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Biomedical subjects

T Katoh

Publications and source records attributed to T Katoh.

At least 559 records · Page 31Linked to original sources
PubMed1982

[Study on the rationale for chemotherapy of refractory choriocarcinoma].

The combination chemotherapy consisting of methotrexate (MTX), actinomycin D (ACD), and an alkylating agent was applied to the high risk patients refractory to MTX and/or ACD. The remission rate of the high risk group was about 70% and that of low risk patients was 100%. It is important to seek an effective chemotherapy for patients refractory to the above combined chemotherapy; therefore, we tried out the following regimens: (1) Quadritherapy with MTX, ACD, CPM and vincristine; (2) CHAMOMA protocol; (3) cis-platinum, bleomycin and vinblastine therapy; (4) ultra high dose MTX therapy and (5) the combination chemotherapy without MTX. The last regimen was designed based on the experimental data chemotherapy using nude mice.

Antineoplastic Agents↗
PubMed1982

[The study for the standard of the remission of the patients with trophoblastic disease (author's transl)].

The recurrence of the patients who had obtained remissions once was studied and the standard of remission was reassessed. The comparison of the titers of hCG ranged the LH levels was studied by means of some methods of measurement. 1) During 7 years, from 1973-1979, 141 patients with trophoblastic disease in Chiba University Hospital were treated. The remission rate was 92.2% (130/141), the recurrence rate was 6.2% (8/130). In the high risk group, the recurrence rate was 23.1% (6/26), in the low risk, it was 1.9% (2/104). Four of 8 with recurrence were died, 4 (2 high risk and 2 low risk) obtained remissions again. 2) The mean HCG titers of patients with recurrence were 29.5 +/- 23.5 IU/L (HAR), 13.7 +/- 6.4 mIU/ml (HCG-RIA), 1.5 +/- 0.7 ng/ml (HCG-beta RIA) and that of patients with remission were 13.8 +/- 13.0 IU/L, 11.3 +/- 4.1 mIU/ml, 1.0 +/- 0.6 ng/ml, respectively. 3) The 2 patients whose HCG titers indicated all negative followed the recurrences. The HCG beta titers of the patients who were extirpated their bilateral ovaries indicated rather high in spite of getting their remissions. 4) The essential standard of remission was the equanimity of the HCG titers around the negative levels without disturbance by LH or other substances for a while. But it is not enough for a remission.

Adult↗
PubMed1982

[Studies on the recurrent trophoblastic disease].

We studied the remission and the recurrent of trophoblastic disease treated in our clinic, during 1973 to 1980. 1) The remission and recurrent rates of 168 cases were 91.1% (153/168) and 5.2% (8/153) respectively. In these percentages, high risk was 65.9% (29/44) and 20.7% (6/29), low risk was 100% (124/124) and 1.6% (2/124), choriocarcinoma was 58.3% (21/36) and 28.6% (6/21), invasive mole was 100% (44/44) and 0, and undetermined was 100% (88/88) and 2.3% (2/88). 2) The interval to recurrence: 5 cases appeared under a year, 3 cases did over a year. And remission rate of recurrent case was (4/8), high risk was (2/6), and low risk was (2/2). 3) HCG-beta titers when U-hCG decreased under the LH levels was higher until 3 months in the recurrent case of high risk than that unrecurrent, while we did not recognize any differences after 3 months. Therefore criteria of remission in high risk would occurred on continuous LH levels of U-hCG for 3 months. 4) High risk has been treated by 3 courses of additional chemotherapy, but that when hCG-beta titer over 1.0ng/ml require more chemotherapy.

Adult↗
PubMed1982

[Effects of various agents on human choriocarcinoma transplanted to nude mice].

The effects of various anticancer agents on human choriocarcinoma transplanted to nude mice, specifically, inhibition effects on tumor growth and survival rate were studied to establish an appropriate chemotherapy for refractory choriocarcinoma. The agents studied were methotrexate (MTX), actinomycin D (ACD), cyclophosphamide (CPM), vincristine (VCR), L-PAM (MPI), bleomycin (BLM), carboquone (CQ), cisplatin (CDDP), ACNU, MCNU, vinblastine (VLB), VP16-213, OK-432, Maruyama vaccine (SSM) and metronidazole (ME), and the following results were obtained: 1) The inhibition effects on tumor growth were obtained in the groups of VCR, VP16-213, CDDP, MPL, CPM and CQ; 2) The survival rate was 100% in the groups of MPL, BLM, and CQ. In the groups of ACD VLB, VP16-213 and VCR, all mice died. 3) MPL was found to be the most effective agent in terms of inhibitory effect and survival rate. In the future, combination chemotherapy including MPL and maintenance chemotherapy with MPL to refractory choriocarcinoma should be studied.

Animals↗
PubMed1982

[Study for the experimental chemotherapy and clinical application (author's transl)].

Experimental chemotherapy has been studying with choriocarcinoma in nude mice transplanted from drug resistant patients. The following results: 1) the combined therapy with MTX and ACD was not always effective and in place of one of them, the combination of CPM was effective 2) addition of VCR was effective; were obtained. These results were applied to two patients in clinic. 1) The first patient failed to obtain complete remission by the course of ACD, MTX + ACD, and MTX + ACD + CPM (MAC) therapy. Then the combination therapy with ACD + CPM made her HCG titer regressed to negative immediately. She is free from disease now. 2) The HCG titer and pulmonary metastasis of the second patient showed resistance to MAC therapy, CHAMOMA therapy, and the combined therapy with MTX. The combination chemotherapy with ACD + CPM + VCR made her HCG titer become to regressed and the pulmonary metastasis reduce to 1/4 in size. The clinical application of the results from experimental chemotherapy was defined to be possible. The experimental model will contribute to establish the schedule of the rational chemotherapy for drug-resistant choriocarcinoma.

Adult↗
PubMed1982

[Clinical studies of cefoxitin for the treatment of respiratory tract infections (author's transl)].

A total of 42 patients who were suffering from respiratory tract infections were treated with cefoxitin, and the following results were obtained. 1. Out of 32 patients clinically evaluated, excellent or good responses were observed in 30 patients (94%). 2. Presumed causative organisms were isolated in 14 patients. The organisms were eradicated in 11 patients and the eradication rate was 79% (11/14). The number of the organisms decreased or unchanged in 1 patient each. In other 1 patient the pathogenic agent was replaced with other agents during the course of treatment. 3. As for the side effects, skin eruption was observed in 3 patients. One patient received drugs other than cefoxitin concomitantly that might have caused the eruption. Another patient had an allergic history to many antibiotics. In 4 patients slight elevations of S-GOT and S-GPT were observed but improved soon after the completion of cefoxitin treatment. In 1 patient an elevation of serum creatinine was observed but this was not attributed to the administration of cefoxitin. 4. From the results stated above, cefoxitin is considered to be a safe and effective antibiotic which can be one of the first-choice antibiotics for the treatment of respiratory tract infections.

Adolescent↗
PubMed1981

Histopathologic studies on carcinoma in pleomorphic adenoma of the parotid gland.

Five-hundred-eighteen cases of primary epithelial tumors of the parotid gland were examined. The incidence of carcinomas in pleomorphic adenoma was 9.3% (48 cases). In addition to cellular atypism, the following histological findings were thought to be important criteria for the diagnosis of carcinomas: (1) capsular invasion, (2) infiltration into adjacent organs, (3) proliferation of atypical cells within fibrous tissues and chondroid matrix in the area of pleomorphic adenoma, (4) vascular involvement, and (5) mitotic figures. Pleomorphic adenomas (282 cases) were found predominantly in females (70.8%), at the age of 30 to 49 (48.2%), whereas carcinomas in pleomorphic adenoma were more often found in males (70.8%) and at the ages over 50 (43.8%). Histologic types were composed mostly of undifferentiated carcinoma (56.2%) and adenocarcinoma (37.5%). The prognosis of the carcinomas, especially the undifferentiated type, was generally poor; about 45% of the cases either experienced recurrence or died within five years. Electron microscopy on this undifferentiated carcinoma revealed characteristic filamentous structure in the carcinoma cells, resembling that observed in myoepithelial cells. It was assumed that the undifferentiated carcinoma cells were of myoepithelial origin.

Adenoma, Pleomorphic↗
PubMed1981

Hexosamine metabolism during spherule formation in Physarum polycephalum.

Hexosamine metabolism in relation to the spherule-wall synthesis in Physarum polycephalum was studied by the incorporation of labeled sugar into the wall and intermediary compounds in the biosynthesis of wall polysaccharide. The incorporation of [14C]galactosamine into the wall material occurred after a lag period of about 10 h in an induction medium. Nucleotides and sugar phosphates in the acid-soluble fraction of spherulating plasmodia were analyzed by column chromatography on Dowex 1-X8 (formate). The primary labeled products formed in the spherulating plasmodia after incubation with [14C]galactosamine were galactosamine 1-phosphate, UDP-galactosamine, N-acetylhexosamine 6-phosphate and UDP-N-acetylhexosamine. Spherulation was insensitive to polyoxin D, while it was completely blocked by cycloheximide. The activity of galactokinase and galactose-1-phosphate uridyltransferase increased 4--5-fold during the spherulation.

Anti-Bacterial Agents↗
PubMed1981

A new method for measurement of bone mineral deposition pattern--using dual energy radiographic densitometry method in a single exposure.

Quantitative observations of bone mineral distribution in the maxillo-mandibular bone are of great interest in the clinical field. Radiographic densitometry is the most simple method but the film density is influenced by the X-ray exposure and processing conditions and by the soft tissue layers. This fluctuation can be corrected from the image of the wedge of the reference material simultaneously projected with the object on the same film. There is no other method than the dual energy technique to correct the effect of the soft tissue layer to be applicable in the maxillo-mandibular region. Two radiograms of the object obtained by a different beam quality represent the different X-ray contrast. When the penetrated fractions of the incident X-rays through the object at different energies are obtained from the film density and the characteristic curve of the film and substituted for the first order simultaneous equation whose coefficients are the mass attenuation coefficients of the bone mineral and soft tissue to the X-rays of the respective energy, the bone mineral content is obtained as the solution of the equation in the form of the product of the mineral density and the thickness of the bone (mg/cm2). This paper shows the principle of the method and the results of the experiment which agreed closely with the data obtained by the chemical assessment.

Absorptiometry, Photon↗
PubMed1981

[Characteristics of human choriocarcinoma transplanted in nude mice (author's transl)].

Experimental chemotherapy with choriocarcinoma transplanted in nude mice has been studying to improve the prognosis of drug resistant choriocarcinoma. In this paper the characteristics of transplanted tumors were presented. Two tumors, CC-HM-I (HM) and CC-I-JCK (JCK), were used. The characteristics of the tumors were studied in macroscopical findings, histological findings, growth curves, DNA amount analysis, LDH activity, alkaline phosphatase activity, and their isozyme patterns. Both tumors well maintained the characteristics of original and/or the beginning ones. Some differences between two tumors were pointed out. In morphology, HM was yellowish and hard tumor and the growth rate was rather slow. While, JCK was dark and soft tumor and contained a lot of bleeding and necrotic tissue. Its growth rate was quick and all of nude mice with JCK died of tumors around 50 days after transplantation. The serum level of HCG of HM was 75.8 +/- 2.8 ng/ml/g tumor and that of JCK was 117.4 +/- 6.2 ng/ml/g tumor. The good correlation between the tumor weight and the serum level of HCG was obtained in both groups. The activities of LDH and alkaline phosphatase in the tissues of JCK were about 3 times as higher as the one of HM. It was confirmed that the transplanted choriocarcinoma in nude mice was useful model for the study the nature of human choriocarcinoma and it will contribute to the establishment of the rational chemotherapy for drug resistant choriocarcinoma.

Animals↗
PubMed1981

[Experimental chemotherapy with drug-resistant choriocarcinoma transplanted to nude mice (author's transl)].

Serial transplantation in nude mice of human choriocarcinoma showed the drug resistance in clinic was succeeded and experimental chemotherapy has been studied to improve the prognosis of the patients with choriocarcinoma. The experimental tumors were two lines. CC-I-JCK (JCK) and CC-HM-I- (HM). In this paper, single and/or combination chemotherapy with methotrexate (MTX), actinomycin D (ACD), cyclophosphamide (CMP), and vincristine (VCR) were discussed. 1) Effects of the single agent: In JCK, the suppressive effects against tumor growth under administration of CPM or VCR, and some responses in histological finding were obtained. While, in HM, few suppressive effects against tumor growth and some responses in histological findings were obtained. 2) Effects of the combined agents: In JCK, the suppressive effects against tumor growth were as follows; nontreatment group less than MTX + ACD less than MTX + CPM less than MTX + ACD + CPM less than ACD + CPM less than ACD + CPM + VCR. The complete disappearance of tumors were gained under administration of the combination therapy with ACD and CPM. While in in HM, the effects were as follows; nontreatment group less than MTX + ACD less than ACD + CPM less than MTX + ACD + CPM less than MTX + CPM less than MTX + CPM + VRC. But no complete disappearance of tumor was obtained. 3) The good relationship between the results of experimental chemotherapy and the response of clinical patients who provided the tissues could be seen. It has been defined that the experimental chemotherapy with the tumors transplanted to nude mice in useful models for the establishment of rational chemotherapy for drug resistant choriocarcinoma.

Animals↗