The present report describes a rare case of a tumor composed of early gastric cancer and a duodenal neuroendocrine tumor(NET). A 78-year-old woman underwent esophagogastroduodenoscopy at a local institution for screen...The present report describes a rare case of a tumor composed of early gastric cancer and a duodenal neuroendocrine tumor(NET). A 78-year-old woman underwent esophagogastroduodenoscopy at a local institution for screening of the upper gastrointestinal tract which revealed a protruded tumor through the pyloric ring from the pyloric antrum. The tumor was too large to treat at the facility; consequently, she was referred to our hospital for further management. Esophagogastroduodenoscopy with tumor biopsy of the lesion revealed the diagnosis of early gastric cancer. Endoscopic submucosal dissection was performed with sufficient free margins in both vertical and horizontal directions. Histopathological findings showed NET confined to the submucosal layer and covered by welldifferentiated adenocarcinoma. Immunohistochemical stainings showed that the two lesions existed continuously. While the possibility of a collision cancer was considered, it was suggested that the two lesions existed continuously. Finally, the tumor was diagnosed as gastric cancer composed of duodenal NET G1, with a lymphatic invasion of NET component.展开更多
Composite-type piezoelectric nanogenerator(PENG)can potentially provide power to the flexible electronics devices by harvesting the mechanical energy.The electricity output of the PENG is not entirely excavated until ...Composite-type piezoelectric nanogenerator(PENG)can potentially provide power to the flexible electronics devices by harvesting the mechanical energy.The electricity output of the PENG is not entirely excavated until now because the polarization dipoles are not sufficiently aligned during the high-voltage poling process.In this study,some Ag particles are attached on the(K_(0.4425)Na_(0.52)Li_(0.0375))(Nb_(0.86)Ta_(0.06)Sb_(0.08))O_(3)(KNN)piezoelectric particles and then they are mixed with multi-walled carbon nanotubes and polydimethylsiloxane to fabricate the PENG device.The Ag particles can reduce the optimal poling electric field from 10 kV/mm down to 5 kV/mm.The PENG device with Ag particles poled at 5 kV/mm can generate the highest open-circuit voltage of 282 V,short-circuit voltage of 32.2 mA,and maximum instantaneous power of 3.5mW under the external mechanical stress of 10 kPa without timedependent degradation(only 27.9 V and 2.6 mA for the pure KNN-based PENG poled at 10 kV/mm).These are much better than previously reported composite-type PENG.The electrical energy generated from the PENG(20mm×40 mm)can light up 40 white light emitting diodes instantaneously without any storage unit during the stomping stage.展开更多
文摘The present report describes a rare case of a tumor composed of early gastric cancer and a duodenal neuroendocrine tumor(NET). A 78-year-old woman underwent esophagogastroduodenoscopy at a local institution for screening of the upper gastrointestinal tract which revealed a protruded tumor through the pyloric ring from the pyloric antrum. The tumor was too large to treat at the facility; consequently, she was referred to our hospital for further management. Esophagogastroduodenoscopy with tumor biopsy of the lesion revealed the diagnosis of early gastric cancer. Endoscopic submucosal dissection was performed with sufficient free margins in both vertical and horizontal directions. Histopathological findings showed NET confined to the submucosal layer and covered by welldifferentiated adenocarcinoma. Immunohistochemical stainings showed that the two lesions existed continuously. While the possibility of a collision cancer was considered, it was suggested that the two lesions existed continuously. Finally, the tumor was diagnosed as gastric cancer composed of duodenal NET G1, with a lymphatic invasion of NET component.
基金supported by the China Postdoctoral Science Foundation(Grant No.2017M612177)National Natural Science Foundation of China(Grant Nos.51702119,51702122)Postdoctoral Science Foundation from University of Jinan.
文摘Composite-type piezoelectric nanogenerator(PENG)can potentially provide power to the flexible electronics devices by harvesting the mechanical energy.The electricity output of the PENG is not entirely excavated until now because the polarization dipoles are not sufficiently aligned during the high-voltage poling process.In this study,some Ag particles are attached on the(K_(0.4425)Na_(0.52)Li_(0.0375))(Nb_(0.86)Ta_(0.06)Sb_(0.08))O_(3)(KNN)piezoelectric particles and then they are mixed with multi-walled carbon nanotubes and polydimethylsiloxane to fabricate the PENG device.The Ag particles can reduce the optimal poling electric field from 10 kV/mm down to 5 kV/mm.The PENG device with Ag particles poled at 5 kV/mm can generate the highest open-circuit voltage of 282 V,short-circuit voltage of 32.2 mA,and maximum instantaneous power of 3.5mW under the external mechanical stress of 10 kPa without timedependent degradation(only 27.9 V and 2.6 mA for the pure KNN-based PENG poled at 10 kV/mm).These are much better than previously reported composite-type PENG.The electrical energy generated from the PENG(20mm×40 mm)can light up 40 white light emitting diodes instantaneously without any storage unit during the stomping stage.