A flow microdevice for studying the initiation and propagation of a single pit

International audienceA novel experimental setup in which a glass microcapillary can be precisely positioned close to a metallic electrode has been developed to locally inject aggressive solutions at will. It has been used for studying the pitting corrosion of a 316L stainless steel in 0.5 M H2SO4 medium. The amount of chloride ions released by the capillary could be controlled and the analysis of the corrosion products by scanning electron microscopy and energy dispersive X-ray spectroscopy showed there was no selective dissolution of the 316L stainless steel. This device was shown to be an efficient tool for understanding localized corrosion. (c) 2012 Elsevier Ltd. All rights reserved

Hindley-Milner Elaboration in Applicative Style

International audienceType inference—the problem of determining whether a program is well-typed—is well-understood. In contrast, elaboration—the task of constructing an explicitly-typed representation of the program— seems to have received relatively little attention, even though, in a non-local type inference system, it is non-trivial. We show that the constraint-based presentation of Hindley-Milner type inference can be extended to deal with elaboration, while preserving its elegance. This involves introducing a new notion of "constraint with a value", which forms an applicative functor

Pancreatic Serous Cystadenoma with Compression of the Main Pancreatic Duct: An Unusual Entity

Serous cystadenoma is a common benign neoplasm that can be managed without surgery in asymptomatic patients provided that the diagnosis is certain. We describe a patient, whose pancreatic cyst exhibited a radiological appearance distinct from that of typical serous cystadenoma, resulting in diagnostic difficulties. CT and MRI showed a 10 cm-polycystic tumor with upstream dilatation of the main pancreatic duct (MPD), suggestive of intraductal papillary mucinous tumor (IPMT). Ultrasonographic aspect and EUS-guided fine-needle aspiration gave arguments for serous cystadenoma. ERCP showed a communication between cysts and the dilated MPD, compatible with IPMT. The patient underwent left pancreatectomy with splenectomy. Pathological examination concluded in a serous cystadenoma, with only a ductal obstruction causing proximal dilatation

Tumour biology of colorectal liver metastasis is a more important factor in survival than surgical margin clearance in the era of modern chemotherapy regimens

AbstractBackgroundThe aim of the authors was to reassess the impact of a positive surgical margin (R1) after a liver resection for colorectal liver metastases (CLMs) on survival in the era of modern chemotherapy, through their own experience and a literature review.MethodsInclusion criteria were: R1 or R0 resection with no local treatment modalities, extra‐hepatic metastases or other cancer.ResultsAmong 337 patients operated between 2000 and 2010, 273 patients were eligible (214 R0/59 R1). The mean follow‐up was 43 ± 29 months. Compared with a R0 resection, a R1 resection offered a lower 5‐year overall (39.1% versus 54.2%, P = 0.010), disease‐free (15.2% versus 31.1%, P = 0.021) and progression‐free (i.e. time to the first non‐curable recurrence; 33.1% versus 47.3%, P = 0.033) survival rates. Metastases in the R1 group were more numerous, larger and more frequently synchronous. Independent factors of poor survival were: number, size and short‐time interval of CLM occurrence, N status, rectal primary, absence of adjuvant chemotherapy, but not a R1 resection. With the more‐systematic administration of chemotherapy since 2005, the intergroup difference in progression‐free survival disappeared (P = 0.264).ConclusionA R1 resection had no prognostic value per se but reflected a more severe disease. The recent change in the prognostic value of a R1 resection may be linked to the beneficial effect of chemotherapy