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Clinico-pathologic comparative study on chronic hepatitis C between Japan and Canada with special reference to long-term follow up cases

Research Project

Project/Area Number 08670227
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Human pathology
Research InstitutionKurume University

Principal Investigator

KAGE Masayoshi  Kurume University, 医学部, 助教授 (80148840)

Co-Investigator(Kenkyū-buntansha) SATA Michio  Kurume University, 医学部, 教授 (10162398)
Project Period (FY) 1996 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1998: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1997: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1996: ¥500,000 (Direct Cost: ¥500,000)
KeywordsHepatitis C virus / chronic hepatitis / liver cirrhosis / pathomorphology / geopathology / Canada / liver biosy / morphometry / 地理学理学 / C型肝炎 / コンピューター画像解析 / 線維化 / ウィルス肝炎
Research Abstract

To clarify the characteristics of chronic hepatitis C (CHC), liver biopsy from 109 child CHC patients, 120 Japanese adult CHC patients and 82 Canadian adult CHC patients were examined. Each biopsy was evaluated based on a scoring system for the stage of fibrosis and the grade of inflammation. Results : 1. None of the children had liver cirrhosis, and 105 cases (97%) were stage 1.2. A significant correlation was observed between the staging score and the grade in both child and adult groups. 3. Such histologic characteristics of lymph aggregate, bile duct injury, and fatty change were observed in children and both Japanese and Canadian adult patients, but the degree was mild in child CHC.4. Comparative study on Japanese and Canadian patients revealed that both group had basically similar histological features of CHC, however some differences were also present : the frequency and degree of bile duct injury were more pronounced in Canadian adult patients. Especially, bile ductular proliferation was frequently found in Canadian patients. Hepatocyte death of stellate type (apoptosis) was frequently found in Japanese adult patients (55%), while in 5% of Canadian adult patients. 5. Dysplasia were rarely found in Japanese and Canadian patients. 6. Mallory's body found in 17.6% of American CHC patients by Lefkowitch was not observed in none of our patients.

Report

(4 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • 1996 Annual Research Report
  • Research Products

    (6 results)

All Other

All Publications (6 results)

  • [Publications] 鹿毛政義: "病理からみたC型肝炎の自然史" 日本小児栄養消化器病学会誌. 13・12. 108-117 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Masayoshi Kage: "Natural history of hepatitis C from pathologic view points" Jpn J pediatr Gastroenterol Nutr. 12(2). 108 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 鹿毛政義: "病理からみたC型肝炎の自然史" 日本小児栄養消化器病学会誌. 13-12. 108-117 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kage M: "Long-term evolution of fibrosis from chronic hepatitis to cirrhosis in patients with hepatitis C." Hepatology. 25,4. 1028-1031 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Kage M: "Patology chronic hepatitis C" Hepatology. 26,3. 771-775 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Sata M: "Duration of chronic IICV infection and efficacy of interferon in chronic hepatitis C patients" 感染症学雑誌. 71,5. 405-411 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1996-04-01   Modified: 2016-04-21  

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