1.Effect of stigma on symptoms of post-traumatic stress disorder in college students:a propensity score matching analysis
Li ZHANG ; Weizhi LIU ; Qianlan YIN
Academic Journal of Naval Medical University 2025;46(7):950-955
Objective To examine the relationship between stigma and post-traumatic stress disorder(PTSD)symptoms among college students.Methods With cluster random sampling method,1 312 college students were surveyed from various types of higher education institutions.Propensity score matching was employed to control potential confounding variables such as gender,age,and education level.Stigma were compared between the PTSD and non-PTSD groups.Results After matching,the students in the PTSD group(n=139)exhibited significantly higher levels of stigma compared to the non-PTSD group(n=139,P<0.01).Further analysis revealed that stigma significantly affected all PTSD symptom clusters,with the strongest association found for hyperarousal and reactivity symptoms.Conclusion Individuals with PTSD may experience more severe stigma,which in turn may exacerbate their PTSD symptoms.Greater attention should be given to the potential impact of stigma on PTSD symptoms in college students,and effective interventions are needed to address this issue.
2.SRF-rearranged cellular perivascular myoid tumor: a clinicopathological analysis of two cases
Tangchen YIN ; Mengyuan SHAO ; Meng SUN ; Lu ZHAO ; Weng I LAO ; Qianlan YAO ; Qianming BAI ; Lin YU ; Xiaoyan ZHOU ; Jian WANG
Chinese Journal of Pathology 2024;53(1):64-70
Objective:To investigate the clinicopathological features, immunophenotype, diagnosis and differential diagnosis of SRF-rearranged cellular perivascular myoid tumor.Methods:Two cases of SRF-rearranged cellular perivascular myoid tumor diagnosed in the Department of Pathology, Fudan University Shanghai Cancer Center from October 2021 to March 2022 were collected. Immunohistochemical staining, fluorescence in-situ hybridization (FISH) and next-generation sequencing (NGS) were performed, and the literature was reviewed.Results:Case 1, a 3-month-old boy presented with a painless tumor of the scalp, measuring about 2 cm in diameter. Case 2, a 3-year-old girl complained with a painless tumor of the knee, measuring approximately 1.5 cm in diameter. Microscopically, the tumor had a clear boundary and showed multinodular growth. The tumor was mainly composed of spindle cells arranged in long intersecting fascicles associated with thin, slit-like or branching ectatic vessels, focally forming hemangiopericytoma-like appearance. The tumor cells were abundant, but there was no obvious atypia. Mitotic figures (3-4/10 HPF) were noted. H-caldesmon and SMA were positive in both cases. Case 1 showed diffuse and strong positivity for Desmin, and focally for CKpan. Ki-67 proliferation index was 20% and 30%, respectively. FISH displayed NCOA2 gene translocation in case 1 and the RELA gene translocation in case 2. NGS detected the SRF-NCOA2 gene fusion in case 1 and the SRF-RELA gene fusion in case 2. Both patients underwent local excisions. During the follow-up of 5-14 months, case 1 had no local recurrence, while case 2 developed local recurrence 1 year post operatively.Conclusions:SRF-rearranged cellular perivascular myoid tumor is a novel variant of perivascular cell tumor, which tends to occur in children and adolescents. The tumor forms a broad morphologic spectrum ranging from a pericytic pattern to a myoid pattern, and include hybrid tumors with a mixture of pericytic and myoid patterns. Due to its diffuse hypercellularity and increased mitotic figures and smooth muscle-like immunophenotype, the tumor is easy to be misdiagnosed as myogenic sarcomas. The tumor usually pursues a benign clinical course and rare cases may locally recur.

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