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Analysis of Pathopysiology in the Patients with Advanced Gynecologic Cancer

Research Project

Project/Area Number 09671690
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Obstetrics and gynecology
Research InstitutionDepartment of Obstetrics and Gynecology, Kurume University School of Medicine (1999-2000)
Kyushu University (1997-1998)

Principal Investigator

KAMURA Toshiharu  Kurume Univ.School of Med Professor, 医学部, 教授 (30152870)

Co-Investigator(Kenkyū-buntansha) KOBAYASHI Hiroaki  Kyushu Univ. Facult. of Med.Assist, Prof, 医学部, 講師 (70260700)
SUGIYAMA Toru  Kurume Univ.School of Med. Assoc. Prof., 医学部, 助教授 (40162903)
NISHIDA Takashi  Kurume Univ.School of Med Professor, 医学部, 教授 (70140712)
SONODA Kenzo  Kyushu Univ. Facult. of Med.Assist, Prof, 医学部, 助手 (30294929)
加来 恒寿  九州大学, 医学部, 講師 (60185717)
Project Period (FY) 1997 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥1,800,000 (Direct Cost: ¥1,800,000)
Fiscal Year 2000: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1999: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1998: ¥600,000 (Direct Cost: ¥600,000)
KeywordsOvarian cancer / IL-6 / YB-1 / Lymph node metastasis / angiogenesis / endometrial cancer / Cervial cancer / 進行・再発卵巣癌 / 悪性度亢進 / 末期 / interleukin 6 / 血小板増多症 / 高フィブリノーゲン血症 / C-reactive protein
Research Abstract

The clnical study showed terminal events in the cancer-bearing patients have partly caused by Inrereukin-6 which is produced mainly by macrophage and cancer cells themselves (preparation for submit). These events consist of thrombocytosis, hyperfibrinogenemia, elevation of serum C-reactive protein and pyrexia. We have then focused on analyzing the prognostic factors which affect the prognosis of cancer patients. For ovarian cancer, lymph node metastasis is significantly correlated with the mode of intraperitoneal tumor distribution (Gynecol Oncol 1997 ; 65 : 164-168). Metastatic tumor was revealed to have a more malignant potential in comparison with primary counterpart(Gynecol Oncol 1999 ; 72 : 360-366). Cisplatin, one of the main chemotherapeutic agents for ovarian cancer, was shown to potentially make surviving cancer cells more malignant in terms of culture cells and clinical specimens (J Cancer Res Clin Oncol 1998 ; 124 : 607-614, Gynecol Oncol 1999 ; 72 : 360-366). Intranuclear e … More xpression of Y box-binding protein(YB-1) in ovarian cancer cells of clinical materials is closely related to poor prognosis of the patients (Cancer 1999 ; 85 : 2450-2454). Among histological subtypes of epithelial ovarian cancer, patients with clear cell adenocarcinoma achieved the poorest prognosis ( Cancer 2000 ; 88 : 2584-2589). For ovarian cancer, tumors with prognostic factors mentioned above, has a high possibility to make a terminal condition due to their highly malignant properties. Other than ovarian cancer, prognosis of the patients with endometrial cancer was influenced by angiogenesis in the tumor (Cancer 1997 ; 80 : 741-747). Concerning cervical cancer, a distribution pattern of tumor vessels around tumor nest significantly correlate with prognosis of the patients (Gynecol Oncol1999 ; 74 : 369-374).
In the next step, further study to analyze the relationship between the malignant property obtained by the present project and a pathopyisiology of the terminal cancer patients would be necessary. Less

Report

(5 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • Research Products

    (38 results)

All Other

All Publications (38 results)

  • [Publications] Sakai K,Kamura T, et al: "Relationship between pelvic lymph node involvement and other disease sites in patients with ovarian cancer."Gynecologic Oncology. 65. 164-168 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kaku T,Kamura T, et al: "Angiogenesis in endometrial carcinoma."Cancer. 80. 741-747 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kaku T,Kamura T, et al: "Early adenocarcinoma of the uterine cervix."Gynecologic Oncology. 64. 281-285 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Iwasaka T,Kamura T, et al: "Adjuvant chemotherapy after redical hysterectomy for cervical carcinoma : A compsiron with effects of adjuvant radiotherapy."Obstetrics and Gynecology. 91. 977-981 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sonoda K,Kaku T,Kamura T, et al: "Tumor-associated antigen 22-1-1 expression in the uterine cervical squamous neoplasia."Clinical Cancer Research. 4. 1517-1520 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kamura T.Sakai K, et al: "Comparison of P53 and CD44 Variant6 Expression Between Paired Primary and Recurrent Ovarian Cancer-An Immunohistochemical Analysis-"Oncology Report. 6. 97-101 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Mitsumoto M,Kamura T et al: "Emergence of higher levels of invasive and metastatic properties in the drug resistant cancer cell lines after the repeated administration of cisplatin in tumor-bearing mice."J Cancer Res Clin Oncol. 124. 607-614 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Shigematsu T,Kamura T, et al: "Identification of persistent trophoblastic diseases based on a human chorionic gonadotropin regression curve after the evacuation of uneventful moles : by means of a stepwise piecewise linear regression analysis."Gynecologic Oncology. 71. 376-380 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sakai K,Kaku T,Kamura T, et al.: "Comparison of p53, Ki67 and CD44v6 expression between primary and matched metastatic lesions in ovarian cancer."Gynecologic Oncology. 72. 360-366 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Hirakawa T,Kamura T,Kaku T, et al: "Prognostic significance of epothekial-stromal vascular cuffing and microvessel density in squamous cell carcinoma of the uterine cervix."Gynecologic Oncology. 74. 369-374 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Luna M.T.C.,Hirakawa T,Kamura T, et al: "Comparison of the anterior colporrhaphy procedure and the Marshall-Marchetti-Kranz operation in the treatment of stress urinary incontinence among women."J Obstet Gynecol Res. 25. 255-260 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Hachisuga T,Kaku T,Fukuda K,Emoto M,Kamura T, et al: "The grading of lymphovascular space invasion in endometrial carcinoma."Cancer. 86. 2090-2097 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kamura T,Yahata H, et al.: "Predicting pelvic lymph node metastasis in endometrial carcinoma."Gynecologic Oncology. 72. 387-391 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kamura T,Shigematsu T, et al: "Histopathological factors influencing pelvic lymph node metastases in two or more sites in patients with cervical carcinoma undergoing radical hysterectomy."Acta Obstet Gynecol Scand. 78. 452-457 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kamura T,Yahata H,Amada S, et al.: "Is nuclear expression of YB-1 a new prognostic factor in ovarian serous adenocarcinoma?"Cancer. 85. 2450-2454 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sugiyama T,Kamura T, et al: "Clinicaln characteristics of clear cell carcinoma of the ovary-A distinct histologic type with poor prognosis and resistance to platinum-based chemotherapy"Cancer. 88. 2584-2589 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sakai K, Kamura T, Hirakawa T, Saito T, Kaku T, Nakano H: "Relationship between pelvic lymph node involvement and other disease sites in patients with ovarian cancer."Gynecol Oncol. 65. 164-168 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kaku T, Kamura T, Kinukawa N, Kobayashi H, Sakai K, Tsuruchi N, Saito T, Kawauchi S, Tsuneyoshi M, Nakano H: "Angiogenesis in endometrial carcinoma."Cancer. 80. 741-747 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kamura T, Sakai K, Kaku T, Kobayashi H, Mitsumoto M, Tsuneyoshi M, Nakano H: "Comparison of P53 and CD44 Variant6 Expression Between Paired Primary and Recurrent Ovarian Cancer - An Immunohistochemical Analysis-."Oncol Rep. 6. 97-101 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Mitsumoto M, Kamura T, Kobayshi H, Sonoda T, Kaku T, Nakano H: "Emergence of higher levels of invasive and metastatic properties in the drug resistant cancer cell lines after the repeated administration of cisplatin in tumor-bearing mice."J Cancer Res Oncol. 124. 607-614 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sakai K, Kaku T, Kamura T, Kunugawa N, Amada S, Shigematsu T, Hirakawa T, Kobayashi H, Ariyoshi K, Nakano H: "Comparison of p53, Ki67 and CD44v6 expression between primary and matched metastatic lesions in ovarian cancer."Gynecol Oncol. 72. 360-366 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kamura T, Yahata H, Amada S, Ogawa S, Sonoda T, Kobayashi H, Mitsumoto M, Kohno K, Kuwano M, Nakano H: "Is nuclear expression of YB-1 a new prognostic factor in ovarian serous adenocarcinoma ?"Cancer. 85. 2450-2454 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Hirakawa T, Kamura T, Kaku T, Amada S, Ariyoshi K, Kunukawa N, Nakano H: "Prognostic significance of epothekial-stromal vascular cuffing and microvessel density in squamous cell carcinoma of the uterine cervix."Gynecol Oncol. 74. 369-374 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sugiyama T, Kamura T, Kigawa J, Terakawa N, Kikuchi Y, Kita T, Suzuki M, Sato I, Taguchi K: "Clinical Characteristics of Clear Cell Carcinoma of the Ovary-A Distinct Histologic Type with Poor Prognosis and Resistance to Platinum-Based Chemotherapy-"Cancer. 88. 2584-2589 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sugiyama T,Kamura T,et al: "Clinical Characteristics of Clear CellCarcinoma of the Ovary-A Distinct Histologic Type with Poor Prognosis and Resistance to Platinum-Based Chemotherapy-"Cancer. 88. 2584-2589 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kamura T,Yahata H,et al: "Predicting pelvic lymph node metastasis in endometrial carcinoma."Gynecologic Oncology. 72. 360-366 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kamura T.Shigematsu T,et al: "Histopathological factors influencing pelvic lymph node metastases in two or more sites in patients with cervical carcinoma undergoing radical hysterectomy."Acta Obstet Gynecol Scand. 78. 452-457 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kamura T,Yahata H,Amada S,et al.: "Is nuclear expression of YB-1 a new prognostic factor in ovarian serous adenocarcinoma?"Cancer. 85. 2450-2454 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Hirakawa T,Kamura T,Kaku T,et al: "Prognostic significance of epothekial-stromal vascular cuffing and microvessel density in squamous cell carcinoma of the uterine cervis."Gynecologic Oncology. 74. 369-374 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Luna M.T.C.,Hirakawa T,Kamura T,et al.: "Comparison of the anterior colporrhaphy procedure and the Marshall-Marchetti-Kranz operation in the treatment of stress urinary incontinence among women."J Obstet Gynecol Res. 25. 255-260 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Hachisuga T,Kaku T,Fukuda K,Emoto M,Kamura T,et al: "The grading of lymphovascular space invasion in endometrial carcinoma."Cancer. 86. 2090-2097 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Iwasaka T.Kamura T.et al.: "Adjuvant chemotherapy after radical hysterectomy for cervical carcinoma:A compsiron with effects of adjuvant radiotherapy." Obstetrics and Gycecology. 91. 977-981 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Sonoda K.Kaku T.Kamura T.et al: "Tumor-associated antigen 22-1-1 expression in the uterine cervical squamous neoplasia." Clinical Cancer Research. 4. 1517-1520 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Mitsumoto M.Kamura T.et al.: "Emergence of higher levels of invasive and metastatic properties in the drug resistant cancer cell lines after the repeated administration of cisplatin in tumor-bearing mice." Journal of Cancer Research and Clinical Oncology. 124. 607-614 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Shigematsu T.Kamura T.et al: "Identification of persistent trophoblastic diseases based on a human chorionic gonadotropin regression curve after the evacuation of uneventful moles:by means of a stepwise piecewise linear regression analysis." Gynecologic Oncology. 71. 376-380 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kamura T.Sakai K,et al.: "Comparison of p53 and CD44 variant6 expression between paired primary and recurrent ovarian cancer-An Immunohistochemical Analysis." Oncology Report. 6. 97-101 (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kamura T.Yahata H.et al.: "Predicting pelvic lymph node metastasis in endometrial carcinoma." Gynecologic Oncology. (発表予定). (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] Toshiharu Kamura: "Cancer Patient Follw-Up" Mosby,St.Louis,U.S.A, 554 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1998-04-01   Modified: 2021-10-18  

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