgression stage when the basin expands episodically,and commonly affected by liquefaction flow,gravity action and brittle shear deformation.Gravity flow,mainly distributed in the high water level period,sandwiched in the fine-grained sediments of prodelta or semi-deep lake,or creates banded or lobate slump turbidite fan.It is relatively developed above the seismites strata.The volcanic event deposits are only seen in the lower part of the Chang 9 Member,showing abrupt contact at the top and bottom,which reflects the volcanic activity at the same time.Anoxic deposits are mostly formed in the late stage of lake transgression to the highstand stage.Very thick organic-rich shales are developed in the highstand stage of Chang 9 Member,and the event deposits in the depositional period of these shales are conducive to potential reservoirs.

^40Ar/^39Ar and Rb-Sr Ages of the Tiegelongnan Porphyry Cu-(Au)Deposit in the Bangong Co-Nujiang Metallogenic Belt of Tibet,China:Implication for Generation of Super-Large Deposit

The Tiegelongnan deposit is a newly discovered super-large porphyry-epithermal Cu-（Au） deposit in the western part of the Bangong Co-Nujiang metallogenic belt, Tibet（China）. Field geology and geochronology indicate that the porphyry mineralization was closely related to the Early Cretaceous intermediate-felsic intrusions（ca. 123–120 Ma）. Various epithermal ore and gangue mineral types were discovered in the middle-shallow part of the orebody, indicating the presence of epithermal mineralization at Tiegelongnan. Potassic, propylitic, phyllic and advanced argillic alteration zones were identified. 40Ar/39Ar dating of hydrothermal biotite（potassic zone）, sericite（phyllic zone）, and alunite（advanced argillic zone） in/around the ore-bearing granodiorite porphyry yielded 121.1±0.6 Ma（1σ）, 120.8±0.7 Ma（1σ） and 117.9±1.6 Ma（1σ）, respectively. Five hydrothermal mineralization stages were identified, of which the Stage IV pyrite was Rb-Sr dated to be 117.5±1.8 Ma（2σ）, representing the end of epithermal mineralization. Field geology and geochronology suggest that both the epithermal and porphyry mineralization belong to the same magmatic-hydrothermal system. The Tiegelongnan super-large Cu-（Au） deposit may have undergone a prolonged magmatichydrothermal evolution, with the major mineralization event occurring at ca.120–117Ma.

Magmatic Evolution and Mineralization Process of the Super-Large Shihuiyao Rb–Nb–Ta Deposit,Southern Great Xing'an Range,China

Rare metal ore reserves are an important strategic resource, and their metallogenic mechanism and mineralization studies have also been received widespread international attention.

Discriminating characters of ore-forming intrusions in the super-large Chalukou porphyry Mo deposit,NE China

The Chalukou porphyry Mo deposit, located in the Great Hinggan Range, is the largest Mo deposit in northeast China, although the age and genesis of the associated magmatic intrusions remain debated.Here we report zircon U-Pb ages and trace elements, whole rock geochemistry and Sre Nd isotope data with a view to understand the relationship between the magmatism and molybdenum mineralization.Zircon U-Pb analysis yield an age of 475 Ma for rhyolite in the older strata, 168 Ma for the premineralization monzogranite, and 154 Ma for the syn-mineralization granite porphyry. The granite porphyry and quartz porphyry are considered as the ore-forming intrusions. These rocks are peraluminous, alkali-calcic, and belong to high-K to shoshonitic series with a strong depletion of Eu. They also display characteristics of I-type granites. The rocks exhibit wide variations of(87 Sr/86 Sr)iin the range of 0.705426 -0.707363, and ε_(Nd)(t) of -3.7 to 0.93. Zircon REE distribution patterns show characteristics between crust and the mantle, implying magma genesis through crust-mantle interaction. The Fe_2O_3/FeO values(average 1) for the whole rock and EuN/Eu*Nvalues(average 0.45), Ce^(4+)/Ce^(3+) values(average 301)for zircon grains from the granite porphyry are higher than those from other lithologies. These features suggest that the ore-forming intrusions(syn-mineralization porphyry) had higher oxygen fugacity conditions than those of the pre-mineralization and post-mineralization rocks. The Chalukou Mo deposit formed in relation to the southward subduction of the Mongol-Okhotsk Ocean. Our study suggests that the subduction-related setting, crust-mantle interaction, and the large-scale magmatic intrusion were favorable factors to generate the super-large Mo deposits in this area.

New Data on Lithium Isotopic Geochemistry of the No. X03 Lithium Vein in the Jiajika Super-Large Lithium Deposit, Sichuan, China

Objective The No.X03 lithium pegmatite vein in the Jiajika lithium deposit in western Sichuan is a newly discovered super-large vein which contains an identified reserves of643,100 tons Li2O.Lithium has two stable isotopes(~6Li and^7Li),and^6Li is a key raw material for nuclear fusion.Significant fractionation of lithium isotopes is almost nonexistent during partial melting。

New Zircon U-Pb Age of the Super-Large Lijiagou Spodumene Deposit in Songpan Garze Fold Belt, Eastern Tibet： Implications for Early Jurassic Rare-Metal Polymetallic Event

Objective The Songpan-Garze Fold Belt(SGFB),located in the eastern part of the Tibet Plateau and west of the Sichuan Basin,is an important pegmatite province in China.Some famous pegmatite type deposits occur in the SGFB,including the Xuebaoding,Jiajika,Keeryin rare metal deposits and Danba muscovite deposit(Li Jiankang et al.,2015).The newly discovered super-large Lijiagou

Mineralization of the Liwu large-scale stratiform copper deposits in Sichuan Province, China: Constraints from fluid inclusions

The Liwu stratiform copper deposit is located in the northwestern Jianglang dome,western China.Current studies mainly focus on the genetic type and mineralization of this deposit.Detailed fluid inclusion characteristics of metallogenic period quartz veins were studied to reveal the ore-forming fluid features.Laser Raman analysis indicates that the ore-forming fluids is a H_(2)O-NaCl-CH_(4)(-CO_(2))system.Fluid inclusions microthermometry shows a homogenization temperature of 181-375°C and a salinity of 5.26%-16.99%for the disseminated-banded Cu-Zn mineralization;but a homogenization temperature of 142-343°C and a salinity of 5.41%-21.19%for the massive-veined Cu-Zn mineralization.These features suggest a medium-high temperature and a medium salinity for the ore-forming fluids.H-O isotopic data indicates that the ore-forming fluids were mainly from the metamorphic and magmatic water,plus minor formation water.And sulfur isotopic data indicates that sulfur was mainly derived from the formation and magmatic rocks.Metallogenesis of the disseminated-banded mineralization was mainly correlated with fluid mixing and water-rock reaction;whereas that of the massive-veined mineralization was mainly correlated with fluid boiling.The genetic type of the deposit is a medium-high temperature hydrothermal deposit related to magmatism and controlled by shear zones.This study is beneficial to understand the stratiform copper deposit.