Biomedical subjects
Publications and source records attributed to H Kusano.
Early gastric cancer composed of signet ring cell carcinoma is usually present as a depressed lesion and rarely manifests as a protruding lesion. To our knowledge, only eight cases have been reported in the literature. We herein report such a rare lesion which developed in an asymptomatic 55-year-old man.
An enzyme glucose electrode that operates even when no oxygen is dissolved in the glucose solution has been developed and its in vitro performance evaluated. The electrode has been designed to be used with a percutaneous interface for future in vivo use. Oxygen is supplied to the electrode from the atmosphere. The electrode is based on the conventional H2O2 detecting enzyme electrode, in which an Ag cylinder 4.5 mm in diameter and 16 mm in length is used as a cathode. A Pt wire 0.5 mm in diameter is fixed in the centre for an anode, and 0.5 micrograms of albumin-linked glucose oxidase is immobilised at the tip of the anode. A recess of 3.6 mm diameter and 5 mm depth is made at the top of the electrode, and a breathing orifice 0.8 mm in diameter is drilled along the axis of the electrode to link the recess to the atmosphere. A thin oxygen permeable silicone layer fills the recess, allowing oxygen in the atmosphere to be supplied to the enzyme through the silicone layer. The electrode has a linear response to glucose concentration at an electrode output current ranging from 0 to 20 nA even when the oxygen concentration of the glucose solution is zero. The use of polyurethane as a diffusion barrier to glucose limits the electrode output current at a glucose concentration of 500 mg dl-1 (27.8 mmol 1-1] to 20 nA. Therefore, the electrode can measure glucose concentrations up to 500 mg dl-1 (27.8 mmol 1(-1] with no oxygen dissolved in the glucose solution. The electrode with the percutaneous interface seems suitable for implantation in sites of low oxygen concentration such as subcutaneous tissues.
The audiological study for ears with aural stenosis and atresia was performed. The hearing level of ears with three types of ear plugs (with the hole of phi 1mm, with the hole of phi 3mm and without the hole) was tested experimentally by 10 normal hearing subjects in pure tone audiometry, and the audiograms of congenital and acquired aural stenosis and atresia were investigated statistically. And then following results were obtained. 1) The air conduction levels were higher, as the diameter of ear plug's hole got shorter in normal hearing subjects. And the shape of their audiograms was gradual sloping type. 2) The air conduction levels of ears with congenital aural stenosis and atresia were almost from 60 to 70 dB, and the levels were almost same throughout 7 frequencies. But the audiograms of ears with acquired aural stenosis and atresia showed conductive and gradual sloping type. 3) From the results mentioned above, the reason why the hearing loss of ears with aural stenosis and atresia showed conductive hearing loss limited to low and middle frequencies was considered to depend on the abnormality of the middle ear. 4) An average value of hearing threshold level in bone conduction among normal hearing subjects with three types of ear plugs was almost -7.8dB. There was no relation between the size of ear plug's hole and the shift of bone conduction level.
In order to evaluate the factors affecting patient survival, 32 patients with a solitary hepatocellular carcinoma (HCC) smaller than 5 cm have been studied. Most patients were diagnosed as having a HCC during the periodic follow-up examinations for their underlying liver disease. For HCCs smaller than 2 cm, ultrasonography demonstrated the highest detection rate compared with CT and angiography. In patients with tumors larger than 2 cm, a portal vein thrombus and/or satellite tumors were frequently recognized, resulting in a lower patient survival rate when compared to those with a smaller HCC. Results have indicated that early detection of such tumors without a portal vein thrombus and/or a satellite tumor, and an adequate hepatic resection, such as segmentectomy or subsegmentectomy, are most important factors HCC patient survival.
Sialyl Lewis(x)-i (SLX) as a new tumor-associated antigen was assayed in sera of 133 gastric cancer and 62 colorectal cancer patients with preoperative state in order to elucidate the clinico-pathological features. The percent positives in sera of patients with gastric and colorectal cancer were 12.7% (17/133) and 16.1% (10/62), respectively, and there were few positive cases in the early stages. Therefore, it is suggested that the early diagnosis for gastric and colorectal cancer using SLX alone may be difficult. However, it is revealed that SLX has a high tumor-specificity in consideration of the clinico-pathological properties such as H, P, n, ly, v factors, depth of cancer invasion and operative radicality. These data suggested that SLX could be applicable as a useful tumor-marker which shows the metastasis or extension of carcinoma.
The expression 'profound hearing loss' used in the diagnostic criteria for sudden deafness should be changed to 'moderate to profound hearing loss'. In clinical diagnosis, a 30-dB hearing loss at 1 kHz can be used as a tentative criterion for sudden deafness.
From tumors obtained from 87 patients with colorectal cancer during operation, portal blood levels of carcinoembryonic antigen (CEA) in drainage vein were measured and evaluated, according to the disease stage and histology, in comparison with cancerous tissue CEA in the extracts of surgical specimens and immunohistochemical analyses graded according to localization patterns and immunoreactivity; thereby trying to clarify a mechanism for the elevation of peripheral CEA levels. Mean value of portal CEA was higher than that of peripheral CEA at each stage of diseases, with a marked elevation by operative procedures. Although no significant correlation was observed between CEA contents of cancerous tissue (ng/g wet weight) and peripheral CEA levels, a close correlation was observed between portal CEA levels and cancerous CEA contents. A high CEA value was noted in moderately differentiated adenocarcinoma, according to cell differentiation (p less than 0.05). High portal CEA level was recognized in those with stain of cytoplasm and stroma, besides cancerous tissue CEA content, by means of immunopathochemical localization pattern, but a more significantly elevated CEA level was observed in those with the cancer pathologically infiltrating over muscle layers. The present study suggests that the route of CEA transfer from tumor to portal blood can be an important contributing factor to the control of peripheral CEA level.
The concentration of Tegafur, 5-FU and Uracil in tumor and normal tissue were measured in 47 colorectal cancer patients who had been administered UFT (400/mg) for seven days before operation. The concentration of Tegafur, 5-FU and Uracil in tumor was higher than in normal tissue (p less than 0.01), and the concentration of 5-FU was correlative to the concentration of Tegafur and Uracil in both tissues. The Dukes group and histological type were not related to the concentration of Tegafur, 5-FU and Uracil in either tissue. The uptake of each drug was good and high in tumor tissue.
In order to elucidate the factors responsible for evaluation of various tumor markers (CEA, CA-19-9, TPA, Ferritin) in colorectal cancer, correlation between portal blood values of these markers and microangiography of the tumor was examined. 1) Mean values of these markers in portal blood were higher than those in peripheral blood. 2) Microangiography of tumor coincided well with cancer infiltration. A significant extramural vascular change was found in ulcerative cancers which showed a vertical invasion for colonic wall than in those with horizontal invasion or protuberant cancers. 3) The elevated portal CEA was noted in ulcerative cancers with vertical invasion extending through muscular vessels and/or in tumors with vascular disarray and histological necrotic foci. 4) Elevated portal TPA relationship between portal TPA levels and vascular patterns of tumor. 5) Portal CA19-9 levels changed within normal value in correlation with the degree of vascular change. Portal ferritin values showed wide variations as well as peripheral ones. The present study indicates that the extra or intramural vascular change and vascular pattern of tumor may be a major contributing factor to transfer these markers from tumor into blood circulation.
In order to elucidate the effect of supplying vessels on 5-FU distribution within a tumor, the correlation between 5-FU tissue concentration and tumor microangiography was examined in 31 patients with colorectal cancer after administration of 5-FU (500 mg/day for 3 days). The 5-FU concentration at the tumor margin was significantly higher than that in the other two tissue areas (p less than 0.05). A low 5-FU concentration was noted in the central region of ulcerative cancer showing vertical invasion with vascular disarray and/or histological necrotic foci. This type of tumor also showed a low RNA index by flow cytometry. The present study indicates that the vascular change and vascular pattern of a tumor may be a major contributing factor to 5-FU transfer from the blood circulation into a tumor.
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A 47-year-old man, whose chief complaint was massive hematoemesis, was underwent partial gastrectomy. The resected stomach revealed a large elevated tumor, Borrmann I type, measuring 4 X 3 X 2 cm, in the anterior wall of the body. Histologically, the major part of the tumor showed a sarcomatous structure, while the margin and some areas consisted of papillary or well differentiated adenocarcinoma, invading to the submucosa. The border between the two components was irregular and the two components intermixed with each other in some areas. In the sarcomatous area, there was no bone, cartilage or muscle. It was interesting that the metastatic lymph nodes disclosed a sarcomatous picture with teratomatous pattern and that immunocytochemically HCG was localized in some of the adenocarcinoma in the lymph node.
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