RESUMO
BACKGROUND: Gastrointestinal stromal tumor (GIST) is a relatively rare type of neoplasms. In Egypt, it represents 2.5% of gastrointestinal tumors and 0.3% of all malignancies. Most of the GISTs develop in the stomach. AIM: To reveal the significance of Her2/neu immunohistochemical expression in GIST and its correlation with other histopathologic parameters and tumor relapse after regular follow-up. PATIENTS AND METHODS: This study is a retrospective and prospective cohort. It included 32 patients with GISTs, who were resectable with no distant metastasis. Immunohistochemical staining by Her2/neu was performed after complete surgical resection of the tumors with preservation of the pseudocapsule. RESULTS: In total, 53.1% of cases were men and 46.9% women. Tumors were classified into low-risk (25%), intermediate-risk (21.9%), and high-risk groups (53.1%). Her2/neu expression was negative in 56.3% of GISTs and positive in 43.7%. Its expression was significantly correlated with risk grade (P = .04), tumor size (P = .001), mitotic count (P = .00), and increased risk of relapse (P = .00). Furthermore, tumor relapse was significantly correlated with the tumor mitotic counts (P = .00). Using kappa agreement test, it showed that 4 mitotic counts/50 high-power fields (HPF) was the cutoff value with which the tumor might be associated more with relapse, with 83% sensitivity, 70% specificity, and P value of .003. CONCLUSIONS: Her2/neu might be used as an independent prognostic marker for tumor recurrence after complete resection of GIST, and the cutoff value of mitotic count that might predict tumor relapse is 4/50 HPF. However, more clinical studies with greater number of cases with fluorescent in situ hybridization integration are recommended.
RESUMO
The electrochemical behavior of a PtRu(111) single crystal with 1:1 bulk atomic ratio is investigated for the first time by means of cyclic voltammetry and scanning tunneling microscopy (STM). The electrode surfaces are enriched with either Ru or Pt, depending on the cooling conditions after inductive heating. Analysis of the surfaces by STM shows a typical topography with smooth terraces separated by monoatomic high steps. The voltammetric characterization of PtRu(111) in acid media clearly reveals an altered electrochemical behavior of the Pt and Ru surfaces compared to Pt(111) and Ru(0001), respectively. Systematic changes are observed for hydrogen adsorption and underpotential deposition of copper as test reactions. Based on theoretical calculations in the literature, it is experimentally verified that the Pt-rich and the Ru-rich surfaces of the PtRu(111) single-crystal alloy bind adsorbates such as hydrogen significantly weaker and stronger than the pure single-crystal electrode surfaces. Such changes in surface reactivity can be crucial for electrocatalytic reactions.
