To reassess the minimum number of specimens required for an accurate diagnosis compared to the standard acquisition of five specimens. A total of 190 consecutive breast mass biopsies were performed using a 14-gauge core biopsy needle under ultrasound guidance. Two to six specimens were obtained from each mass and placed in sequential containers. Each specimen was evaluated by a pathologist in the order it was obtained and was labeled as "diagnostic' or 'non-diagnostic'. During the biopsy procedure, the radiologist indicated after which number biopsy he was confident that an adequate diagnostic specimen had been obtained. This was based upon real-time visualization of the needle passing through the lesion and whether the specimen sank or floated in formalin. These observations were compared with the pathologic diagnostic yield according to specimen number. Fifty-eight lesions (30.5%) were malignant, four (2.1%) were atypical, and 128 (67.4%) were benign. Histologic diagnosis was obtained after the first specimen in 157 (82.6%) lesions, the second specimen in 172 (90.5%) lesions, the third specimen in 186 (97.9%) lesions, the fourth specimen in 188 (98.9%) lesions, and the fifth specimen in 190 (100%) lesions. A histologic diagnosis was made in 90% of the malignant lesions after the first biopsy pass, 95% after the second pass, 98% after the third pass, and 100% after the fourth and fifth passes. Nine (4.7%) lesions showed discrepancy between the radiologist's confidence of diagnosis and pathologic diagnostic yield. Of these lesions, seven were benign and two were malignant. A diagnostic yield of 95% was obtained based on operator estimate of the minimum number of required core biopsies. A high diagnostic yield of 98% was achieved after three biopsy passes and 100% after five passes.

A 75-year-old female presented with palpable bilateral parasternal breast nodules. The mammogram revealed spiculated nodules of which only the anterior portions were visible (Fig. 1). Ultrasound showed a 1.3 cm irregular, hypoechoic shadowing mass on the left and a 0.9 cm lobulated mass on the right. Biopsies were performed of both masses (Fig. 2a,b). Based on the morphology and immunohistochemical staining pattern, the tumor was diagnosed as neuroendocrine carcinoma, moderately differentiated.Five years prior to this presentation, the patient was diagnosed with a low grade neuroendocrine Figure 1. This spot tangential view shows a spiculated lesion in the far medial left breast.

precursor niche. Finally, Treg adoptive transfer enhances B cell reconstitution and induces tolerance to bone marrow grafts even in the absence of conditioning providing a new tool for clinical translation especially in children with SCID or hemoglobinopathies.

Unactivated MCM-41 mesoporous silica catalyzes the photodecomposition of chloroform to phosgene and hydrogen chloride under near-UV (λ > 360 nm) irradiation. The rate of photodecomposition increases toward an asymptotic limit as the O(2) partial pressure is increased. Deuterochloroform does not decompose under the same experimental conditions. Low concentrations of both cyclohexane and ethanol quench the photodecomposition, whereas water, up to its solubility limit, does not. Dissolved tetraalkylammonium salts suppress photodecomposition. The data are consistent with a mechanism in which light absorption by an SiO(2) defect yields an electron-deficient oxygen atom, which then abstracts hydrogen from chloroform. The resulting CCl(3) radicals react with oxygen to form a peroxy radical that decomposes, eventually yielding phosgene and hydrogen chloride.