Application of self-made fine-tuning device in distal locking process of femoral interlocking intramedullary nail / 中国骨伤

OBJECTIVE@#To evaluate the curative efficacy of self-made fine-tuning setting in the process of femoral distal implantation of intramedullary nail.@*METHODS@#From October 2015 to October 2017, 66 cases of femoral shaft fracture were treated with anterograde interlocking intramedullary nail including 45 males and 21 females with a mean age of(37.21±11.18) years old. Among them, 36 cases were treated with the manufacture's aiming device and self-made fine-tuning setting (research group), other 30 cases were treated with the manufacture's aiming device(control group). The mean operation time, the times of C-arm scan in surgery, the post-operation complications and the fracture union were observed and compared in two groups.@*RESULTS@#Sixty-two cases acquired 8 to 15 months with a mean time of 12.4 months follow-up visit. The post-operation complications and the fracture union between the two groups had no significant difference(>0.05), the mean operation time and the times of C-arm scan in surgery had statistically significant difference(<0.05).@*CONCLUSIONS@#Self-made fine-tuning setting in the process of femoral interblocking intramedullary nail could shorten operation time and reduce the the times of C-arm scan.

Changes of BMP signaling pathway in mammary glands of mice with mammary hyperplasia / 中国病理生理杂志

AIM:To determine the expression patterns of bone morphogenetic protein(BMP)signaling com-ponents in the mammary glands with hyperplasia(MGH)and the activation of this signaling pathway.METHODS: The female C57BL/C mice(8-weeks-old)were randomly divided into control group and hormone group with 15 mice in each group.The mice in control group were treated with PBS,while the mice in hormone group were intragastric administration with estradiol valerate(2.5 mg/kg)for 25 d,followed by progesterone(4 mg/kg)peritoneal injection for 5 d.At the end of treatments,the mammary glands were collected to determine the morphological changes, the mRNA expression of BMP signaling components and the phosphorylation level of Smad 1/5/9.RESULTS:In MGH,a part of BMP signaling pathway molecules were differentially expressed(P<0.05),including BMP ligands BMP2,4,5,6,7,9,13 and 14, BMP re-ceptor BMPR1A, and antagonists Chrdl1 and Twsg, whereas the expression levels of some molecules, such as BMP3, BMP12,BMPR1B,BMPR2,Chrd,Chrdl2 and Noggin, were not altered.The phosphorylation levels of Smad 1/5/9 was up-regulated in MGH(P<0.05).CONCLUSION: BMP signaling pathway is activated in MGH through the abnormal expression of its components.BMP signaling pathway may be a new target for MGH therapy.

Morphological features of the fimbria of the fallopian tube in pelvic serous adenocarcinoma / 中华肿瘤杂志

<p><b>OBJECTIVE</b>To study the serous lesions of the fimbria of the fallopian tube in patients with pelvic serous adenocarcinoma and investigate its significance in the serous carcinogenesis.</p><p><b>METHODS</b>To observe the morphological features of the fimbria of the fallopian tube in 43 cases of pelvic serous adenocarcinoma (31 cases of ovarian carcinoma and 12 cases of peritoneal carcinoma). Immunohistochemical examination of p53 expression was performed on samples of 69 fallopian tubes of 40 cases.</p><p><b>RESULTS</b>Fimbria carcinoma was identified in 44 tubes in 31 of 43 cases. Fourteen of the carcinoma foci were ≤ 5 mm. In 68.3% of the fimbria carcinomas demonstrated involvement of the mucosa. Twenty eight tubes of 20 cases exhibited intraepithelial carcinoma. Twenty three of 44 tubes of the fibria carcinomas showed fimbria adherence and unclear appearance. The early histological changes of the fimbria epithelium included proliferation of local secretory cells, homogeneity, and straightening of the mucous folds. Clusters of tumor epithelial cells or single gland with atypical features floated between mucosal folds were found in 71.4% of the fimbria with intraepithelial carcinoma. The positive expression rate of p53 in the fimbria carcinomas and the fimbria intraepithelial carcinomas were 86.4% and 60.7%, respectively.</p><p><b>CONCLUSIONS</b>Fimbria carcinomas is an important component in pelvic serous adenocarcinomas. The fimbria intraepithelial carcinoma is also very common among the cases of pelvic serous adenocarcinoma. The fimbria may be an important primary site of pelvic serous adenocarcinomas.</p>