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Yu YJ, Zheng JQ, Xu J, Gan MF, Li H, Fu GX, Weng SX, Wang JC, Hu XT. [Clinical and pathological characteristics of gastric adenocarcinoma of fundic gland type]. Zhonghua Yi Xue Za Zhi 2023; 103:1560-1562. [PMID: 37246006 DOI: 10.3760/cma.j.cn112137-20220906-01880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
To analyze the clinical, endoscopic and pathological feature of gastric adenocarcinoma of fundic gland type (GA-FG) (18 cases) collected from Sir Run Run Shaw Hospital, affiliated with Zhejiang University School of Medicine and Taizhou Hospital of Zhejiang Province from January 2019 to July 2022. There were 18 cases of patient of GA-FG, including male 12 cases, female 6 cases, aged from 38 to 78 years old, with average age of 60.5 years old. Gastroscopy showed that bulging or flat lesions of gastric fundus were 0.2-5.5 cm in size, and the mucosal surface was smooth, redness or rough. Histologic examination showed that tumor cells were dominated by chief cells and scattered with a few oxyntic cells, formed a complex gland that anastomoses each other, and infiltrated to the submucosa. The results of immunohistochemistry showed that tumor cells were positive for the expression of mucin-6 (MUC6) and Pepsinogen 1, and partial expression of synaptophysin (Syn). GA-FG is a rare type of gastric adenocarcinoma with good differentiation, and currently only a few cases have been reported, and often easily been misdiagnosed or missed. Therefore, to master the characteristics of clinic and pathology is helpful to improve the ability of clinical pathologists in differential diagnosis.
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Affiliation(s)
- Y J Yu
- Department of Pathology, Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310016, China
| | - J Q Zheng
- Department of Otolaryngology, Taizhou Hospital, Zhejiang Province, Taizhou 317000, China
| | - J Xu
- Department of Pathology, Taizhou Hospital, Zhejiang Province, Taizhou 317000, China
| | - M F Gan
- Department of Pathology, Taizhou Hospital, Zhejiang Province, Taizhou 317000, China
| | - H Li
- Department of Pathology, Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310016, China
| | - G X Fu
- Department of Pathology, Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310016, China
| | - S X Weng
- Department of Pathology, Taizhou Hospital, Zhejiang Province, Taizhou 317000, China
| | - J C Wang
- Department of Pathology, Taizhou Hospital, Zhejiang Province, Taizhou 317000, China
| | - X T Hu
- Department of Pathology, Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310016, China
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Zhang HD, Ding L, Weng SX, Zhou B, Ding XT, Hu LX, Qi YJ, Yu FY, Feng TJ, Zhang JT, Fang PF, Zhang S, Tang M. Characteristics and long-term ablation outcomes of supraventricular arrhythmias in hypertrophic cardiomyopathy: a 10-year, single-center experience. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
A variety of supraventricular arrhythmias (SVAs) may occur in patients with hypertrophic cardiomyopathy (HCM). The characteristics and long-term ablation outcomes of different types of SVAs in HCM have not been comprehensively investigated.
Methods
We retrospectively enrolled 101 consecutive symptomatic HCM patients with suspected arrhythmia from May 2010 to October 2020. The clinical features and ablation outcomes of patients with SVAs were further analyzed.
Results
Seventy-eight patients had SVAs, consisting of 50 (64.1%) atrial fibrillation (AF), 16 (20.5%) atrial flutter (AFL), 15 (19.2%) atrioventricular reentrant tachycardia (AVRT), 11 (14.1%) atrial arrhythmia (AT), and 3 (3.8%) atrioventricular nodal reentrant tachycardia (AVNRT). Thirty-four patients underwent catheter ablation including 14 for AF, 9 for AVRT, 6 for AFL, 3 for AVNRT, 1 for both AF and AFL, and 1 for both AF and AVRT. They were followed up for a median (interquartile range) of 58.5 (82.9) months. There were no recurrences for patients with non-AF SVAs. For patients with AF, the 1- and 7-year AF-free survival were 87.5% and 49.5%, respectively. A ROC analysis revealed that a greater left ventricular end-diastolic dimension (LVEDD) was associated with higher recurrence of AF with an optimum cutoff value of 47mm (c-statistic = 0.91, p=0.011, sensitivity = 1.00, specificity = 0.82). In Kaplan-Meier analysis, patients with LVEDD ≥47mm had worse AF-free survival (log-rank p=0.014).
Conclusions
AF is the most common SVA in HCM, with AFL, AVRT, AT, and AVNRT ranking the second to the last according to the prevalence. The long-term catheter ablation outcome for non-AF SVAs in HCM is satisfying. A greater LVEDD predicts AF recurrence after catheter ablation in patients with HCM.
Funding Acknowledgement
Type of funding sources: Foundation. Main funding source(s): National Natural Science Foundation of China Figure 1Figure 2
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Affiliation(s)
- H D Zhang
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - L Ding
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - S X Weng
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - B Zhou
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - X T Ding
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - L X Hu
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - Y J Qi
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - F Y Yu
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - T J Feng
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - J T Zhang
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - P F Fang
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - S Zhang
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
| | - M Tang
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular D, Beijing, China
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Ye ER, Chen WF, Weng SX, Zhang LN, Yang Y, Gan MF. [Application of a new positive control in pathological acid fast staining]. Zhonghua Bing Li Xue Za Zhi 2020; 49:485-486. [PMID: 32392936 DOI: 10.3760/cma.j.cn112151-20190909-00489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- E R Ye
- Department of Pathology, Taizhou Hospital Affiliated to Wenzhou Medical University, Taizhou 317000, China
| | - W F Chen
- Department of Pathology, Taizhou Hospital Affiliated to Wenzhou Medical University, Taizhou 317000, China
| | - S X Weng
- Department of Pathology, Taizhou Hospital Affiliated to Wenzhou Medical University, Taizhou 317000, China
| | - L N Zhang
- Department of Pathology, Taizhou Hospital Affiliated to Wenzhou Medical University, Taizhou 317000, China
| | - Y Yang
- Department of Clinical Laboratory, Enze Medical Center, Enze Hospital,Zhejiang Province, Taizhou 318050, China
| | - M F Gan
- Department of Pathology, Taizhou Hospital Affiliated to Wenzhou Medical University, Taizhou 317000, China
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Zheng HH, Weng SX, Gan MF. [Clinicopathological features of the lymphoepithelioma-like carcinoma]. Zhonghua Bing Li Xue Za Zhi 2020; 49:74-76. [PMID: 31914541 DOI: 10.3760/cma.j.issn.0529-5807.2020.01.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- H H Zheng
- Department of Pathology, Taizhou Hospital of Zhejiang Province, Enze Medical Center, Linhai 317000, China
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Wu LN, Zhang LN, Weng SX, Xie CP, Zheng HH. [Effect of different thyroid decalcification on HE staining, immunohistochemistry and nucleic acid quality]. Zhonghua Bing Li Xue Za Zhi 2020; 49:80-83. [PMID: 31914543 DOI: 10.3760/cma.j.issn.0529-5807.2020.01.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- L N Wu
- Department of Pathology, Taizhou Hosptial of Zhejiang Province, Enze Medical Center, Linhai 317000, China
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Wang JC, Jin XF, Weng SX, Xu C, Gan MF. [Gastric glomus tumors expressing synaptophysin: clinicopathologic and immunohistochemical analyses]. Zhonghua Bing Li Xue Za Zhi 2017; 46:756-759. [PMID: 29136687 DOI: 10.3760/cma.j.issn.0529-5807.2017.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the clincopathologic and immunohistochemical features of gastric glomus tumors and their differences from gastric neuroendocrine neoplasms. Methods: Six cases of gastric glomus tumors, 8 cases of glomus tumors in other sites and 7 cases of gastric neuroendocrine neoplasms were collected from the Department of Pathology, Taizhou Hospital. The clinicopathological and immunohistochemical characteristics of these tumors were analyzed retrospectively. Results: The gastric glomus tumors were located in the muscularis propria of the antrum and most cases strongly expressed synaptophysin (5/6). However, no synaptophysin expression was seen in glomus tumors of other organs.Most gastric neuroendocrine neoplasms were located in the mucosa or submucosa of the fundus and corpus. In addition to the strong expression of synaptophysin (7/7), CgA (6/7) and CD56(5/7) were strongly positive, although SMA was negative. Conclusions: Gastric glomus tumors and neuroendocrine neoplasms have similar morphological characteristics and both show strongly expression of synaptophysin. However, the location and immunohistochemical characteristics of gastric glomus tumors differ from those of the neuroendocrine neoplasms.
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Affiliation(s)
- J C Wang
- Department of Pathology, Taizhou Hospital, Wenzhou Medical University, Taizhou 317000, China
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Wang QP, Luo HR, Zhang JW, Weng SX, Gan MF. [Primary ALK-negative anaplastic large cell lymphoma of breast: report of a case]. Zhonghua Bing Li Xue Za Zhi 2017; 46:55-56. [PMID: 28072980 DOI: 10.3760/cma.j.issn.0529-5807.2017.01.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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