Sensitivities for anti-cancer drugs/hormones for endometrial cancer - from the viewpoint of tumor immunology
Project/Area Number |
16K11156
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Research Field |
Obstetrics and gynecology
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Research Institution | Keio University |
Principal Investigator |
SUSUMU NOBUYUKI 慶應義塾大学, 医学部(信濃町), 准教授 (90206459)
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Research Collaborator |
YAMAGAMI Wataru
HIRASAWA Akira
SAKAI Kensuke
MAKABE Takeshi
HIRANO Takuro
KATAOKA Fumio
BANNO Kouji
AOKI Daisuke
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Project Period (FY) |
2016-04-01 – 2019-03-31
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Project Status |
Completed (Fiscal Year 2018)
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Budget Amount *help |
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
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Keywords | 子宮体癌 / 腫瘍免疫 / 黄体ホルモン療法 / 化学療法 / MMR / 子宮内膜異型増殖症 / 妊孕性温存療法 / ホルモン感受性 / 薬剤感受性 / 妊孕性温存 / 薬剤感受性試験 / MMR酵素 / CD8 / 子宮内膜癌 |
Outline of Final Research Achievements |
We performed fertility-preserving MPA therapy for young patients with endometrial cancer (EC) and atypical endometrial hyperplasia (AEH). Tumor disappeared in 98.5% in 131 AEH cases, 91.9% in 160 G1 EC cases, 100% in 6 G2 EC cases. Tumor relapsed in uterine cavity in 55%, 83%, 75%, respectively. Pregnancy was obtained in 87 cases. In total, 138 times pregnancies and 103 live-birth children were obtained, and the pregnancy rate was 45%. The pregnancy rates by age and pathological types were 35 to 75% under 40 years in both AEHC and EC patients, however, EC patients in age 40 or more showed 5% pregnancy rate. Repeated MPA therapy after recurrence showed high tumor disappearance rate and pregnancy rate as well as after initial MPA therapy. The clinicopathological factors such as polycystic ovary, irregular menstrual cycle, low expression of hMLH1 were associated with elevated recurrence rate. The data regarding regulatory T cells and sensitivity for progesterone are now in analysis.
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Academic Significance and Societal Importance of the Research Achievements |
若年子宮体癌例で妊娠を断念し標準治療の子宮全摘を行うかどうか悩む患者は多い。本研究では、国内の単独施設としては最多数の妊孕性温存療法成績(病変消失率、子宮内再発率、妊娠率、年齢別妊娠率、分娩後再発率、再発後再治療における病変消失率、妊娠率など)を明らかにしたことで、治療の客観性が治療選択の上で役立つと期待される。さらに、黄体ホルモンに対する感受性を規定する因子、再発に関与する因子、再発治療の病変消失に関わる因子なども示し、再発治療の安全性、有効性を示した。再発後の治療選択にも役立つ情報と判断される。
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Report
(4 results)
Research Products
(84 results)
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[Journal Article] Genome-wide DNA methylation profile of early-onset endometrial cancer: Its correlation with genetic aberrations and comparison with late-onset endometrial cancer.2019
Author(s)
Makabe T, Arai E, Hirano T, Ito N, Fukamachi Y, Takahashi Y, Hirasawa A, Yamagami W, Susumu N, Aoki D, Kanai Y.
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Journal Title
Carcinogenesis
Volume: 印刷中
Issue: 5
Pages: 1-13
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Clinical utility of a self-administered questionnaire for assessment of hereditary gynecologic cancer.2017
Author(s)
Masuda K, Hirasawa A, Irie-Kunitomi H, Akahane T, Ueki A, Kobayashi Y, Yamagami W, Nomura H, Kataoka F, Tominaga E, Banno K, Susumu N, Aoki D.
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Journal Title
Jpn J Clin Oncol.
Volume: Mar 13:1.
Issue: 5
Pages: 401-406
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] UGT1A1 polymorphism as a prognostic indicator of stage I ovarian clear cell carcinoma patients treated with irinotecan.2017
Author(s)
Yoshihama T, Hirasawa A, Nomura N, Akahane T, Nanki Y, Yamagami W, Kataoka F, Tominaga T, Susumu N, Mushiroda T, Aoki D.
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Journal Title
Jpn J Clin Oncol
Volume: 47(2)
Issue: 2
Pages: 170-174
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] 当科で経験した子宮頸部漿液性腺癌の2例2017
Author(s)
黒田由香, 仲村勝, 飯島朋子, 竹田貴, 吉政 佑之, 宮内安澄, 岩田 卓, 田中京子, 冨永英一郎, 進 伸幸, 田中 守, 青木大輔
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Journal Title
東京産科婦人科学会会誌
Volume: 66
Pages: 92-96
Related Report
Peer Reviewed
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[Journal Article] Methylation Analysis of DNA Mismatch Repair Genes Using DNA Derived from the Peripheral Blood of Patients with Endometrial Cancer: Epimutation in Endometrial Carcinogenesis.2016
Author(s)
Takeda T, Banno K, Yanokura M, Adachi M, Iijima M, Kunitomi H, Nakamura K, Iida M, Nogami Y, Umene K, Masuda K, Kobayashi Y, Yamagami W, Hirasawa A, Tominaga E, Susumu N, Aoki D
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Journal Title
Genes (Basel)
Volume: 7
Issue: 10
Pages: 86-97
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Anisakiasis mimics cancer recurrence: two cases of extragastrointestinal anisakiasis suspected to be recurrence of gynecological cancer on PET-CT and molecular biological investigation.2016
Author(s)
Nogami Y, Fujii-Nishimura Y, Banno K, Suzuki A, Susumu N, Hibi T, Murakami K, Yamada T, Sugiyama H, Morishima Y, Aoki D.
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Journal Title
BMC Med Imaging.
Volume: 16
Issue: 1
Pages: 31-41
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Factors affecting pregnancy outcomes in young women treated with fertility-preserving therapy for well-differentiated endometrial cancer or atypical endometrial hyperplasia.2016
Author(s)
Inoue O, Hamatani T, Susumu N, Yamagami W, Ogawa S, Takemoto T, Hirasawa A, Banno K, Kuji N, Tanaka M, Aoki D.
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Journal Title
Reprod Biol Endocrinol
Volume: 14(1)
Issue: 1
Pages: 2-2
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Retrospective Analysis on the Feasibility and Efficacy of Docetaxel-Cisplatin Therapy for Recurrent Endometrial Cancer.2016
Author(s)
Ninomiya T, Yamagami W, Susumu N, Makabe T, Sakai K, Wada M, Takigawa A, Chiyoda T, Nomura H, Kataoka F, Hirasawa A, Banno K, Aoki D.
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Journal Title
Anticancer Res
Volume: 36
Pages: 1751-1758
Related Report
Peer Reviewed / Open Access / Acknowledgement Compliant
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[Journal Article] Prognostic factors in patients with uterine carcinosarcoma: a multi-institutional retrospective study from the Japanese Gynecologic Oncology Group.2016
Author(s)
Harano K, Hirakawa A, Yunokawa M, Nakamura T, Satoh T, Nishikawa T, Aoki D, Ito K, Ito K, Nakanishi T, Susumu N, Takehara K, Watanabe Y, Watari H, Saito T.
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Journal Title
Int J Clin Oncol.
Volume: 21
Issue: 1
Pages: 168-176
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Optimal cytoreductive surgery in patients with advanced uterine carcinosarcoma: A multi-institutional retrospective study from the Japanese gynecologic oncology group.2016
Author(s)
Harano K, Hirakawa A, Yunokawa M, Nakamura T, Satoh T, Nishikawa T, Aoki D, Ito K, Ito K, Nakanishi T, Susumu N, Takehara K, Watanabe Y, Watari H, Saito T.
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Journal Title
Gynecol Oncol
Volume: 141
Issue: 3
Pages: 447-453
DOI
Related Report
Peer Reviewed / Open Access
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[Presentation] Prognostic factors in patients with uterine leiomyosarcoma: a multi-institutional retrospective study from the Japanese Gynecologic Oncology Group2018
Author(s)
Kazuhiro Takehara, Natsumi Yamashita, Takashi Motohashi, Kenichi Harano, Toru Nakanishi, Hideki Tokunaga, Nobuyuki Susumu, Yutaka Ueda, Yoshihito Yokoyama, Yoh Watanabe, Reiko Watanabe, Norihiro Teramoto, Hitoshi Tsuda, Toshiaki Saito
Organizer
2018 ESMO (European Society for Medical Oncology)
Related Report
Int'l Joint Research
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[Presentation] 子宮体癌および子宮内膜異型増殖症に対するMPA療法の治療予後予測因子の検討2018
Author(s)
坂井 健良, 山上 亘, 平野 卓朗, 真壁 健, 二宮 委美, 千代田 達幸, 野村 弘行, 片岡 史夫, 平沢 晃, 阪埜 浩司, 進 伸幸, 青木 大輔
Organizer
第56回日本癌治療学会学術集会
Related Report
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[Presentation] 若年子宮体癌/子宮内膜異型増殖症に対する高用量黄体ホルモン療法の再発例の検討2018
Author(s)
北澤 晶子, 山上 亘, 真壁 健, 平野 卓朗, 坂井 健良, 千代田 達幸, 小林 佑介, 野村 弘之, 片岡 史夫, 阪埜 浩司, 進 伸幸, 青木 大輔
Organizer
第136回関東連合産科婦人科学会
Related Report
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[Presentation] 異型ポリープ状腺筋腫に対し高用量黄体ホルモン療法を行った22例の検討2018
Author(s)
清河 駿樹, 千代田 達幸, 山上 亘, 平野 卓朗, 真壁 健, 坂井 健良, 野村 弘行, 片岡 史夫, 平沢 晃, 進 伸幸, 田中 守, 青木 大輔
Organizer
第135回関東連合産科婦人科学会
Related Report
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[Presentation] 子宮体癌妊孕性温存療法における筋層浸潤の評価に子宮鏡下手術が有用であった2例2018
Author(s)
同前 愛, 山上 亘, 平野 卓朗, 真壁 健, 坂井 健良, 千代田 達幸, 野村 弘行, 片岡 史夫, 平沢 晃, 進 伸幸, 青木 大輔
Organizer
第41回日本産婦人科手術学会
Related Report
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[Presentation] Post-pregnancy outcomes of young patients with endometrial cancer or atypical endometrial hyperplasia who received fertility-preserving hormonal therapy using medroxyprogesterone acetate.2017
Author(s)
Susumu N, Yamagami W, Hirano T, Makabe T, Sakai K, Chiyoda T, Nomura H, Kataoka F, Hirasawa A, Tominaga E, Banno K, Aoki D
Organizer
The 20th International meeting of the European Society of Gynaecologycal Oncology (ESGO)
Related Report
Int'l Joint Research
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[Presentation] Polymorphisms of the genes ESR1, UGT2B17, and UGT1A1 associated with estrogen metabolism are not associated with osteoporosis in Japanese women after artificial menopause2017
Author(s)
Yokota M, Hirasawa A, Kazuya K, Akahane T, Sakai K, Makabe T, Horiba Y, Yamagami W, Ogawa M, Iwata T, Yanamoto S, Deshimaru R, Banno K, Susumu N, Aoki D
Organizer
6th Scientific Meeting of the Asia Pacific Menopause Federation
Related Report
Int'l Joint Research
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[Presentation] The contribution of germline pathogenic variants of cancer susceptibility genes for primary ovarian, fallopian tube, and peritoneal cancers in Japanese2017
Author(s)
Hirasawa A, Issei I, Naruto T, Akahane T, Yamagami W, Nomura H, Masuda K, Susumu N, Tsuda H, Aoki D
Organizer
AACR 2017 Addressing Critical Questions in Ovarian Cancer Research and Treatment
Related Report
Int'l Joint Research
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[Presentation] UGT1A1 polymorphism may be a prognostic indicator of stage I ovarian clear cell carcinoma patients treated with irinotecan2017
Author(s)
Yoshihama T, Hirasawa A, Nomura H, Akahane T, Nanki Y, Yamagami W, Kataoka F, Tominaga E, Susumu N, Mushiroda T, Aoki D
Organizer
15th International Congress of Therapeutic Drug Monitoring and Clinical Toxicology
Related Report
Int'l Joint Research
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[Presentation] 大腸がんの家系内集積を認める若年性子宮体がん罹患者に対してパネル検査を実施しBRCA2変異が検出された一例2017
Author(s)
吉浜智子, 平沢 晃, 菅野康吉, 植木有紗, 赤羽智子, 真壁 健, 山上 亘 , 阪埜浩司, 進 伸幸, 牛尼美年子, 坂本裕美, 吉田輝彦, 小崎健次郎, 青木大輔
Organizer
第23回 日本家族性腫瘍学会
Related Report
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[Presentation] 肥満を合併した若年子宮体癌患者に対する妊孕性温存ホルモン療法の検討2017
Author(s)
山上 亘, 進 伸幸, 平野卓朗, 真壁 健, 坂井健良, 二宮委美, 小林佑介, 野村弘行, 片岡史夫, 平沢 晃, 阪埜浩司, 青木大輔
Organizer
第55回 日本癌治療学会学術集会
Related Report
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[Presentation] 宮体癌における頸部間質浸潤の深度に関する検討2017
Author(s)
真壁 健, 山上 亘, 平野卓朗, 坂井健良, 野村弘行, 片岡史夫, 平沢 晃, 冨永英一郎, 阪埜浩司, 進 伸幸, 青木大輔
Organizer
第59回 日本婦人科腫瘍学会学術講演会
Related Report
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[Presentation] 腹腔鏡下骨盤リンパ節郭清後の有害事象の検討2017
Author(s)
早乙女啓子, 山上 亘, 平野卓朗, 南木佳子, 坂井健良, 真壁 健, 吉浜智子, 二宮委美, 千代田達幸, 林 茂徳, 野村弘行, 片岡史夫, 平沢 晃, 進 伸幸, 青木大輔
Organizer
第57回 日本産科婦人科内視鏡学会学術講演会
Related Report
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[Presentation] 子宮体癌妊孕性温存療法 における筋層浸潤の評価に 子宮鏡下手術が有用であった5例2017
Author(s)
同前 愛, 山上 亘, 平野卓朗, 真壁 健, 坂井健良, 千代田達幸, 野村弘行, 片岡史夫, 平沢 晃, 進 伸幸, 青木大輔
Organizer
第40回 日本産婦人科手術学会
Related Report
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[Presentation] 子宮体癌I/II期の再発リスクを有する群に対する CAP療法の至適サイクル数の検討2017
Author(s)
平野卓朗, 山上 亘, 真壁 健, 坂井健良, 二宮委美, 野村弘行, 片岡史夫, 平沢 晃, 冨永英一郎, 阪埜浩司, 進 伸幸, 青木大輔
Organizer
第59回 日本婦人科腫瘍学会学術講演会
Related Report
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[Presentation] 子宮体癌センチネルリンパ節マッピングに基づくリンパ節郭清省略を目指 した症例の選択2017
Author(s)
平野卓朗, 山上 亘, 片岡史夫, 坂井健良, 真壁 健, 二宮委美, 野村 弘行, 田中京子, 阪埜浩司, 青木大輔, 中原 理紀, 亀山 香織, 進 伸幸
Organizer
第19回 SNNS研究会学術集会
Related Report
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[Presentation] 子宮体癌および子宮内膜異型増殖症に対するMPA療法後の長期予後についての検討2017
Author(s)
平野卓朗, 山上 亘, 進 伸幸, 坂井健良, 真壁 健, 二宮委美, 野村弘行, 片岡史夫, 平沢 晃, 阪埜浩司, 田中 守, 青木 大輔
Organizer
第69回 日本産科婦人科学会学術講演会
Related Report
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[Presentation] 婦人科悪性腫瘍患者におけるD-dimer値による深部静脈血栓症/肺血栓塞栓症スクリーニングの検討2017
Author(s)
吉村拓馬, 山上 亘, 平野卓朗, 坂井健良, 真壁 健, 野村弘行, 片岡史夫, 平沢 晃, 冨永英一郎, 阪埜浩司, 進 伸幸, 青木大輔
Organizer
第59回 日本婦人科腫瘍学会学術講演会
Related Report
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[Presentation] 子宮体癌のセンチネルリンパ節(SN)内転移巣の局在・大きさとnon-SN転移との関連2016
Author(s)
平野卓朗, 進 伸幸, 片岡 史夫, 山上 亘, 坂井 健良, 真壁 健, 二宮 委美, 和田美智子, 野村 弘行, 平沢 , 田中 京子, 阪埜 浩司, 亀山 香織,中原 理紀, 青木 大輔.
Organizer
第18回センチネルノード研究会
Place of Presentation
品川シーズンテラスカンファレンス(東京都品川区)
Year and Date
2016-11-16
Related Report
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[Presentation] A successful case of young patient with endometrial cancer for preserving fertility by trans cervical resection (TCR) of giant intrauterine tumor.2016
Author(s)
Susumu N, Yamagami W, Hirano T, Saeki N, Makabe T, Sakai K, Nomura H, Kataoka F, Hirasawa A, Aoki D.
Organizer
17th Asia-Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy Annual Congress.
Place of Presentation
Taipei, Taiwan
Year and Date
2016-11-04
Related Report
Int'l Joint Research
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[Presentation] Hysteroscopic diagnosis of myometrial invasion for the hormonal treatment in cases with endometrial cancer.2016
Author(s)
Yamagami W, Susumu N, Hirano T, Nanki Y, Makabe T, Sakai K, Nomura H, Kataoka F, Hirasawa A, Aoki A.
Organizer
17th Asia-Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy Annual Congress.
Place of Presentation
Taipei, Taiwan
Year and Date
2016-11-04
Related Report
Int'l Joint Research
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[Presentation] Three patients with atypical endometorial hyperplasia /endometrial cancer who underwent laparoscopic surgery in order to be diagnosed as double cancer of ovary.2016
Author(s)
Hirano T, Yamagami W, Sakai K, Makabe T, Yoshihama T, Nomura H, Kataoka F, Hirasawa A, Susumu N, Aoki D.
Organizer
17th Asia-Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy Annual Congress.
Place of Presentation
Taipei, Taiwan
Year and Date
2016-11-04
Related Report
Int'l Joint Research
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[Presentation] Diagnostic accuracy of intra-operative touch imprinting cytology of sentinel lymph nodes in endometrial cancer.2016
Author(s)
Susumu N, Kataoka F, Yamagami W, Makabe T, Sakai K, Ninomiya T, Nomura H, Hirasaawa A, Banno K. Tanaka K, Nakahara T, Kameyama K, Aoki D
Organizer
16th Biennial International Gynecologic Cancer Society
Place of Presentation
Lisbon, Portugal
Year and Date
2016-10-29
Related Report
Int'l Joint Research
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[Presentation] Usefulness of intra-operative touch impringing cytology of sentinel lymph nodes in endometrial cancer for improving intra-operative diagnostic accuracy.2016
Author(s)
Susumu N, W. Yamagami, F. Kataoka, T. Makabe, K. Sakai, T. Ninomiya, H. Nomura, A. Hirasawa, K. Banno, T. Nakahara, K. Kameyama, D Aoki.
Organizer
19th International Congress of Cytology
Place of Presentation
Pacifico Yokohama (Yokohama, Japan)
Year and Date
2016-05-28
Related Report
Int'l Joint Research
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[Presentation] The evaluation of diagnostic methods for the intrauterine recurrence following high dose hormonal therapy for endometrial cancer.2016
Author(s)
Yamagami W, Susumu N, F. Kataoka, T. Makabe, K. Sakai, T. Ninomiya, H. Nomura, A. Hirasawa, K. Banno, T. Nakahara, K. Kameyama, D Aoki.
Organizer
19th International Congress of Cytology
Place of Presentation
Pacifico Yokohama (Yokohama, Japan)
Year and Date
2016-05-28
Related Report
Int'l Joint Research
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