Anlotinib in combination with pembrolizumab for low-grade myofibroblastic sarcoma of the pancreas: A case report.

BACKGROUND: Low-grade myofibroblastic sarcoma (LGMS) is a rare spindle cell sarcoma especially in the pancreas, with myofibroblastic differentiation. Hitherto, only a few cases have been reported. CASE SUMMARY: Herein, we report a case involving the discovery of a pancreatic mass detected during a routine physical examination. Subsequent imaging and pathological tests of the patient led to the diagnosis of LGMS of the pancreas. Following surgical intervention, the patient experienced recurrence and metastasis. Conventional treatment is not effective for postoperative recurrent pancreatic LGMS with multiple metastases. After communicating with the patients and their families, informed consent was obtained for the treatment of anlotinib combined with pembrolizumab. Evaluation of imaging and clinical symptoms post-treatment revealed a relatively favorable response to the combination of anlotinib and pembrolizumab. CONCLUSION: Based on the comprehensive literature review, our report aimed to provide evidence for a better understanding of the disease characteristics, diagnostic criteria, imaging findings, and identification of LGMS. And explore novel treatment strategies for this disease.

Micrometre-scale single-crystalline borophene on a square-lattice Cu(100) surface.

Borophene, a crystalline monolayer boron sheet, has been predicted to adopt a variety of structures-owing to its high polymorphism-that may possess physical properties that could serve in flexible electronics, energy storage and catalysis. Several borophene polymorphs have been synthesized on noble metal surfaces but for device fabrication larger single-crystal domains are typically needed with, ideally, weak borophene-substrate interactions. Here we report the synthesis of borophene on a square-lattice Cu(100) surface and show that incommensurate coordination reduces the borophene-substrate interactions and also leads to a borophene polymorph different from those previous reported. Micrometre-scale single-crystal domains formed as isolated faceted islands or merged together to achieve full monolayer coverage. The crystal structure of this phase has ten boron atoms and two hexagonal vacancies in its unit cell. First-principles calculations indicate that charge transfer, rather than covalent bonding, binds this two-dimensional boron to the Cu(100) surface. The electronic band structure of this material features multiple anisotropic tilted Dirac cones.

Direct Visualization of Hydrogen-Transfer Intermediate States by Scanning Tunneling Microscopy.

Hydrogen atoms bonded within molecular cavities often undergo tunneling or thermal-transfer processes that play major roles in diverse physical phenomena. Such transfers may or may not entail intermediate states. The existence of such fleeting states is typically determined by indirect means, while their direct visualization has not been achieved, largely because their concentrations under equilibrium conditions are negligible. Here we use density-functional-theory calculations and scanning-tunneling-microscopy (STM) image simulations to predict that, under specially designed nonequilibrium conditions of voltage-enhanced high transfer rates, the cis-intermediate of the two-hydrogen transfer process in metal-free naphthalocyanine molecules adsorbed on Ag(111) surfaces would be visualizable in a composite image of double-C morphology. As guided by the theoretical predictions, at adjusted scanning temperature and bias, STM experiments achieve a direct visualization of the cis-intermediate. This work demonstrates a practical way to directly visualize elusive intermediates, which enhances understanding of the quantum dynamics of hydrogen atoms.

Tuning two-dimensional phase formation through epitaxial strain and growth conditions: silica and silicate on NixPd1-x(111) alloy substrates.

Two-dimensional (2D) materials can have multiple phases close in energy but with distinct properties, with the phases that form during growth dependent on experimental conditions and the growth substrate. Here, the competition between 2D van der Waals (VDW) silica and 2D Ni silicate phases on NixPd1-x(111) alloy substrates was systematically investigated experimentally as a function of Si surface coverage, annealing time and temperature, O2 partial pressure, and substrate composition and the results were compared with thermodynamic predictions based on density functional theory (DFT) calculations and thermochemical data for O2. Experimentally, 2D Ni silicate was exclusively observed at higher O2 pressures (∼10-6 Torr), higher annealing temperatures (1000 K), and more prolonged annealing (10 min) if the substrate contained any Ni and for initial Si coverages up to 2 monolayers. In contrast, decreasing the O2 pressure to ∼10-8 Torr and restricting the annealing temperature and time enabled 2D VDW silica formation. Amorphous 2D VDW silica was observed even when the substrate composition was tuned to lattice match crystalline 2D VDW silica. The trend of decreased O2 pressure favoring 2D VDW silica was consistent with the theoretical predictions; however, theory also suggested that sufficient Si coverage could avoid Ni silicate formation. The effect of epitaxial strain on 2D Ni silicate was investigated by modifying the solid solution alloy substrate composition. It was found that 2D Ni silicate will stretch to match the substrate lattice constant up to 1.12% tensile strain. When the lattice mismatch was over 1.40%, incommensurate crystalline domains were observed, indicating relaxation of the overlayer to its favored lattice constant. The limited epitaxial strain that could be applied was attributed to a combination of the 2D silicate stiffness, the insensitivity of its bonding to the substrate to its alignment with the substrate, and its lack of accessible structural rearrangements that can reduce the strain energy. The results demonstrate how the resulting 2D material can be manipulated through the growth conditions and how a solid solution alloy substrate can be used to maximize the epitaxial strain imparted to the 2D system.

Large-area single-crystal sheets of borophene on Cu(111) surfaces.

Borophene, a theoretically proposed two-dimensional (2D) boron allotrope1-3, has attracted much attention4,5 as a candidate material platform for high-speed, transparent and flexible electronics6-9. It was recently synthesized, on Ag(111) substrates10,11, and studied by tunnelling and electron spectroscopy12. However, the exact crystal structure is still controversial, the nanometre-size single-crystal domains produced so far are too small for device fabrication and the structural tunability via substrate-dependent epitaxy is yet to be proven. We report on the synthesis of borophene monitored in situ by low-energy electron microscopy, diffraction and scanning tunnelling microscopy (STM) and modelled by ab initio theory. We resolved the crystal structure and phase diagram of borophene on Ag(111), but found that the domains remain nanoscale for all growth conditions. However, by growing borophene on Cu(111) surfaces, we obtained large single-crystal domains, up to 100 µm2 in size. The crystal structure is a novel triangular network with a concentration of hexagonal vacancies of η = 1/5. Our experimental data, together with first principles calculations, indicate charge-transfer coupling to the substrate without significant covalent bonding. Our work sets the stage for fabricating borophene-based devices and substantiates the idea of borophene as a model for development of artificial 2D materials.

Two-dimensional transition metal honeycomb realized: Hf on Ir(111).

Two-dimensional (2D) honeycomb systems made of elements with d electrons are rare. Here, we report the fabrication of a transition metal (TM) 2D layer, namely, hafnium crystalline layers on Ir(111). Experimental characterization reveals that the Hf layer has its own honeycomb lattice, morphologically identical to graphene. First-principles calculations provide evidence for directional bonding between adjacent Hf atoms, analogous to carbon atoms in graphene. Calculations further suggest that the freestanding Hf honeycomb could be ferromagnetic with magnetic moment µ/Hf = 1.46 µ(B). The realization and investigation of TM honeycomb layers extend the scope of 2D structures and could bring about novel properties for technological applications.

Buckled silicene formation on Ir(111).

Silicene, a two-dimensional (2D) honeycomb structure similar to graphene, has been successfully fabricated on an Ir(111) substrate. It is characterized as a (√7×√7) superstructure with respect to the substrate lattice, as revealed by low energy electron diffraction and scanning tunneling microscopy. Such a superstructure coincides with the (√3×√3) superlattice of silicene. First-principles calculations confirm that this is a (√3×√3)silicene/(√7×√7)Ir(111) configuration and that it has a buckled conformation. Importantly, the calculated electron localization function shows that the silicon adlayer on the Ir(111) substrate has 2D continuity. This work provides a method to fabricate high-quality silicene and an explanation for the formation of the buckled silicene sheet.

Multi-oriented moiré superstructures of graphene on Ir(111): experimental observations and theoretical models.

Six types of moiré superstructures of graphene on Ir(111) with different orientations (labeled as R0, R14, R19, R23, R26 and R30) are investigated by low-energy electron diffraction, scanning tunneling microscopy and first-principles calculations. The moiré superstructure of R0 graphene has remarkable diffraction spots and deeper corrugation than that of the other superstructures. A high-order commensurate (HOC) method is applied to produce a list of all possible graphene moiré superstructures on Ir(111). Several useful structural data including the precise matrices of the moiré patterns are revealed. Density functional theory based first-principles calculations that include van der Waals interactions reveal the differences of the geometric environment and electronic structures of carbon atoms with respect to the underlying Ir(111) lattices for all the observed moiré patterns. The further calculations of electronic properties at the graphene-Ir interfaces show that the electron transfers for all superstructures are small and of the same order of magnitude, which demonstrates a weak interaction between graphene and the Ir(111) substrate, leading to the coexistence of multi-oriented moiré superstructures.