Pathological analyses of the developmental mechanism and novel diagnostic and therapeutic methods in neuroendocrine mammary carcinomas
Project/Area Number |
16K08654
|
Research Category |
Grant-in-Aid for Scientific Research (C)
|
Allocation Type | Multi-year Fund |
Section | 一般 |
Research Field |
Human pathology
|
Research Institution | Saitama Medical University (2018-2019) National Hospital Organization Nagoya Medical Center (2016-2017) |
Principal Investigator |
|
Project Period (FY) |
2016-04-01 – 2020-03-31
|
Project Status |
Completed (Fiscal Year 2019)
|
Budget Amount *help |
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
|
Keywords | 乳腺 / 神経内分泌癌 / 神経内分泌腫瘍 / 乳癌 / 特殊型 / 人体病理学 / 臨床細胞学 / 免疫組織化学 / 神経内分泌型非浸潤性乳管癌 / 腺様嚢胞癌 / 神経内分泌細胞過形成 |
Outline of Final Research Achievements |
1) Although breast neuroendocrine neoplasm (B-NEN) had been considered to have a favorable prognosis with sensitivity to hormonal treatments and chemotherapy, we demonstrated B-NENs to follow a more aggressive clinical course, even though most immuno-express ER/PgR with negativity for HER2, as compared to invasive mammary carcinomas of no special type. 2) We clarified the clinical significance, biological characteristics and cytopathological features of neuroendocrine ductal carcinoma in situ (NE-DCIS) as a pre-invasive counterpart of B-NENs (Best Poster Award of ICC/International Academy of Cytology, 2019). 3) NE cell hyperplasia, i.e. isolated/scattered, clustered and/or circumferential proliferations of normal-looking NE cells, could appear in the mammary tissues and be associated with the development of B-NENs. This novel observation of NE cells and patterns in non-neoplastic breast epithelia has implications for understanding of B-NEN carcinogenesis as well as for future therapies.
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Academic Significance and Societal Importance of the Research Achievements |
B-NECは独特な臨床像、画像所見、病理学的特徴を示す浸潤性乳癌の特殊型であり、発生機構および治療法が近年注目されている。本腫瘍は通常型の乳癌と比較し悪性度がしばしば高く、分子標的薬をはじめ新規治療の確立が求められる。組織発生に関し、癌の異分化と一般に考えられているが、神経内分泌形質の獲得は様々な段階で起こり、さらに多発病変のバックグラウンドとなる神経内分泌細胞過形成、良性乳管内増殖性病変との関連性等、複数のメカニズムが関与する。これはB-NECの自然史を解明する上で重要であり、治療法に一石を投じる可能性がある。浸潤前病変であるNE-DCISは、過小診断されやすいという診断学的意義も有する。
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Report
(5 results)
Research Products
(195 results)
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[Journal Article] Invasive carcinoma with neuroendocrine differentiation of the breast showing triple negative, large and basal cell‐like features2019
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[Journal Article] Invasive carcinoma with neuroendocrine differentiation of the breast showing triple negative, large and basal cell-like features2019
Author(s)
Kawasaki T, Hasebe T, Oiwa M, Sugiyama K, Muramatsu C, Ueda S, Osaki A, Ichikawa J, Teramoto N, Hoshida Y
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[Presentation] Neuroendocrine neoplasms of the breast showing peculiar forms of recurrence and/or metastasis2020
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[Presentation] Neuroendocrine tumor of the breast with pulmonary metastasis 30 years after mastectomy2020
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[Presentation] Invasive carcinoma with neuroendocrine differentiation of the breast showing triple negative, large and basal cell-like features2019
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[Presentation] Well-differentiated neuroendocrine tumor of the breast with recurrence due to needle tract seeding2019
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[Presentation] Large cell neuroendocrine carcinoma of the breast showing triple negative, basal-like subtype2018
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Author(s)
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Ichihara S, Nishimura R, Yamashiro K, Suzuki H, Murata Y, Meguro S, Iwashita T, Iwashina M, Kodama Y, Mori K, Taguchi K, Teramoto N, Yamashita N, Ito M, Moritani S, Yamaguchi R, Kawasaki T, Ito N, Kada A, Okuda S, Oiwa M, Hayashi T, Kato A, Morita T, Sato Y
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29th European Congress of Pathology (Virchows Arch)
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[Presentation] 古くて新しいマンモグラフィ所見 構築の乱れ 癌の診断までに時間を要した構築の乱れ症例の特徴は?2017
Author(s)
大岩幹直, 遠藤登喜子, 佐藤康幸, 森田孝子, 須田波子, 林孝子, 加藤彩, 宇佐見寿志, 安藤嘉朗, 市原周, 川崎朋範
Organizer
第25回日本乳癌学会学術総会
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[Presentation] 40歳代のマンモグラフィおよび超音波検診発見乳癌の特徴の検討 50歳以上・有症状例と対比して2017
Author(s)
大岩幹直, 遠藤登喜子, 佐藤康幸, 森田孝子, 林孝子, 須田波子, 加藤彩, 宇佐見寿志, 安藤嘉朗, 市原周, 川崎朋範
Organizer
第27回日本乳癌検診学会学術総会
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[Presentation] 平滑筋肉腫との鑑別を要した乳腺紡錘細胞癌の1例2017
Author(s)
岡本喜一郎, 松尾康治, 岩下寿秀, 市原周, 川崎朋範, 冨家由美, 安藤雅規, 二宮豪, 伊藤武, 山下克也, 佐藤健, 市原透
Organizer
第79回日本臨床外科学会総会
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[Presentation] 異所性胃粘膜由来のHER2陽性腺がんに対して抗HER2療法を施行した1例2017
Author(s)
森美喜子, 杉山圭司, 白石和寛, 能澤一樹, 船橋依理子, 長谷川裕高, 小暮啓人, 中山裕史, 北川智余恵, 川崎朋範, 近藤建, 坂英雄
Organizer
第55回日本癌治療学会学術集会
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[Presentation] Well-differentiated neuroendocrine tumor of the breast showing carcinomatous lymphangiosis2017
Author(s)
川崎朋範, 市原周, 大岩幹直, 森田孝子, 林孝子, 加藤彩, 須田波子, 遠藤登紀子, 佐藤康幸, 松谷英樹, 石田茂登男, 多田隆士
Organizer
第25回日本乳癌学会学術総会
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[Presentation] 気管原発MALTリンパ腫の1例2017
Author(s)
重松文恵, 鳥居厚志, 山田有里紗, 石田あかね, 丹羽英之, 伊勢裕子, 中畑征史, 岡さおり, 小暮啓人, 北川智余恵, 沖昌英, 坂英雄, 川崎朋範
Organizer
第40回日本呼吸器内視鏡学会学術集会
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[Presentation] 乳腺原発腺様嚢胞癌の2例2016
Author(s)
松谷英樹, 多田隆士, 西成尚人, 石田茂登男, 川崎朋範
Organizer
第78回日本臨床外科学会総会
Place of Presentation
東京
Year and Date
2016-11-24
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[Presentation] 骨・軟骨化生を伴う乳癌の1例2016
Author(s)
多田隆士, 松谷英樹, 志賀光二郎, 石田茂登男, 川崎朋範, 菅井有
Organizer
第78回日本臨床外科学会総会
Place of Presentation
東京
Year and Date
2016-11-24
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[Presentation] Solid-basaloid featuresを有する乳腺腺様嚢胞癌の細胞病理学的分析2016
Author(s)
川崎朋範, 市原周, 中井登紀子, 榎本篤, 佐藤彩佳, 安保淳一, 石田茂登男, 多田隆士, 松谷英樹, 森谷鈴子, 菅井有
Organizer
第55回日本臨床細胞学会秋期大会
Place of Presentation
別府市
Year and Date
2016-11-18
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[Presentation] 脈絡叢乳頭腫の一例2016
Author(s)
菊池いな子, 石田和之, 佐藤彩佳, 上田奈央子, 肥田野靖史, 高橋静子, 山田範幸, 安保淳一, 杉本亮, 無江良晴, 上杉憲幸, 川崎朋範, 佐藤孝, 菅井有
Organizer
第55回日本臨床細胞学会秋期大会
Place of Presentation
別府市
Year and Date
2016-11-18
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[Presentation] Microinvasive neuroendocrine carcinoma arising from central papilloma of the breast2016
Author(s)
川崎朋範, 須田健, 伊藤嘉智, 苫米地牧子, 松井雄介, 石田和茂, 小松英明, 柏葉匡寛, 菅井有, 角田博子, 山内英子, 市原周
Organizer
第24回日本乳癌学会学術総会
Place of Presentation
東京
Year and Date
2016-06-16
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[Presentation] 乳腺腺様嚢胞癌の1例2016
Author(s)
松谷英樹, 多田隆士, 西成尚人, 石田茂登男, 川崎朋範
Organizer
第24回日本乳癌学会学術総会
Place of Presentation
東京
Year and Date
2016-06-16
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