27 research outputs found

    Osteosarcoma of the mobile spine†

    Get PDF
    Background The aims of this analysis were to investigate features and outcome of high-grade osteosarcomas of the mobile spine. Patients and methods Since 1977, 20 Cooperative Osteosarcoma Study Group patients had a diagnosis of high-grade osteosarcomas of the mobile spine and were included in this retrospective analysis of patient-, tumor- and treatment-related variables and outcome. Results The median age was 29 years (range 5-58). Most frequent tumor sites were thoracic and lumbar spine. All but three patients had nonmetastatic disease at diagnosis. Treatment included surgery and chemotherapy for all patients, 13 were also irradiated. Eight patients failed to achieve a macroscopically complete surgical remission (five local, one primary metastases, two both), six died, two are alive, both with radiotherapy. Of 12 patients with complete remission at all sites, three had a recurrence (two local, one metastases) and died. The median follow-up of the 11 survivors was 8.7 years (range 3.1-22.3), 5-year overall and event-free survival rates were 60% and 43%. Age <40 years, nonmetastatic disease at diagnosis and complete remission predicted for better overall survival (OS, P < 0.05). Conclusions Osteosarcomas of the mobile spine are rare. With complete resection (and potentially radiotherapy) and chemotherapy, prognosis may be comparable with that of appendicular osteosarcoma

    Clinical effectiveness of Enneking appropriate versus Enneking inappropriate procedure in patients with primary osteosarcoma of the spine: a systematic review with meta-analysis

    Get PDF
    Purpose Primary osteosarcoma of the spine is a rare osseous tumour. En bloc resection, in contrast to intralesional resection, is the only procedure able to provide Enneking appropriate (EA) margins, which has improved local control and survival of patients with primary osteosarcoma of the spine. The objective of this study is to compare the risk of local recurrence, metastases development and survival in patients with primary osteosarcoma of the spine submitted to Enneking appropriate (EA) and Enneking inappropriate (EI) procedures. Methods A systematic search was performed on EBSCO, PubMed and Web of Science, between 1966 and 2018, to identify studies evaluating patients submitted to resection of primary osteosarcoma of the spine. Two reviewers independently assessed all reports. The outcomes were local recurrence, metastases development and survival at 12, 24 and 60 months. Results Five studies (108 patients) were included for systematic review. These studies support the conclusion that EA procedure has a lower local recurrence rate (RR 0.33, 95% CI 0.17-0.66), a lower metastases development rate (RR 0.39, 95% CI 0.17-0.89) and a higher survival rate at 24 months (RR 1.78, 95% CI 1.24-2.55) and 60 months (RR 1.97, 95% CI 1.14-3.42) of follow-up; however, at 12 months, there is a non-significant difference. Conclusions EA procedure increases the ratio of remission and survival after 24 months of follow-up. Multidisciplinary oncologic groups should weigh the morbidity of an en bloc resection, knowing that in the first year the probability of survival is the same for EA and EI procedures. Graphic abstract These slides can be retrieved under Electronic Supplementary Material

    Effective debundling of carbon nanotubes and simultaneous synthesis of Pt nanoparticles by Nafion® induced emulsions

    No full text
    Carbon nanostructures and, in particular, Single Wall Carbon Nanotubes (SWNT) or Multi Wall Carbon Nanotubes (MWNT) provide unique properties, notably outstanding chemical stability and electronic conductivity. Therefore they can be seen as a potential replacement for carbon black, which is frequently used as support material for polymer electrolyte membrane fuel cell (PEMFC) catalysts. This paper describes a new synthesis method to deposit platinum nanoparticles on carbon by using MWNT/Nafion® emulsions in the reduction reaction of hexachloroplatinate with ethylene glycol and butyl acetate. In contrast to other syntheses described in the literature, the formation of an emulsion allows effective debundling and a good dispersion of MWNTs in the solvent. This strategy helps to maintain a narrow Pt particle size distribution of 3 nm ± 0.5 nm and a homogeneous dispersion of the nanoparticles on the support even at loadings of up to 50 wt%. It furthermore reduces agglomeration of the MWNTs during electrode manufacturing, so that an airbrush technique can be used, and enhances the ionic conductivity of the electrode layer. Catalyst morphology and distribution are investigated by transmission electron microscopy, X-ray diffraction and scanning electron microscopy. Electrodes are produced by a conventional airbrush technique on Nafion® membranes (Nafion® 117 and Nafion® NRE 212) and tested in a fuel cell test bench

    Multiple metachrone Osteosarkome bei einer Patientin mit Li-Fraumeni-Syndrom

    No full text

    Degradation effects at the methanol inlet, outlet and center region of a stack MEA operated in DMFC

    No full text
    Ru dissolution is one of the key issues in direct methanol fuel cells (DMFC). A used DMFC stack membrane electrode assembly (MEA)was analyzed using different analytical techniques like X-ray diffraction (XRD). X-ray absorption spectroscopy (XAS), transmission electron microscopy (TEM) and EDX and different regions probed in the process. Catalyst powder from e.g. like methanol inlet, outlet and center were investigated and compared with the as-received commercial electrocatalyst and the pristine MEA after manufacture. The large oxidized ruthenium fraction in the anode catalyst was found to play a significant role in particle growth and ruthenium dissolution. Crossover ruthenium from the anode side was found to be dispersed everywhere in the cathode in its oxidized form, and thus can have a significant effect on the oxygen reduction activity (ORR). Although with XRD no significant structural changes were observed for the different regions of the MEA, TEM and EDX analysis showed the preferential precipitation of the Ru at the methanol outlet. (C) 2011 Elsevier B.V. All rights reserved

    The oxidation behaviour of ruthenium in the presence of platinum and its effect on the electrocatalytic activity of Pt-Ru fuel cell catalysts

    No full text
    Pt-Ru electrocatalysts are commonly applied anode materials for low-temperature fuel cells, as the addition of ruthenium improves the CO tolerance of the otherwise CO-sensitive platinum catalysts, either by an electronic effect or by electro-oxidation via oxygen-containing adsorbates in the so-called bifunctional mechanism. However, since bulk ruthenium oxidation already takes place at potentials of less than 1.0V vs. RHE and hydrous ruthenium oxide is suggested to be the active species in the bifunctional mechanism, the amount and specific nature of ruthenium oxides play an important role in fuel cell catalysis. Two Pt-Ru catalyst systems with distinctly different Pt-Ru separation have been studied: a carbon-supported Pt-Ru alloy electrocatalyst (Pt-Ru) and a mixture of carbon-supported Pt and carbon-supported Ru (Pt/Ru). Controlled heat-treatment experiments were carried out in air atmosphere at 100°C and 500°C to study the effect of deliberate ruthenium oxidation on the catalyst structure and electrochemical performance. At a heat-treatment temperature of 100°C, the Pt-Ru alloy appears less sensitive towards oxidation than the Pt/Ru mixture, although its lattice parameter increases from about 3.880Å to 3.907Å indicating that part of the ruthenium is pulled out of the alloy phase to form a (amorphous) ruthenium oxide. After heat-treatment at 500°C in air, X-ray patterns of the Pt-Ru alloy and the Pt/Ru mixture look almost alike. However, transmission electron micrographs reveal a distinctly different separation between the Pt and the Ru oxide phase with the Pt-Ru alloy system having many more Pt/Ru neighbour sites available. Complementary XPS measurements show a higher share of electrocatalytically inactive ruthenium oxide in the Pt/Ru mixture catalyst heat-treated at 100°C. The onset of the methanol oxidation reaction (MOR) for the different catalysts increases in the order Pt-Ru < Pt/Ru < Pt independent of the treatment underlining the importance of Pt/Ru site distribution and ruthenium oxide content for the electrocatalytic activity
    corecore