3,092 research outputs found
Oncologic outcomes following surgical management of clinical stage II sex cord stromal tumors
Objective
To investigate the clinical history of patients with clinical stage II sex cord stromal tumors who underwent RPLND at our institution.
Methods
Our prospectively maintained testicular cancer database was queried to identify patients who presented with or developed clinical stage II sex cord stromal tumors and underwent RPLND at our institution between 1980 and 2018. Demographic, clinical and pathological characteristics were reviewed. Kaplan-Meier curves were graphed to assess recurrence-free and overall survival.
Results
Fourteen patients were included in the study with a median age of 44.2 years. Four patients presented with clinical stage II disease and 10 patients developed metastatic disease during follow-up of initial clinical stage I disease with a median time to metastasis of 2.7 years (range: 0.4-19.5 years). Of the 10 patients with orchiectomy pathology data available, all patients had at least 1 risk factor on testis pathology (mean: 2.9 risk factors). Nine patients received treatment prior to referral to our institution. All patients recurred post-RPLND at Indiana University. Median recurrence-free survival was 9.8 months. Twelve patients died of disease with a median overall survival of 14.4 months.
Conclusions
Metastatic sex cord stromal tumors are rare and are more resistant to standard treatment modalities than metastatic germ cell tumors. Patients presenting with sex cord stromal tumors should consider prophylactic primary RPLND in the setting of one or more pathological predictor of malignancy
`Hidden' Symmetries of Higher Dimensional Rotating Black Holes
We demonstrate that the rotating black holes in an arbitrary number of
dimensions and without any restrictions on their rotation parameters possess
the same `hidden' symmetry as the 4-dimensional Kerr metric. Namely, besides
the spacetime symmetries generated by the Killing vectors they also admit the
(antisymmetric) Killing-Yano and symmetric Killing tensors.Comment: 4 pages, slightly extended introductio
Electronic stress tensor analysis of hydrogenated palladium clusters
We study the chemical bonds of small palladium clusters Pd_n (n=2-9)
saturated by hydrogen atoms using electronic stress tensor. Our calculation
includes bond orders which are recently proposed based on the stress tensor. It
is shown that our bond orders can classify the different types of chemical
bonds in those clusters. In particular, we discuss Pd-H bonds associated with
the H atoms with high coordination numbers and the difference of H-H bonds in
the different Pd clusters from viewpoint of the electronic stress tensor. The
notion of "pseudo-spindle structure" is proposed as the region between two
atoms where the largest eigenvalue of the electronic stress tensor is negative
and corresponding eigenvectors forming a pattern which connects them.Comment: 22 pages, 13 figures, published online, Theoretical Chemistry
Account
Gravitational Slingshot of Young Massive Stars in Orion
The Orion Nebula Cluster (ONC) is the nearest region of massive star
formation and thus a crucial testing ground for theoretical models. Of
particular interest amongst the ONC's ~1000 members are: \theta^1 Ori C, the
most massive binary in the cluster with stars of masses 38 and 9 MSun (Kraus et
al. 2009); the Becklin-Neugebauer (BN) object, a 30 km/s runaway star of ~8
MSun (Tan 2004); and the Kleinmann-Low (KL) nebula protostar, a
highly-obscured, ~15 MSun object still accreting gas while also driving a
powerful, apparently "explosive" outflow (Allen & Burton 1993). The unusual
behavior of BN and KL is much debated: How did BN acquire its high velocity?
How is this related to massive star formation in the KL nebula? Here we report
the results of a systematic survey using ~ 10^7 numerical experiments of
gravitational interactions of the \theta^1C and BN stars. We show that
dynamical ejection of BN from this triple system at its observed velocity
leaves behind a binary with total energy and eccentricity matching those
observed for \theta^1C. Five other observed properties of \theta^C are also
consistent with it having ejected BN and altogether we estimate there is only a
<~ 10^{-5} probability that \theta^1C has these properties by chance. We
conclude that BN was dynamically ejected from the \theta^1C system about 4,500
years ago. BN has then plowed through the KL massive-star-forming core within
the last 1,000 years causing its recently-enhanced accretion and outflow
activity.Comment: 16 pages, 9 figures, 1 table, accepted to Ap
Hidden Symmetry of Higher Dimensional Kerr-NUT-AdS Spacetimes
It is well known that 4-dimensional Kerr-NUT-AdS spacetime possesses the
hidden symmetry associated with the Killing-Yano tensor. This tensor is
"universal" in the sense that there exist coordinates where it does not depend
on any of the free parameters of the metric. Recently the general higher
dimensional Kerr-NUT-AdS solutions of the Einstein equations were obtained. We
demonstrate that all these metrics with arbitrary rotation and NUT parameters
admit a universal Killing-Yano tensor. We give an explicit presentation of the
Killing-Yano and Killing tensors and briefly discuss their properties.Comment: 4 pages, some discussion and references are adde
Model for SU(3) vacuum degeneracy using light-cone coordinates
Working in light-cone coordinates, we study the zero-modes and the vacuum in
a 2+1 dimensional SU(3) gauge model. Considering the fields as independent of
the tranverse variables, we dimensionally reduce this model to 1+1 dimensions.
After introducing an appropriate su(3) basis and gauge conditions, we extract
an adjoint field from the model. Quantization of this adjoint field and field
equations lead to two constrained and two dynamical zero-modes. We link the
dynamical zero-modes to the vacuum by writing down a Schrodinger equation and
prove the non-degeneracy of the SU(3) vacuum provided that we neglect the
contribution of constrained zero-modes.Comment: 22 pages, 5 figure
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