It is important to keep in mind that the thyroid gland can be a site of metastases for a variety of tumors when evaluating a thyroid nodule, especially in a patient with a prior history of malignancy. In patients with thyroid lesions and a history of malignant disease, regardless of time elapsed since the initial diagnosis of the primary neoplasm, disease recurrence or progression of malignancy must be considered until proven otherwise.
We investigate the effects of inelastic cotunneling on the electronic transport properties of gold nanoparticle multilayers and thick films at low applied bias, inside the Coulomb blockade regime.We find that the zero-bias conductance, g 0 (T ), in all systems exhibits Efros-Shklovskii-type variable range hopping transport. The resulting typical hopping distance, corresponding to the number of tunnel junctions participating in cotunneling events, is shown to be directly related to the power law exponent in the measured current-voltage characteristics. We discuss the implications of these findings in light of models on cotunneling and hopping transport in mesoscopic, granular conductors.
Recurrence following resection of ICC was common, occurring in up to two-thirds of patients. When there is recurrence, prognosis is poor. Only 9 % of patients underwent repeat liver resection after recurrence, which offered a modest survival benefit.
We investigate transport in weakly coupled metal nanoparticle arrays, focusing on the regime where tunneling is competing with strong single electron charging effects. This competition gives rise to an interplay between two types of charge transport. In sequential tunneling, transport is dominated by independent electron hops from a particle to its nearest neighbor along the current path. In inelastic cotunneling, transport is dominated by cooperative multielectron hops that each go to the nearest neighbor but are synchronized to move charge over distances of several particles. In order to test how the temperature-dependent cotunnel distance affects the current-voltage ͑I-V͒ characteristics, we perform a series of systematic experiments on highly ordered close-packed nanoparticle arrays. The arrays consist of ϳ5.5 nm diameter gold nanocrystals with tight size dispersion, spaced ϳ1.7 nm apart by interdigitating shells of dodecanethiol ligands. We present I-V data for monolayer, bilayer, trilayer, and tetralayer arrays. For stacks 2-4 layers thick we compare in-plane measurements with data for vertical transport perpendicular to the array plane. Our results support a picture whereby transport inside the Coulomb blockade regime occurs by inelastic cotunneling, while sequential tunneling takes over at large bias above the global Coulomb blockade threshold V t ͑T͒ and at high temperatures. For the smallest measurable voltages, our data was fitted well by recent predictions for the temperature dependence zero-bias conductance due to multiple cotunneling. At finite but small bias, the cotunnel distance is predicted to set the curvature of the nonlinear I-V characteristics, in good agreement with our data. The absence of significant magnetic-field dependence up to 10 T in the measured I-V characteristics further supports the picture of inelastic cotunneling events where individual electrons hop no further than the nearest neighbor. At large bias, above the global Coulomb blockade threshold, the I-V characteristics follow power-law behavior with temperature-independent exponent close to two, predicted for sequential tunneling along branching paths that optimize the overall charging energy cost.
Presentation of CC varied between children and adults, and resection was associated with a degree of morbidity. Although concomitant cancer was uncommon, it occurred in 3.0% of the patients. Long-term surveillance is indicated given the possibility of future development of biliary cancer after CC resection.
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