Clinical significance in the number of involved lymph nodes in patients that underwent surgery for pathological stage III-N2 non-small cell lung cancer

<p>Abstract</p> <p>Purpose</p> <p>This study investigated whether the number of involved lymph nodes is associated with the prognosis in patients that underwent surgery for pathological stage (p-stage) III/N2 NSCLC.</p> <p>Subjects</p> <p>This study evaluated 121 patients with p-stage III/N2 NSCLC.</p> <p>Results</p> <p>The histological types included 65 adenocarcinomas, 39 squamous cell carcinomas and 17 others. The average number of dissected lymph nodes was 23.8 (range: 6-55). The average number of involved lymph nodes was 5.9 (range: 1-23). The 5-year survival rate of the patients was 51.0% for single lymph node positive, 58.9% for 2 lymph nodes positive, 34.2% for 3 lymph nodes positive, and 30.0% for 4 lymph nodes positive, and 20.4% for more than 5 lymph nodes positive. The patients with either single or 2 lymph nodes positive had a significantly more favorable prognosis than the patients with more than 5 lymph nodes positive. A multivariate analysis revealed that the number of involved lymph nodes was a significant independent prognostic factor.</p> <p>Conclusion</p> <p>Surgery appears to be preferable as a one arm of multimodality therapy in p-stage III/N2 patients with single or 2 involved lymph nodes. The optimal incorporation of surgery into the multimodality approach therefore requires further clinical investigation.</p

Computed tomographic imaging of the brain of normal neonatal foals

The aim of this study was to provide a more complete description of normal cross-sectional anatomy of the neonatal brain of the foal and associated structures by computed tomography (CT) and gross anatomical sections. Using a fourth-generation CT scanner, 2-mm contiguous transverse images were acquired from two neonatal 5-days-old Quarter horse foals. After the study the animals were euthanised for reasons unrelated to head pathology. To assist in the accurate identification of brain and associated structures, transverse CT images were obtained and compared with the corresponding frozen cross-sections of the head. CT images matched well with their corresponding transverse gross sections and provided good differentiation between the bones and the soft tissues of the head. These CT images are intended to be a useful initial anatomic reference in the interpretation for clinical CT imaging studies of the brain and associated structures in live neonatal foals

Plant responses to rising water tables and nutrient management in calcareous dune slacks.

Plant species of oligotrophic wet dune slacks have dramatically decreased as a result of desiccation and eutrophication. The aim of this study was to test in a field experiment the effects of restoration management in oligotrophic, wet dune slacks (groundwater level rise in combination with topsoil removal or mowing) on abiotic variables and on survival and biomass of four plant species. The effect of groundwater level rise on abiotic variables strongly differed between mown sampling locations and those with topsoil removal. At locations with a mowing treatment, a large rise in water tables led to increased N availability and higher reduced iron concentrations than at other locations. Such effects were absent at locations with recent topsoil removal. No effect of groundwater level rise on P-availability was found. Topsoil removal on average lowered N availability by 13%, P availability by 65% and F