Impact of PET/CT on initial staging, restaging and treatment management of anal cancer: a clinical case with literature review

Distant extrapelvic metastases appear in approximately in 10% of the patients with squamous cell anal cancer (SCAC) and survival depends on the treatment strategy. Exact staging leads to optimal planning of multimodality therapy and the adequate evaluation of treatment response can improve the prognosis of the disease. Diagnosis and staging of SCAC are commonly performed using contrast-enhanced computerized tomography(CT) and interpretation of the findings for tumor biological behavior. F18-fluoro-2 deoxy-D glucose positron emission tomography((18)F-FDG PET) reveals aspects of tumor function and allows metabolic measurements. Combined PET/CT scans permit exact localization with anatomical criteria of the hypermetabolic (18)F-FDG avid malignant lesions. We present a patient with SCAC in whom, according to PET/CT findings, the initial stage was changed from II (T2N0M0) to III A (T2N2M0). Radiation therapy (RT) and chemotherapy achieved a good therapeutic response but early follow up revealed new paraaortic lymph node (LN) metastases, as well as an uncommon left supraclavicular LN metastasis from the same primary carcinoma. The disease was restaged as stage IV (T2N2M1) and radiation therapy was substituted by chemotherapy

Appreciatively Efficient Sorption Achievement to U(VI) from the El Sela Area by ZrO₂/Chitosan

The need to get uranium out of leaching liquid is pushing scientists to come up with new sorbents. This study uses the wet technique to improve the U(VI) sorption properties of ZrO2/chitosan composite sorbent. To validate the synthesis of ZrO2/CS composite with Zirconyl-OH, -NH, and -NH2 for U(VI) binding, XRD, FTIR, SEM, EDX, and BET are used to describe the ZrO2/chitosan wholly formed. To get El Sela leaching liquid, it used 150 g/L H2SO4, 1:4 S:L ratio, 200 rpm agitation speed, four hours of leaching period, and particle size 149–100 µm. In a batch study, the sorption parameters are evaluated at pH 3.5, 50 min of sorbing time, 50 mL of leaching liquid (200 mg/L U(VI)), and 25 °C. The sorption capability is 175 mg/g. Reusing ZrO2/CS for seven cycles with a slight drop in performance is highly efficient, with U(VI) desorption using 0.8 M acid and 75 min of desorption time. The selective U(VI) recovery from El Sela leachate was made possible using ZrO2/CS. Sodium diuranate was precipitated and yielded a yellow cake with a purity level of 94.88%