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Biomedical subjects

T Suchi

Publications and source records attributed to T Suchi.

142 records · Page 8Linked to original sources

Some problems on the histopathological diagnosis of non-Hodgkin's malignant lymphoma -- a proposal of a new type.

A new classification for non-Hodgkin's malignant lymphoma is proposed as the one suited for the Lymphomas in Japan, which is to provide a new subtype "pleomorphic" for those more or less rapid-growing lymphomas of peripheral T-cell nature, along with another subtype lymphoblastic, after Nathwani et al. for those of central T-cell nature. The proposal is based on the result of the investigation by the Study Group for Histopathological Diagnosis on Malignant Lymphoma that (1) the presence of a significant number of T-cell lymphomas with peculiar "pleomorphism" is responsible for the very low reproducibility rate of histopathological diagnosis on the diffuse, mixed L&H type of Rappaport classification, and (2) the relative incidence of lymphoms as peripheral T-cell nature including the so-called adult T-cell leukemia is much higher in Japan than in the Western countries.

B-Lymphocytes↗

Malignant histiocytosis with chronic course. Ultrastructural and ultrastructural cytochemical studies.

Four cases of malignant histiocytosis with leukemic manifestations and chronic course were reported. Light microscopic, ultrastructural and ultrastructural cytochemical details of these atypical cells were demonstrated. Ultrastructurally these cells resembled hairy cells most closely among the known varieties of leukemic cells. However, ribosome-lamella complexes were not found and some atypical cells had a few short cytoplasmic projections. In addition, tartrate-resistant acid phosphatase was absent from these cells. We speculate that this leukemic reticuloendotheliosis with a chronic course seen in Japan seems to be analogous to malignant histiocytosis with massive splenomegaly reported by Vardiman et al.

Acid Phosphatase↗

Cells containing Langerhans cell granules in human lymph nodes of "atypical hyperplasia" with fatal outcome and leukemic reticuloendotheliosis.

Langerhans cell granules could be found in atypical histiocytes in lymph nodes of three patients with "atypical hyperplasia" with fatal outcome and one patient with leukemic reticuloendotheliosis. These atypical histiocytes might be derived from immature mesenchymal cells in lymph nodes and the Langerhans cell granules might be induced in these cells by a particular condition. Only one of the Langerhans cell granules seemingly associated with the plasma membrane could be observed in these atypical histiocytes and all of the granules were seen within the cytoplasm. Quite a number of Langerhans cell granules were located near the Golgi apparatus. Several atypical granules very similar to the Langerhans cell granules could also be observed in these atypical histiocytes. These Langerhans cell granules were assumed to be directly derived from the Golgi apparatus and/or derived from the atypical granules which were secreted from the Golgi apparatus. The relationship between the Langerhans cell granules and the microtubules must also be considered, because Langerhans cell granules were found near the centrioles and microtubules.

Adult↗

The effect of malignant neoplasms on the heart. A study on the electrocardiographic abnormalities and the anatomical findings in cases with and without cardiac involvement.

Six hundred and twenty-two autopsies of patients with malignant neoplasm were used for this study. The incidence of cardiac involvement in relation to the sites of the primary tumor, the anatomical distribution within the heart, and the ECG findings in the patients with and without cardiac involvement were analysed. The incidence of cardiac involvement by malignant tumor was 12.7% (79 out of 622 cases). Involvement by breast and pulmonary cancer was found to be very common, while intestinal and gastric cancer uncommonly metastasised to the heart. The incidence of epicardial involvement was higher than that of the pericardium, myocardium, or endocardium. A significant difference was observed in the ECG findings recorded within 3 months before death between the groups with and without cardiac involvement. Cases of myocardial metastasis were always associated with the pattern of myocardial damage in the ECG. The findings in this study are discussed in the light of previous reports.

Arrhythmias, Cardiac↗

Re-evaluation of high incidence of Hodgkin's disease in Kyushu, Japan.

In order to reevaluate the high mortality from Hodgkin's disease (HD) in Kyushu, Japan, the chronological changes of the geographical variation of HD were analysed. The age-adjusted death rates (AADRs) for HD of the three periods 1969-71, 1974-76, and 1979-81 were calculated for each prefecture and 128 cases of HD in 1969-72 were re-examined to evaluate the difference in the diagnostic criteria of HD among these periods. AADRs for HD in Kagoshima Prefecture, which had the highest mortality from HD in Japan in the early period, has decreased drastically and the mortality from HD in Kyushu has not been high in the most recent period. The main reasons for the decreased mortality from HD in Kyushu may be as follows: (1) HD has been more strictly diagnosed by histopathological criteria in recent years; (2) adult T-cell leukemia/lymphoma (ATLL) which is prevalent in Kyushu and has similar histopathological features to those of HD may have been diagnosed as HD in the past when the concept of ATLL did not exist. Therefore, it is suggested that the mortality from HD in Kyushu has been essentially the same as for other areas in Japan even in the past.

Female↗

Malignant lymphomas in Japan: epidemiological analysis on adult T-cell leukemia/lymphoma.

According to the Vital Statistics Japan Series in 1950-1981, the age-adjusted death rate for malignant lymphomas (ICDs, 200-202) in Japan has increased in recent years. A geographical clustering of malignant lymphomas in the Kyushu districts was observed both in the period 1969-1971 and more recently in 1979-1981. The excessive rate of malignant lymphomas in Kyushu was due to the high incidence of adult T-cell leukemia/lymphoma (ATLL). The distribution of healthy carriers of ATLV, a human retrovirus which is almost identical to HTLV, was closely related to that of patients with ATLL in Japan. Epidemiological features of the infectious mode of ATLV suggested two main routes of natural transmission, one from mother to child and the other from husband to wife. ATLV is considered to be a main causative agent of ATLL from virological and epidemiological evidence, but infection by this virus alone may not result in ATLL because the incidence of ATLL among ATLV carriers was apparently not very high even in endemic areas of ATLL. Thus, some risk factors other than ATLV, such as environmental and genetic factors, may contribute to the development of ATLL.

Age Factors↗