An aggressive poorly differentiated plurihormonal Pit-1-positive adenoma

In July 2017, a 35-year-old woman was referred to our care for treatment of a large pituitary mass with an unusually high growth rate. She presented with right-sided ptosis and diplopia (n. III palsy), increasing retrobulbar pain and vertigo. Although laboratory investigations were consistent with acromegaly, she exhibited no clear phenotypic traits. During transsphenoidal surgery aimed at biopsy, typical adenomatous tissue was encountered, upon which it was decided to proceed to debulking. Histopathological analysis demonstrated a poorly differentiated plurihormonal Pit-1-positive adenoma with focal growth hormone (GH) and prolactin positivity, positive SSTR2 staining and a Ki-67 of 20–30%. Postoperative magnetic resonance imaging (MRI) examination revealed a large tumour remnant within the sella invading the right cavernous sinus with total encasement of the internal carotid artery and displacement of the right temporal lobe. As a consequence, she was treated additionally with radiotherapy, and a long-acting first-generation somatostatin analogue was prescribed. Subsequently, the patient developed secondary hypocortisolism and diabetes mellitus despite adequate suppression of GH levels. In September 2019, her symptoms recurred. Laboratory evaluations indicated a notable loss of biochemical control, and MRI revealed tumour progression. Lanreotide was switched to pasireotide, and successful removal of the tumour remnant and decompression of the right optic nerve was performed. She received adjuvant treatment with temozolomide resulting in excellent biochemical and radiological response after three and six courses. Symptoms of right-sided ptosis and diplopia remained. Evidence for systemic therapy in case of tumour progression after temozolomide is currently limited, although various potential targets can be identified in tumour tissue

The effect of area and isolation on insular dwarf proboscideans

Aim We investigated the hypothesis that insular body size of fossil elephants is directly related to isolation and surface area of the focal islands. Location Palaeo-islands worldwide. Methods We assembled data on the geographical characteristics (area and isolation) of islands and body size evolution of palaeo-insular species for 22 insular species of fossil elephants across 17 islands. Results Our results support the generality of the island rule in the sense that all but one of the elephants experienced dwarfism on islands. The smallest islands generally harbour the smallest elephants. We found no support for the hypothesis that body size of elephants declines with island isolation. Body size is weakly and positively correlated with island area for proboscideans as a whole, but more strongly correlated for Stegodontidae when considered separately. Average body size decrease is much higher when competitors are present. Main conclusions Body size in insular elephants is not significantly correlated with the isolation of an island. Surface area, however, is a significant predictor of body size. The correlation is positive but relatively weak; c. 23% of the variation is explained by surface area. Body size variation seems most strongly influenced by ecological interactions with competitors, possibly followed by time in isolation. Elephants exhibited far more extreme cases of dwarfism than extant insular mammals, which is consistent with the substantially more extended period of deep geological time that the selective pressures could act on these insular populations

A reassessment of the early archaeological record at Leang Burung 2, a Late Pleistocene rock-shelter site on the Indonesian island of Sulawesi

This paper presents a reassessment of the archaeological record at Leang Burung 2, a key early human occupation site in the Late Pleistocene of Southeast Asia. Excavated originally by Ian Glover in 1975, this limestone rock-shelter in the Maros karsts of Sulawesi, Indonesia, has long held significance in our understanding of early human dispersals into ‘Wallacea’, the vast zone of oceanic islands between continental Asia and Australia. We present new stratigraphic information and dating evidence from Leang Burung 2 collected during the course of our excavations at this site in 2007 and 2011–13. Our findings suggest that the classic Late Pleistocene modern human occupation sequence identified previously at Leang Burung 2, and proposed to span around 31,000 to 19,000 conventional 14C years BP (~35–24 ka cal BP), may actually represent an amalgam of reworked archaeological materials. Sources for cultural materials of mixed ages comprise breccias from the rear wall of the rock-shelter–remnants of older, eroded deposits dated to 35–23 ka cal BP–and cultural remains of early Holocene antiquity. Below the upper levels affected by the mass loss of Late Pleistocene deposits, our deep-trench excavations uncovered evidence for an earlier hominin presence at the site. These findings include fossils of now-extinct proboscideans and other ‘megafauna’ in stratified context, as well as a cobble-based stone artifact technology comparable to that produced by late Middle Pleistocene hominins elsewhere on Sulawesi

Age and context of the oldest known hominin fossils from Flores

Recent excavations at the early Middle Pleistocene site of Mata Menge in the So\u27a Basin of central Flores, Indonesia, have yielded hominin fossils1 attributed to a population ancestral to Late Pleistocene Homo floresiensis2. Here we describe the age and context of the Mata Menge hominin specimens and associated archaeological findings. The fluvial sandstone layer from which the in situ fossils were excavated in 2014 was deposited in a small valley stream around 700 thousand years ago, as indicated by 40Ar/39Ar and fission track dates on stratigraphically bracketing volcanic ash and pyroclastic density current deposits, in combination with coupled uranium-series and electron spin resonance dating of fossil teeth. Palaeoenvironmental data indicate a relatively dry climate in the So\u27a Basin during the early Middle Pleistocene, while various lines of evidence suggest the hominins inhabited a savannah-like open grassland habitat with a wetland component. The hominin fossils occur alongside the remains of an insular fauna and a simple stone technology that is markedly similar to that associated with Late Pleistocene H. floresiensis

A reassessment of the early archaeological record at Leang Burung 2, a Late Pleistocene rock-shelter site on the Indonesian island of Sulawesi

This paper presents a reassessment of the archaeological record at Leang Burung 2, a key early human occupation site in the Late Pleistocene of Southeast Asia. Excavated originally by Ian Glover in 1975, this limestone rock-shelter in the Maros karsts of Sulawesi, Indonesia, has long held significance in our understanding of early human dispersals into \u27Wallacea\u27, the vast zone of oceanic islands between continental Asia and Australia. We present new stratigraphic information and dating evidence from Leang Burung 2 collected during the course of our excavations at this site in 2007 and 2011-13. Our findings suggest that the classic Late Pleistocene modern human occupation sequence identified previously at Leang Burung 2, and proposed to span around 31,000 to 19,000 conventional 14C years BP (~35-24 ka cal BP), may actually represent an amalgam of reworked archaeological materials. Sources for cultural materials of mixed ages comprise breccias from the rear wall of the rock-shelter-remnants of older, eroded deposits dated to 35-23 ka cal BP-and cultural remains of early Holocene antiquity. Below the upper levels affected by the mass loss of Late Pleistocene deposits, our deep-trench excavations uncovered evidence for an earlier hominin presence at the site. These findings include fossils of now-extinct proboscideans and other \u27megafauna\u27 in stratified context, as well as a cobble-based stone artifact technology comparable to that produced by late Middle Pleistocene hominins elsewhere on Sulawesi

An integrative geochronological framework for the pleistocene So'a basin (Flores, Indonesia), and its implications for faunal turnover and hominin arrival

Flores represents a unique insular environment with an extensive record of Pleistocene fossil remains and stone artefacts. In the So\u27a Basin of central Flores these include endemic Stegodon, Komodo dragons, giant tortoises, rats, birds and hominins, and lithic artefacts that can be traced back to at least one million years ago (1 Ma). This comprehensive review presents important new data regarding the dating and faunal sequence of the So\u27a Basin, including the site of Mata Menge where Homo floresiensis-like fossils dating to approximately 0.7 Ma were discovered in 2014. By chemical fingerprinting key silicic tephra originating from local and distal eruptive sources we have now established basin-wide tephrostratigraphic correlations, and, together with new numerical ages, present an update of the chronostratigraphy of the So\u27a Basin, with major implications for the faunal sequence. These results show that a giant tortoise and the diminutive proboscidean Stegodon sondaari last occurred at the site of Tangi Talo ∼1.3 Ma, and not 0.9 Ma as previously thought. We also present new data suggesting that the disappearance of giant tortoise and S. sondaari from the sedimentary record occurred before, and/or was coincident with, the earliest hominin arrival, as evidenced by the first records of lithic artefacts occurring directly below the 1 Ma Wolo Sege Tephra. Artefacts become common in the younger layers, associated with a distinct fauna characterized by the medium-sized Stegodon florensis and giant rat Hooijeromys nusatenggara. Furthermore, we describe a newly discovered terrace fill, which extends the faunal record of Stegodon in the So\u27a Basin to the Late Pleistocene. Our evidence also suggests that the paleoenvironment of the So\u27a Basin became drier around the time of the observed faunal transition and arrival of hominins on the island, which could be related to an astronomically-forced climate response at the onset of the Mid-Pleistocene Transition (MPT; ∼1.25 Ma) leading to increased aridity and monsoonal intensity

A reassessment of the early archaeological record at Leang Burung 2, a Late Pleistocene rock-shelter site on the Indonesian island of Sulawesi

This paper presents a reassessment of the archaeological record at Leang Burung 2, a key early human occupation site in the Late Pleistocene of Southeast Asia. Excavated originally by Ian Glover in 1975, this limestone rock-shelter in the Maros karsts of Sulawesi, Indonesia, has long held significance in our understanding of early human dispersals into 'Wallacea', the vast zone of oceanic islands between continental Asia and Australia. We present new stratigraphic information and dating evidence from Leang Burung 2 collected during the course of our excavations at this site in 2007 and 2011-13. Our findings suggest that the classic Late Pleistocene modern human occupation sequence identified previously at Leang Burung 2, and proposed to span around 31,000 to 19,000 conventional 14C years BP (~35-24 ka cal BP), may actually represent an amalgam of reworked archaeological materials. Sources for cultural materials of mixed ages comprise breccias from the rear wall of the rock-shelter-remnants of older, eroded deposits dated to 35-23 ka cal BP-and cultural remains of early Holocene antiquity. Below the upper levels affected by the mass loss of Late Pleistocene deposits, our deep-trench excavations uncovered evidence for an earlier hominin presence at the site. These findings include fossils of now-extinct proboscideans and other 'megafauna' in stratified context, as well as a cobble-based stone artifact technology comparable to that produced by late Middle Pleistocene hominins elsewhere on Sulawesi

Cave art, art and geometric morphometrics: Shape changes and the babirusa of Sulawesi

There is considerable evidence that the babirusa of Sulawesi and its neighbouring islands has long attracted human attention. This is probably in part due to the male babirusa appearing as a bizarre compound of two familiar ungulates (babi = \u27pig\u27, rusa = \u27deer\u27) in that the male\u27s upper canines resemble deer antlers. In October 2014, Aubert et al. announced in Nature that a cave art depiction in Leang Timpuseng, Maros, interpreted by the authors to depict a female babirusa, was created at least 35,400 years ago and is therefore of comparable antiquity to the oldest recorded Late Pleistocene cave art of Europe. Using geometric morphometrics, we compare the Leang Timpuseng cave art to profile photographs and illustrations depicting the babirusa and the endemic Sulawesi warty pig, including historical illustrations produced by Europeans during the period ~AD 1740-1860. Our analysis indicates that geometric morphometrics can be applied to meaningfully analyse naturalistic cave art. However, because of the relatively small sample size and that the male babirusa dominates both historical and contemporary illustrations, the results are only indicative. These are that the Leang Timpuseng cave art is more likely to be depicting a female, and that this depiction differs markedly from historical and contemporary illustrations in that it shows a morphologically female suid as independently active. With regards to which animal is depicted, the results suggest the Leang Timpuseng cave art is possibly either an illustration of a female hairy/golden babirusa, which has not yet been proven to have a range extending to Sulawesi, or the extinct Babyrousa bolabatuensis, which is part of the existing Sulawesi fossil record and has been noted to be similar in tooth size to the hairy/golden babirusa

Fossils of Stegodon and Varanus komodoensis Sumba and Flores: a Pleistocene landbridge

Abstract of a paper that presented at the 2012 Ikatan Ahli Geologi Indonesia Annual Meeting

A 700,000-year-old fossil find shows the Hobbits\u27 ancestors were even smaller

It was back in October 2004 when archaeologists first unveiled the partial skeleton of a tiny, small-brained hominin previously unknown to science, now known as Homo floresiensis