Clinical Pathological Analysis of Surgically Resected Superficial Esophageal Carcinoma to Determine Criteria for Deciding on Treatment Strategy

We performed a clinical pathological study of conventionally resected superficial esophageal carcinomas since this type of lesion has been increasing, in order to develop criteria of determination for therapeutic strategies. Pathological studies were performed on specimens obtained by radical surgical resection in 133 cases of superficial esophageal cancer. Evaluation was performed in terms of the gross classification of the lesion type, depth of invasion, lymph node metastasis, vascular invasion, size of the lesion, outcome, etc. In 0-I, 0-IIc+0-IIa, and 0-III type submucosal cancer lesions the rate of metastasis to lymph nodes was more than 40%, but in 0-IIa and 0-IIb mucosal cancer cases no lymph node metastasis was observed. 0-IIc type lesions showed a wide range of invasiveness, ranging from m1 to sm3. In cases with m1 or m2 invasion, no lymph node or lymph-vessel invasion was recognized, but in m3, sm1, sm2, and sm3 cases lymph node metastasis was recognized in 12.5%, 22.2%, 44.0% and 47.4%, respectively. In 47% of lesions with a greatest dimension of less than 30 mm invasion was limited to the mucosa. Seventy-two percent of m1 and m2 cases were 30 mm in size or less. Lymph node metastasis was recognized in only 16.7% of cases less than 30 mm in size, but in cases of lesions 30 mm or more the rate of lymph node metastasis was 35.8%. 0-IIb and 0-IIa type lesions are indications for endoscopic esophageal mucosal resection (EEMR), while 0-I, 0-IIc+0-IIa, and 0-III lesions should be candidates for radical surgical resection. In the 0-IIc category, lesions in which the depression is relatively flat and with a finely granular surface are indications for EEMR, but those cases in which the surface of depression shows granules of varying sizes should be treated with radical surgical resection. Cases of 0-IIa type 30 mm or larger in greatest dimension which have a gently sloping protruding margin shoulder or reddening should be treated with caution, but EEMR can be performed first and subsequent therapeutic strategy decided on, based on the pathological findings of the specimen

Phenomenological model of elastic distortions near the spin-Peierls transition in CuGeO3CuGeO_3

A phenomenological model of the Landau type forms the basis for a study of elastic distortions near the spin-Peierls transition $T_c$ in $CuGeO_3$. The atomic displacements proposed by Hirota {\it et al.} [Phys. Rev. Lett. {\bf 73}, 736 (1994)] are accounted for by the model which includes linear coupling between $Cu$ and $O$ distortions. $Cu$ displacements are seen to be responsible for anomalies in the elastic properties {\it at} $T_c$, whereas incipient $O$ distortions give rise to temperature dependence below $T_c$. A discussion of possible critical behavior is also made.Comment: 1 figure available upon reques

Search for gamma ray bursts at Chacaltaya

A search for gamma-ray bursts in the GeV–TeV energy range has been performed by INCA, an air shower array working at 5200 m of altitude at the Chacaltaya Laboratory (Bolivia). The altitude of the detector and the use of the “single-particle technique” allows to lower the energy threshold up to few GeVs. No significant signals are observed during the occurrences of 125 GRBs detected by BATSE, and the obtained upper limits on the energy fluence in the interval 1–103 (1–102) GeV, range from 3.2 (8.6) ×10 −5 to 2.6 (7.0) ×10−2 erg cm −2 depending on the zenith angle of the events. These limits, thanks to the extreme altitude of INCA, are the lowest ever obtained in the sub-TeV energy region by a ground-based experiment

Anterior capsule phimosis and capsular block syndrome in a patient with Steinert myotonic dystrophy: a case report

A 55-year-old man with myotonic dystrophy underwent phacoemulsification with IOL implantation in the right eye

Spin fluctuations in CuGeO3_3 probed by light scattering

We have measured temperature dependence of low-frequency Raman spectra in CuGeO$_3$, and have observed the quasi-elastic scattering in the $(c,c)$ polarization above the spin-Peierls transition temperature. We attribute it to the fluctuations of energy density in the spin system. The magnetic specific heat and an inverse of the magnetic correlation length can be derived from the quasi-elastic scattering. The inverse of the magnetic correlation length is proportional to $(T-T_{SP})^{1/2}$ at high temperatures. We compare the specific heat with a competing-$J$ model. This model cannot explain quantitatively both the specific heat and the magnetic susceptibility with the same parameters. The origin of this discrepancy is discussed.Comment: 17 pages, REVTeX, 5 Postscript figures; in press in PR

High-field Electron Spin Resonance of Cu_{1-x}Zn_{x}GeO_{3}

High-Field Electron Spin Resonance measurements were made on powder samples of Cu_{1-x}Zn_{x}GeO_{3} (x=0.00, 0.01, 0.02, 0.03 and 0.05) at different frequencies (95, 110, 190, 220, 330 and 440 GHz) at low temperatures. The spectra of the doped samples show resonances whose positions are dependent on Zn concentration, frequency and temperature. The analysis of intensity variation of these lines with temperature allows us to identify them as originating in transitions within states situated inside the Spin Peierls gap. A qualitative explanation of the details of the spectra is possible if we assume that these states in the gap are associated with "loose" spins created near the Zn impurities, as recently theoreticaly predicted. A new phenomenon of quenching of the ESR signal across the Dimerized to Incommensurate phase-boundary is observed.Comment: 4 pages, 5 ps figures in the text, submitted to Phys. Rev. Let