Metastatic Uterine Leiomyosarcoma in the Upper Buccal Gingiva Misdiagnosed as an Epulis

Uterine leiomyosarcoma (LMS) is a rare tumor constituting 1% of all uterine malignancies. This sarcoma demonstrates an aggressive growth pattern with an high rate of recurrence with hematologic dissemination; the most common sites are lung, liver, and peritoneal cavity, head and neck district being rarely interested. Only other four cases of metastasis in the oral cavity have been previously described. The treatment of choice is surgery and the use of adjuvant chemotherapy and radiation has limited impact on clinical outcome. In case of metastases, surgical excision can be performed considering extent of disease, number and type of distant lesions, disease free interval from the initial diagnosis to the time of metastases, and expected life span. We illustrate a case of uterine LMS metastasis in the upper buccal gingiva that occurred during chemotherapy in a 63-year-old woman that underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy for a diagnosis of LMS staged as pT2bN0 and that developed lung metastases eight months after primary treatment. Surgical excision of the oral mass (previously misdiagnosed as epulis at a dental center) and contemporary reconstruction with pedicled temporalis muscle flap was performed in order to improve quality of life. Even if resection was achieved in free margins, "local" relapse was observed 5 months after surgery

Review of the ELI-NP-GBS low level rf and synchronization systems

The Gamma Beam System (GBS) of ELI-NP is a linac based gamma-source in construction at Magurele (RO) by the European consortium EuroGammaS led by INFN. Photons with tunable energy and with intensity and brilliance well beyond the state of the art will be produced by Compton back-scattering between a high quality electron beam (up to 740 MeV) and a 515 nm intense laser pulse. Production of very intense photon flux with narrow bandwidth requires multi-bunch operation at 100 Hz repetition rate. A total of 13 klystrons, 3 S-band (2856 MHz) and 10 C-band (5712 MHz) will power a total of 14 Travelling Wave accelerating sections (2 S-band and 12 C-band) plus 3 S-band Standing Wave cavities (a 1.6 cell RF gun and 2 RF deflectors). Each klystron is individually driven by a temperature stabilized LLRF module, for a maximum flexibility in terms of accelerating gradient, arbitrary pulse shaping (e.g. to compensate beam loading effects in multi-bunch regime) and compensation of long-term thermal drifts. In this paper, the whole LLRF system architecture and bench test results, the RF reference generation and distribution together with an overview of the synchronization system will be described

Da\phi ne gamma-rays factory

Gamma sources with high flux and spectral densities are the main requirements for new nuclear physics experiments to be performed in several worldwide laboratories and envisaged in the ELI-NP (Extreme Light Infrastructure-Nuclear Physics) project or in the IRIDE (Interdisciplinary Research Infrastructure with Dual Electron Linacs) proposals. The paper is focalized on an experiment of gamma photons production using Compton collisions between the DA\Phi NE electron beam and a high average power laser pulse, amplified in a Fabry-P\'erot optical resonator. The calculations show that the resulting gamma beam source has extremely interesting properties in terms of spectral density, energy spread and gamma flux comparable (and even better) with the last generation gamma sources. The energy of the gamma beam depends on the adopted laser wavelength and can be tuned changing the energy of the electron ring. In particular we have analyzed the case of a gamma factory tunable in the 2-9 MeV range. The main parameters of this new facility are presented and the perturbation on the transverse and longitudinal electron beam dynamics is discussed. A preliminary accelerator layout to allow experiments with the gamma beam is presented with a first design of the accelerator optics.Comment: 26 pages, 15 figure

Conceptual design of electron beam diagnostics for high brightness plasma accelerator

A design study of the diagnostics of a high brightness linac, based on X-band structures, and a plasma accelerator stage, has been delivered in the framework of the EuPRAXIA@SPARC_LAB project. In this paper, we present a conceptual design of the proposed diagnostics, using state of the art systems and new and under development devices. Single shot measurements are preferable for plasma accelerated beams, including emittance, while $\mu$m level and fs scale beam size and bunch length respectively are requested. The needed to separate the driver pulse (both laser or beam) from the witness accelerated bunch imposes additional constrains for the diagnostics. We plan to use betatron radiation for the emittance measurement just at the end of the plasma booster, while other single-shot methods must be proven before to be implemented. Longitudinal measurements, being in any case not trivial for the fs level bunch length, seem to have already a wider range of possibilities

Thermal issues for the optical transition radiation screen for the ELI-NP compton gamma source

A high brightness electron LINAC is being built in the Compton Gamma Source at the ELI Nuclear Physics facility in Romania. To achieve the design luminosity, a train of 32 bunches, 16 ns spaced, with a nominal charge of 250 pC will collide with a laser beam in two interaction points. Electron beam spot size is measured with Optical Transition Radiation (OTR) profile monitors. In order to measure the beam properties, the OTR screens must sustain the thermal and mechanical stress due to the energy deposited by bunches. This paper is an ANSYS study of the issues due to the high energy transferred to the OTR screens. Thermal multicycle analysis will be shown; each analysis will be followed by a structural analysis in order to investigate the performance of the materia

Fast Vertical Beam Instability in the CTF3 Combiner Ring

The CLIC Test Facility CTF3 is being built at CERN by an international collaboration, in order to demonstrate the main feasibility issues of the CLIC two-beam technology by 2010. The facility includes an 84 m combiner ring, which was installed and put into operation in 2007. High-current operation has shown a vertical beam break-up instability, leading to high beam losses over the four turns required for nominal operation of the CTF3 ring. Such instability is most likely due to the vertically polarized transverse mode in the RF deflectors used for beam injection and combination. In this paper we report the experimental data and compare them with simulations. Possible methods to eliminate the instability are also outlined

High intensity X/ γ photon beams for nuclear physics and photonics

In this manuscript we review the challenges of Compton back-scattering sources in advancing photon beam performances in the1−20MeVenergy range, underlining the design criteria bringing tomaximum spectral luminosity and briefly describing the main achieve-ments in conceiving and developing new devices (multi-bunch RF cav-ities and Laser recirculators) for the case of ELI-NP Gamma BeamSystem (ELI-NP-GBS)