Search

Gastric-type endocervical adenocarcinoma (G-EAC) is a rare special type of cervical mucinous adenocarcinomas, and it is reported the incidence is unrelated to human papilloma virus infection. We report a rare case of G-EAC in stumps of duplicated cervices in a 49-year-old female patient. The woman complained of post-coital bleeding. She had a didelphic uterus with a duplex cervix, and had undergone subtotal hysterectomy 16 years ago. Gynecological examination revealed a normal-appearing right cervix, but the non-dominant side of the left cervix, which was buried and covered by the side wall of the left vagina, was difficult to view. After exposing, the left side cervix presented a mature appearance which was smaller than a normal cervix. Her serum carbohydrate antigen-19-9 levels was 112.59 U/ml. The right cervix's cytology was normal, whereas the left cervix had unusual glandular epithelial cells. HPV testing on both cervical smears was negative. Adenocarcinoma was identified at 3, 6, 12 o'clock at the right cervix in a colposcopy-directed punch biopsy, while no abnormality was found in the biopsy of the left cervix, nor in the curettage of the double cervices. Pelvic magnetic resonance imaging (MRI) revealed two cervical canals, with a 1.9cm×1.6cm mass inside the left cervix, and the left wall of the right cervix may be involved by the tumor of the left cervix. After much deliberation, we considered that the patient had adenocarcinoma of the left cervix stage IB1. Then, the patient underwent radical cervical resection with bilateral salpingo-oophorectomy and bilateral pelvic lymphadenectomy. Her final histopathology indicated G-EAC of the duplicated cervices. After surgery, she received concurrent chemoradiation. Currently, 29 months after the final chemotherapy was administered, the patient remains healthy. Because G-EAC with duplicated cervices is an uncommon cunning tumor with a bad prognosis, early identification and therapy are recommended to enhance the prognosis. The comprehensive evaluation of symptoms and gynecological examination with cervical cytology, colposcopy-directed punch biopsy, endocervical curettage and MRI examine together may assist in determining an accurate preoperative diagnosis. [ABSTRACT FROM AUTHOR]

Hexafluoropropylene oxide tetrameric acid (HFPO-TeA) is an alternative to perfluorooctanecarboxylic acid (PFOA) and is commonly used in the production of perfluoropolymers. In this study, the performances of ozone oxidation, electrochemical oxidation, and electrocatalytic ozone techniques in the degradation of HFPO-TeA were compared. The experimental results indicated that the electrocatalytic ozone technique was best. The effects of different current densities, ozone concentrations, electrolyte types, and initial pollutant concentrations on HFPOTeA degradation were investigated. The results showed that the ratio of HFPO-TeA degradation reached 95.9% after electrolysis for 120 min for an initial HFPO-TeA concentration of 100 mg/L, a reaction volume of 120 mL, an applied current density of 10 mA/cm², and an ozone concentration of 20 mg/L. The intermediate products detected were hexafluoropropylene oxide dimeric acid [C3F7OCF(CF3)COO-], pentafluoropropionic acid [C2F5COO-], and trifluoroacetic acid [CF3COO-]. The mechanisms involved in HFPO-TeA degradation include direct electron transfer, indirect oxidation mediated by hydroxyl radicals (·OH), and ozone oxidation. [ABSTRACT FROM AUTHOR]