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Open Journal of Pathology 2012年第3期2卷 58-65页

作者： hirofumi sakamoto Makiyo Takenaka Kazuki Ushimaru Takuji Tanaka Department of Cytology The Tohkai Cytopathology Institute Cancer Research and Prevention (TCI-CaRP) Gifu City Japan

Great advances in screening have lowered the death rate from cervical cancer in the advanced countries. The major advances in cervical cancer screening include the Papanicolaou (Pap) test and liquid-based cytology (LBC). In this study, we aimed to use cell remnants from LBC specimens from uterine cervix and endometrium, aspirates from breast and thyroid tumors, and liquid samples (ascites, pleural effusion, and urine). Cell blocks made from cell remnants of LBC specimens were immunohistochemically or immunocytochemically stained for several biomarkers including certain tumor markers such together with hematoxylin and eosin staining for accurate diagnosis of malignancies in different samples. The findings from the cell blocks stained with these biomarkers combined with those from Pap stain led to easily diagnosis of the presence or absence of malignancies. Our findings suggest the utility of LBC and cell blocks from cell remnants in cytologic diagnosis in certain specimens.

关键词： LBC Cell Remnants Cell Block Immunohistohemistry Immunocytochemistry Biomarkers Cancer Accurate Diagnosis

Use of Liquid-Based Cytology (LBC) and Cell Blocks from Cell Remnants for Cytologic,Immunohistochemical, and Immunocytochemical Diagnosis of Malignancy

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Functional transition:Inconsistently parallel to the increase in future liver remnant volume after preoperative portal vein embolization

Open Journal of Pathology（病理学期刊） 2012年第3期

作者： hirofumi sakamoto Makiyo Takenaka Kazuki Ushimaru Takuji Tanaka

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World Journal of Gastrointestinal Surgery 2021年第2期13卷 153-163页

作者： Yosuke Tsuruga Toshiya Kamiyama hirofumi Kamachi Tatsuya Orimo Shingo Shimada Akihisa Nagatsu Yoh Asahi Yuzuru sakamoto Tatsuhiko Kakisaka Akinobu Taketomi Department of Gastroenterological Surgery I Hokkaido University Graduate School of MedicineSapporo 060-8638Japan

BACKGROUND Preoperative portal vein embolization(PVE)is a widely used strategy to enable major hepatectomy in patients with insufficient liver *** induces hypertrophy of the future liver remnant(FLR)and a shift of the functional reserve to the ***,whether the increase of the FLR volume(FLRV)corresponds to the functional transition after PVE remains *** To investigate the sequential relationship between the increase in FLRV and functional transition after preoperative PVE using 3-dimensional(3D)computed tomography(CT)and 99mTc-galactosyl-human serum albumin(99mTc-GSA)singlephoton emission computed tomography(SPECT)fusion *** Thirty-three patients who underwent major hepatectomy following PVE at the Department of Gastroenterological Surgery I,Hokkaido University Hospital between October 2013 and March 2018 were ***-phase dynamic multidetector CT and 99mTc-GSA SPECT scintigraphy were performed at pre-PVE,and at 1 and 2 wk after PVE;3D 99mTc-GSA SPECT CT-fused images were constructed from the Digital Imaging and Communications in Medicine data using 3D image analysis *** FLRV(FFLRV)was defined as the total liver volume×(FLR volume counts/total liver volume counts)on the 3D 99m Tc-GSA SPECT CT-fused *** calculated FFLRV was compared with *** FFLRV increased by a significantly larger extent than FLRV at 1 and 2 wk after PVE(P<0.01).The increase in FFLRV and FLRV was 55.1%±41.6%and 26.7%±17.8%(P<0.001),respectively,at 1 wk after PVE,and 64.2%±33.3%and 36.8%±18.9%(P<0.001),respectively,at 2 wk after *** 3 of the 33 patients,FFLRV levels decreased below FLRV at 2 *** of the three patients showed rapidly progressive fatty changes in *** biopsy at 4 wk after PVE showed macroand micro-vesicular steatosis of more than 40%,which improved to 10%.Radical resection was performed at 13 wk after *** patient recovered uneventfully without any symptoms of pos-toperative liver *** The

关键词： Preoperative portal vein embolization Hepatectomy 99mTc-galactosyl-human serum albumin single-photon emission computed tomography Future liver remnant volume Functional transition Fatty liver change

Outcomes of reduction hepatectomy combined with postoperative multidisciplinary therapy for advanced hepatocellular carcinoma

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World Journal of Gastrointestinal Surgery 2021年第10期13卷 1245-1257页

作者： Yoh Asahi Toshiya Kamiyama Tatsuhiko Kakisaka Tatsuya Orimo Shingo Shimada Akihisa Nagatsu Takeshi Aiyama Yuzuru sakamoto hirofumi Kamachi Akinobu Taketomi Department of Gastroenterological Surgery Ⅰ Hokkaido University Graduate School of MedicineSapporo 060-8638HokkaidoJapan

BACKGROUND The prognosis of advanced hepatocellular carcinoma(HCC)that is not indicated for curative hepatectomy remains poor,despite advances in the treatment of HCC,including the development of tyrosine kinase inhibitors(TKIs).The outcomes of reduction hepatectomy and multidisciplinary postoperative treatment for advanced HCC that is not indicated for curative hepatectomy,including those of recently treated cases,should be *** To examine the outcomes of combination treatment with reduction hepatectomy and multidisciplinary postoperative treatment for advanced HCC that is not indicated for curative *** Thirty cases of advanced HCC that were not indicated for curative hepatectomy,in which reduction hepatectomy was performed between 2000 and 2018 at the Department of Gastroenterological Surgery I,Hokkaido University Graduate School of Medicine,were divided into postoperative complete remission(POCR)(+)and POCR(-)groups,depending on whether POCR of all evaluable lesions was achieved through postoperative *** cases in the POCR(-)group were subdivided into POCR(-)TKI(+)and POCR(-)TKI(-)groups,depending on whether TKIs were administered *** The 5-year overall survival rate and mean survival time(MST)after reduction hepatectomy were 15.7%and 28.40 mo,respectively,for all cases;37.5%and 56.55 mo,respectively,in the POCR(+)group;and 6.3%and 14.84 mo,respectively,in the POCR(-)group(P=0.0041).Tumor size,major vascular invasion,and the number of tumors in the remnant liver after the reduction hepatectomy were also found to be related to survival *** number of tumors in the remnant liver was the only factor that differed significantly between the POCR(+)and POCR(-)groups,and POCR was achieved significantly more frequently when≤3 tumors remained in the remnant liver(P=0.0025).The MST was 33.52 mo in the POCR(-)TKI(+)group,which was superior to the MST of 10.74 mo seen in the POCR(-)TKI(-)group(P=0.0473).CONCLUS

关键词： Hepatocellular carcinoma Reduction hepatectomy Multidisciplinary therapy Tyrosine kinase inhibitors Postoperative complete remission

Impact of comorbid renal dysfunction in patients with hepatocellular carcinoma on long-term outcomes after curative resection

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World Journal of Gastrointestinal Surgery 2022年第7期14卷 670-684页

作者： Yuzuru sakamoto Shingo Shimada Toshiya Kamiyama Ko Sugiyama Yoh Asahi Akihisa Nagatsu Tatsuya Orimo Tatsuhiko Kakisaka hirofumi Kamachi Yoichi M Ito Akinobu Taketomi Department of Gastroenterological Surgery Hokkaido University Graduate School of MedicineSapporo 060-8638HokkaidoJapan Data Science Center Promotion UnitInstitute of Health Science Innovation for Medical CareHokkaido University HospitalSapporo 060-8648HokkaidoJapan

BACKGROUND Hepatocellular carcinoma(HCC)is one of the most common malignancies ***,the number of patients with chronic kidney disease(CKD)is on the rise because of the increase in lifestyle-related *** To establish a tailored management strategy for HCC patients,we evaluated the impact of comorbid renal dysfunction(RD),as stratified by using the estimated glomerular filtration rate(EGFR),and assessed the oncologic validity of hepatectomy for HCC patients with *** We enrolled 800 HCC patients who underwent hepatectomy between 1997 and 2015 at our university *** categorized patients into two(RD,EGFR<60 mL/min/1.73 m^(2);non-RD,EGFR≥60 mL/min/1.73 m^(2))and three groups(severe CKD,EGFR<30 mL/min/1.73 m^(2);mild CKD,30≤EGFR<60 mL/min/1.73 m2;control,EGFR≥60 mL/min/1.73 m^(2))according to renal function as defined by the *** survival(OS)and recurrence-free survival(RFS)were compared among these groups with the log-rank test,and we also analyzed survival by using a propensity score matching(PSM)model to exclude the influence of patient *** mean postoperative observation period was 64.7±53.0 *** The RD patients were significantly older and had lower serum total bilirubin,aspartate aminotransferase,and aspartate aminotransferase levels than the non-RD patients(P<0.0001,P<0.001,P<0.05,and P<0.01,respectively).No patient received maintenance hemodialysis after *** the overall postoperative complication rates were similar between the RD and non-RD patients,the proportions of postoperative bleeding and surgical site infection were significantly higher in the RD patients(5.5%vs 1.8%;P<0.05,3.9%vs 1.8%;P<0.05,respectively),and postoperative bleeding was the highest in the severe CKD group(P<0.05).Regardless of the degree of comorbid RD,OS and RFS were comparable,even after PSM between the RD and non-RD groups to exclude the influence of patient characteristics,liver function,and other causes of dea

关键词： Hepatocellular carcinoma Hepatectomy Renal dysfunction Estimated glomerular filtration rate

Correlation between Automated Quantification of Lung Perfusion Blood Volume (PBV) and Pulmonary Artery Pressure

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Open Journal of Radiology 2016年第2期6卷 105-112页

作者： hirofumi Koike Eijun Sueyoshi Ichiro sakamoto Akira Tsuneto Masataka Uetani Department of Cardiovascular Medicine Nagasaki University Hospital Nagasaki Japan Department of Radiology Nagasaki University School of Medicine Nagasaki Japan

Purpose: Dual-energy CT (DECT) can be used for quantification of lung perfusion blood volume (PBV), allowing objective evaluation. However, no reports have investigated pulmonary perfusion correlating with pulmonary artery pressure (PAP) in patients with chronic pulmonary diseases. The purpose was to evaluate automated quantification of the lung PBV using dual-energy CT, and its correlation with PAP. Methods: 274 patients who underwent echocardiography within two weeks also underwent CT. The population was divided into high (≥40 mmHg) and low (<40 mmHg) estimated systolic PAP (sPAP) groups (n = 63 and n = 211, respectively). We retrospectively eva-luated the lung PBV using Syngo software, and correlations between the lung PBV and estimated sPAP. Results: Lung PBV values were 25.0 ± 9.6 and 29.0 ± 9.3 Hounsfield units (HU) in high and low sPAP groups, respectively, with a significant difference between them (p = 0.003). In the high sPAP group with underlying lung diseases (n = 15), chronic thromboembolism (n = 25), pulmonary artery stenosis (n = 12), and left heart failure (n = 11), using the Dana Point classification system, lung PBV values were 18.6 ± 1.6, 25.1 ± 4.5, 25.8 ± 4.5, and 32.7 ± 9.4 HU, respectively. There were significant differences in quantification of the lung PBV among them. The mean sPAP of subjects with left heart failure was significantly higher than in the others. In subjects with left heart failure, a positive correlation between the lung PBV value and sPAP was noted (R = 0.721, p < 0.0001). Conclusions: Automated quantification of the lung PBV may estimate the high sPAP. The lung PBV may contribute to clarifying the etiology of a high PAP due to left heart failure.

关键词： Dual-Energy CT Lung Perfusion Blood Volume Pulmonary Hypertension Iodine Attenuation