Multiple factor analysis of metachronous upper urinary tract transitional cell carcinoma after radical cystectomy

Transitional cell carcinoma (TCC) of the urothelium is often multifocal and subsequent tumors may occur anywhere in the urinary tract after the treatment of a primary carcinoma. Patients initially presenting a bladder cancer are at significant risk of developing metachronous tumors in the upper urinary tract (UUT). We evaluated the prognostic factors of primary invasive bladder cancer that may predict a metachronous UUT TCC after radical cystectomy. The records of 476 patients who underwent radical cystectomy for primary invasive bladder TCC from 1989 to 2001 were reviewed retrospectively. The prognostic factors of UUT TCC were determined by multivariate analysis using the COX proportional hazards regression model. Kaplan-Meier analysis was also used to assess the variable incidence of UUT TCC according to different risk factors. Twenty-two patients (4.6%). developed metachronous UUT TCC. Multiplicity, prostatic urethral involvement by the bladder cancer and the associated carcinoma in situ (CIS) were significant and independent factors affecting the occurrence of metachronous UUT TCC (P = 0.0425, 0.0082, and 0.0006, respectively). These results were supported, to some extent, by analysis of the UUT TCC disease-free rate by the Kaplan-Meier method, whereby patients with prostatic urethral involvement or with associated CIS demonstrated a significantly lower metachronous UUT TCC disease-free rate than patients without prostatic urethral involvement or without associated CIS (log-rank test, P = 0.0116 and 0.0075, respectively). Multiple tumors, prostatic urethral involvement and associated CIS were risk factors for metachronous UUT TCC, a conclusion that may be useful for designing follow-up strategies for primary invasive bladder cancer after radical cystectomy

Effect of sodium-based slag treatment on the distribution of impurities in metallurgical grade silicon

Conference Name:4th International Conference on Manufacturing Science and Engineering, ICMSE 2013. Conference Address: Dalian, China. Time:March 30, 2013 - March 31, 2013.Northeastern University, China; Harbin Institute of Technology; Jilin UniversityThe distribution of impurities in metallurgical grade silicon before and after slag treatment was investigated for the purpose of upgrading metallurgical grade to solar grade silicon. It was found that metal impurities co-deposited with silicon and formed different intermetallics in the precipitated phase, and these intermetallics such as Si-Fe, Si-Ni, Si-Ti-V and Si-Ca-Al-Fe were substituted by Si-Fe-Ti-V after treatment of Na2CO3-SiO2 slag. Non-metallic impurities B and P were nearly homogeneous distribution in metallurgical grade silicon before and after slag treatment. Moreover, a particular analysis of the microstructure of slag has been carried out, it was determined that metal impurities Al and Ca could easily migrate from silicon to slag phase in the refining process. ? (2013) Trans Tech Publications, Switzerland