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Biomedical subjects

M Fukayama

Publications and source records attributed to M Fukayama.

At least 145 records · Page 8Linked to original sources
PubMed1988

Carcinoma of the ampulla of Vater: expression of cancer-associated antigens inversely correlated with prognosis.

To obtain some useful pathologic indicators for predicting the prognosis in carcinomas of the ampulla of Vater, we analyzed 24 surgically resected ampullary carcinomas pathologically with immunohistochemistry of cancer-associated antigens. Pancreatic invasion, lymph node metastasis, and histology of the tumor were significantly correlated with poor prognosis (p less than 0.01), but the size or ulceration of the tumor did not significantly affect the prognosis (p less than 0.05). Immunohistochemically, diffuse positivity for anti-CA19-9 monoclonal antibody was demonstrated in 10 carcinomas and that for anti-carcinoembryonic antigen (CEA), in 10. Eight of them showed synchronously diffuse immunoreactivities for both antigens. Although there was no significant correlation between diffuse positivity for CA19-9 and pathologic factors, CA19-9-positive cases exhibited significantly poor prognoses (p less than 0.01). Diffuse positivity for CEA was correlated with pancreatic invasion (p less than 0.05) and poor prognosis (p less than 0.05). Immunohistochemical study of cancer-associated antigens may disclose some malignant potential of ampullary carcinoma other than that expressed in the morphology. Furthermore, because of the consistency of staining results, immunohistochemistry of cancer-associated antigens may also be useful in predicting preoperatively the prognosis of ampullary carcinoma in biopsied materials.

Actuarial Analysis↗
PubMed1988

[A case of non-jaundice ampullary carcinoma with prominent lymphatic infiltration].

A case of a non-jaundiced ampullary carcinoma with a unique tumor spread is reported. A 3.2 X 1.0 cm-sized tumor at the ampulla of Vater was resected in a 64-year-old female. The primary focus of the well differentiated adenocarcinoma was confined to the intraampullary common channel, but the most of the tumor consisted of lymphatic permeation. A wide spread lymphogenous metastases had been noticed at operation, and the patient died nine months thereafter from metastases of the brain. The mechanism which prevented jaundice from developing in this case might be due to the unique way in which this tumor spread, without obstruction via the lymphatic space and only stenosing the bile duct.

Adenocarcinoma↗
PubMed1987

Isolation of small cell lung cancer-associated antigen from human brain.

Previous studies have demonstrated that monoclonal antibody TFS-4 recognizes a cell surface antigen with a molecular weight of 124,000 expressed selectively on small-cell lung cancer but not on non-small-cell lung cancers and that it cross-reacts with human brain. The antigenic determinant on small-cell lung cancer and that on brain shared common characteristics, i.e., trypsin sensitivity, heat lability, and neuraminidase resistance, suggesting that they are similar peptides (T. Okabe et al., Cancer Res., 44: 5273-5278, 1984; J-i. Watanabe et al., Cancer Res., 47:826-829, 1987). In order to elucidate the nature of this unique antigen recognized by TFS-4, we have purified the antigen to homogeneity from human brain. The antigen was solubilized from brain with 0.5% Nonidet P-40, precipitated with 50% ammonium sulfate, and subsequently purified by sequential chromatographies, i.e., diethylaminoethyl-Sepharose ion exchange, immunoaffinity, and gel permeation high-pressure liquid chromatography. The antigenic reactivity was assessed by immunoblotting using TFS-4 as a primary antibody. The purified antigen showed a single protein band with a molecular weight of 124,000 on sodium dodecylsulfate-polyacrylamide gel electrophoresis detected by a silver staining technique. The results suggest that the antigen on brain tissues is structurally related to the molecule expressed on small-cell lung cancer.

Antibodies, Monoclonal↗
PubMed1987

Human chorionic gonadotropin in gastric carcinoma. An immunohistochemical study suggesting independent regulation of subunits.

To investigate the production of human chorionic gonadotropin (hCG) in gastric carcinoma, 124 gastric carcinomas and a choriocarcinoma with adenocarcinoma were examined immunohistochemically, using anti-hCG alpha and beta antibodies. In choriocarcinoma, many trophoblastic cells were synchronously positive for both subunits. In contrast, the distribution of hCG-subunits in gastric carcinoma was unbalanced with hCG alpha in 39 and hCG beta in 63 cases. 26 cases contained alpha and beta positive cells, whereas synchronous cells were extremely rare in four cases. Incidences of hCG-subunit-positivities were not different between early and advanced carcinomas. HCG alpha-positive cells appeared endocrine-like in papillotubular carcinomas and some positive cells were argyrophilic in serial sections in 23 of 39 cases. HCG beta-positive cells were much more frequent in deranged glands, especially of microtubular-mucocellular carcinomas and most were not argyrophilic. In surrounding non-neoplastic mucosa, hCG alpha-positive cells were more numerous with endocrine-like configurations, but hCG beta-positive cells were rarely present in deranged glands. Although subunit-profile of hCG in gastric carcinomas was different from that of normal, the difference may be quantitative: hCG-subunits may be expressed through an independent mechanism but commonly in gastric mucosa and carcinoma. These results are also discussed in relation to trophoblastic tumours arising in non-trophoblastic tissues.

Adenocarcinoma↗
PubMed1987

Human chorionic gonadotropin in the rectosigmoid colon. Immunohistochemical study on unbalanced distribution of subunits.

For investigation of cellular localization of subunits of human chorionic gonadotropin (hCG) in normal and neoplastic rectosigmoid colon, immunohistochemical studies were performed on nonneoplastic colons (10 fetuses, 3 infants, and 23 adults, including 4 cases of ulcerative colitis) and 7 carcinoid tumors, 19 adenomas, and 50 carcinomas of the rectosigmoid colon. The alpha-hCG immunoreactive cells were present in endocrinelike cells of non-neoplastic glands (6 fetuses older than 14th gestational week, 3 infants and 19 of 23 adults). Many of the positive cells were argyrophilic, and all were nonimmunoreactive for beta subunits of glycoprotein hormones. alpha-hCG immunoreactivity was also present in many argyrophilic cells of all carcinoid tumors and in some of the endocrine cell micronests. The immunoreactive cells for isolated beta-hCG were found in 14 infiltrating carcinomas. The distribution of hCG subunits was unbalanced, and both subunits may be expressed through an independent mechanism, commonly in normal and neoplastic rectosigmoid colon.

Adenoma↗
PubMed1987

So-called "papillary and cystic neoplasm of the pancreas." An immunohistochemical and ultrastructural study.

A case of so-called "papillary and cystic neoplasm of the pancreas" (PCNP) was reported and investigated immunohistochemically and ultrastructurally. A tumor of the pancreatic head in a 21-year-old female was curatively resected. The tumor was cystic and histologically consisted of uniform cells in papillary and solid structure. Although there was no immunoreactivity for pancreaticogut hormones or secretory products of the pancreas in the tumor cells, most of the tumor cells were diffusely immunoreactive for neuron-specific enolase (NSE). Some neurosecretory granules were detected in the tumor cells ultrastructurally. Both facts suggested endocrine cell character of the tumor. Certain cases of PCNP might show a differentiation to endocrine cells.

Adult↗
PubMed1987

Malignant peritoneal mesothelioma as a pelvic mass. Application of athymic mice in clinical pathology.

We reported herein an unusual presentation of malignant peritoneal mesothelioma which appeared as a solid pelvic tumor in a 73-year-old man. The solid tumor was confined in the pelvic cavity, except for one tiny disseminated nodule on the mesocolon. The pelvic tumor was resected with whole pelvic organs en bloc. Histologically, the tumor consisted of tubular and sarcomatous structures, suggesting the biphasic malignant mesothelioma. One of the transplanted tumors in athymic mice was cystic and its histology had striking similarities to cystic mesothelioma. Transplantation of human neoplasms to athymic mice may be able to reproduce histological diversity of the tumor, even if it is not fully expressed in the original tumor.

Aged↗
PubMed1987

A case of malignant cystic endocrine tumor of the pancreas.

A malignant pancreatic endocrine tumor with a cystic appearance in a 66-yr-old woman was reported. Total pancreatectomy was performed under the diagnosis of cystadenocarcinoma. The tumor was large and cystic, but the solid portion of the tumor showed histologically a ribbon-like array of small uniform cells typical for endocrine tumors. Immunohistochemically, most tumor cells were immunoreactive for neuron-specific enolase, chromogranin, and Leu 7-epitope. Ultrastructurally, innumerable neurosecretory granules were demonstrated in the cytoplasm of most tumor cells. The patient survived for 5.5 yr after operation despite liver metastases, some of which also showed cystic appearances.

Aged↗