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Approaches to establish the algorithm for the pathologic diagnosis of lipogenic mesenchymal tumors

Research Project

Project/Area Number 18K06989
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 49020:Human pathology-related
Research InstitutionKobe University

Principal Investigator

Hirose Takanori  神戸大学, 医学研究科, 特命教授 (00181206)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords異型脂肪腫様腫瘍 / 脱分化型脂肪肉腫 / 異型紡錘形細胞・多形脂肪腫様腫瘍 / 筋肉内脂肪腫 / MDM2 / p16 / 高分化型脂肪肉腫 / HMGA2 / 異型紡錘形細胞脂肪腫様腫瘍 / 異型多形脂肪腫様腫瘍 / 同種性分化 / CDK4 / 脂肪性軟部腫瘍 / 脂肪肉腫 / 脂肪腫 / 病理診断
Outline of Final Research Achievements

Liposarcoma, a malignant mesenchymal tumor showing lipogenic differentiation, should be diagnosed correctly and treated appropriately. In order to improve the accuracy of pathologic diagnosis of liposarcoma, several studies were carried out. The results are as follows: p16-immunostaining is useful for the differentiation between intramuscular lipoma and atypical lipomatous tumor (ALT); ALT and dedifferentiated liposarcoma (DDLPS) are characterized by the overexpression of MDM2 protein and the amplification of MDM2 gene; and ALT/DDLPS are more infiltrative than previously thought. Hopefully, the results will improve the diagnostic accuracy and the therapeutic strategies.

Academic Significance and Societal Importance of the Research Achievements

脂肪肉腫は発生頻度の低い悪性腫瘍であり、その病理診断は必ずしも容易ではない。良性の脂肪腫や他の悪性軟部腫瘍と間違われることも稀ではなく、正しく病理診断を行うことが適切な治療の前提となる。今回の研究成果で、脂肪肉腫の診断に補助的診断手段(p16およびMDM2免疫染色など)の活用が有効であることを明らかにした。これを用いることで、脂肪肉腫の診断精度が向上し、適切な治療法を選択することが可能になると期待される。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (31 results)

All 2020 2019 2018

All Journal Article (11 results) (of which Peer Reviewed: 9 results,  Open Access: 2 results) Presentation (19 results) (of which Int'l Joint Research: 2 results) Book (1 results)

  • [Journal Article] Intracranial myxoid mesenchymal tumor with EWSR1?CREB1 gene fusion: a case report and literature review2020

    • Author(s)
      Komatsu M, Yoshida A, Tanaka K, Matsuo K, Sasayama T, Kojita Y, Kanda T, Kodama Y, Itoh T, Hirose T.
    • Journal Title

      Brain Tumor Pathology

      Volume: 37 Issue: 2 Pages: 76-80

    • DOI

      10.1007/s10014-020-00359-x

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] EWSR1‐CREM fusion in pulmonary mesenchymal neoplasm showing distinctive clear cell morphology2020

    • Author(s)
      Komatsu M, Sakai Y, Nishikubo M, Tane S, Nishio W, Kajimoto K, Hirose T.
    • Journal Title

      Pathology International

      Volume: 70 Issue: 12 Pages: 1020-1026

    • DOI

      10.1111/pin.13030

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Boron neutron capture therapy for clear cell sarcoma2020

    • Author(s)
      Fujimoto T., Suzuki M., Sudo T., Fujita I., Sakuma T., Sakurai Y., Hirose T., Morishita M., Takata T., Tamari Y., Tanaka Hi., Ando T., Kawamoto T., Hara H., Fukase N., Kawakami Y., Shigemoto R., Matsumoto T., Ichikawa H., Ono K., Kuroda R. yosuke、Akisue Toshihiro
    • Journal Title

      Applied Radiation and Isotopes

      Volume: 166 Pages: 109324-109324

    • DOI

      10.1016/j.apradiso.2020.109324

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Epithelioid glioblastoma with microglia features: potential for novel therapy2020

    • Author(s)
      Nakagomi N, Sakamoto D, Hirose T, Takagi T, Murase M, Nakagomi T, Yoshimura S, Hirota S.
    • Journal Title

      Brain Pathology

      Volume: 30 Issue: 6 Pages: 1119-1133

    • DOI

      10.1111/bpa.12887

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Multi-marker algorithms based on CXCL13, IL-10, sIL-2 receptor, and β2-microglobulin in cerebrospinal fluid to diagnose CNS lymphoma.2020

    • Author(s)
      Maeyama M, Sasayama T, Tanaka K, Nakamizo S, Tanaka H, Nishihara M, Fujita Y, Sekiguchi K, Kohta M, Mizukawa K, Hirose T, Itoh T, Kohmura E.
    • Journal Title

      Cancer Med

      Volume: 9 Issue: 12 Pages: 3048-3048

    • DOI

      10.1002/cam4.3048

    • NAID

      120006863597

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Soft tissue tumor with novel NR1D1-MAML1 fusion in a pediatric case2020

    • Author(s)
      Komatsu M, Yamamoto N, Kawamoto T, Kawakami Y, Hara H, Uemura S, Nishimura N, Akisue T, Kuroda R, Iijima K, Jimbo N, Kanzawa M, Kajimoto K, Itoh T, Hirose T.
    • Journal Title

      Virchows Archiv

      Volume: 477 Issue: 6 Pages: 891-895

    • DOI

      10.1007/s00428-020-02838-0

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 肉腫の病理診断 軟部肉腫2020

    • Author(s)
      廣瀬隆則
    • Journal Title

      日本臨床 増刊号5

      Volume: 78 Pages: 191-197

    • Related Report
      2020 Annual Research Report
  • [Journal Article] 末梢神経鞘腫瘍の病理2020

    • Author(s)
      神保直江、廣瀬隆則
    • Journal Title

      病理と臨床

      Volume: 38 Pages: 243-248

    • Related Report
      2020 Annual Research Report
  • [Journal Article] Diagnostic utility and limitations of immunohistochemistry of p16, CDK4, and MDM2 and automated dual-color in situ hybridization of MDM2 for the diagnosis of challenging cases of dedifferentiated liposarcoma.2019

    • Author(s)
      Kobayashi A, Sakuma T, Fujimoto M, Jimbo N, Hirose T.
    • Journal Title

      Applied Immunohistochemistry & Molecular Morphology

      Volume: 27 Issue: 10 Pages: 758-763

    • DOI

      10.1097/pai.0000000000000677

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinicopathological analysis of clinically occult extrapulmonary lymphangioleiomyomatosis in intra‐pelvic and para‐aortic lymph nodes associated with pelvic malignant tumors: A study of nine patients.2019

    • Author(s)
      Keiichiro Uehara, Fumi Kawakami, Takanori Hirose, Hiroki Morita, Eiji Kudo, Masanori Yasuda, Bruno Markl, Yoh Zen, Tomoo Itoh, Yukihiro Imai.
    • Journal Title

      Pathology International

      Volume: 69 Issue: 1 Pages: 29-36

    • DOI

      10.1111/pin.12749

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] MDM2 dual-color in situ hybridization (DISH) aids the diagnosis of intimal sarcomas.2019

    • Author(s)
      Naoe Jimbo, Masato Komatsu, Tomoo Itoh, Takanori Hirose.
    • Journal Title

      Cadiovascular Pathology

      Volume: 43 Pages: 107142-107142

    • DOI

      10.1016/j.carpath.2019.07.001

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Presentation] EWSR1遺伝子再構成を伴う頭蓋内腫瘍の1例2020

    • Author(s)
      小松正人、吉田朗彦、松尾和哉、篠山隆司、児玉良典、伊藤智雄、廣瀬隆則
    • Organizer
      第109回日本病理学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 右側頭葉に発生したhistiocytic sarcomaの一例2020

    • Author(s)
      稲場礼奈、神澤真紀、神保直江、児玉良典、伊藤智雄、廣瀬隆則
    • Organizer
      第109回日本病理学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 顕著な異型性を示したcellular neurothekeomaの2例2020

    • Author(s)
      廣瀬隆則、高井利浩
    • Organizer
      第109回日本病理学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 下顎骨Mesenchymal chondrosarcomaの1例2020

    • Author(s)
      坂本真一、古庄寿子、小野重弘、中元崇、宮内睦美、廣瀬隆則、小川郁子
    • Organizer
      第109回日本病理学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 緩徐に進行する複視にて発症した眼窩内solitary fibrous tumorの一例2020

    • Author(s)
      西尾真理、安積淳、井之上杏奈、中鉢亜弥、児玉貴之、重岡学、狛雄一朗、廣瀬隆則、横崎宏
    • Organizer
      第109回日本病理学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] EWSR1-BEND2融合遺伝子を有した脊髄原発astroblastoma2020

    • Author(s)
      筒井偉宝、荒川芳輝、片岡大治、南口早智子、廣瀬隆則、信澤純人、中野嘉子、市村幸一、宮本亨
    • Organizer
      第38回日本脳腫瘍病理学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 臨床上視神経炎が疑われ、視交叉を主座として発生した成人のpilocytic astrocytomaの1剖検例2020

    • Author(s)
      佐々木翔、明神大也、中井登紀子、新田勇治、岡部文美、宮坂俊輝、廣瀬隆則、大林千穂
    • Organizer
      第38回日本脳腫瘍病理学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 転移性と考えられる原発巣不明の頭蓋内多発Angiosarcomaの1例2020

    • Author(s)
      垰本勝司、前岡良輔、高橋賢吉、大西英之、廣瀬隆則、山下大祐
    • Organizer
      第38回日本脳腫瘍病理学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 脊髄原発AT/RTと診断した小児・成人の2例2020

    • Author(s)
      森迫瑶貴、尾松憩、宮川文、梅林大督、武内勇人、高橋義信、廣瀬隆則、宍戸-原由紀子、小西英一、橋本直哉
    • Organizer
      第38回日本脳腫瘍病理学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 第三脳室に発生したEWSR1-CREB1融合遺伝子を有する頭蓋内粘液性間葉系腫瘍の1例2020

    • Author(s)
      田中一寛、岩橋洋文、松尾和哉、篠山隆司、小松正人、児玉良典、廣瀬隆則、伊藤智雄、甲村英二
    • Organizer
      第38回日本脳腫瘍病理学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 頭蓋内mesenchymal chondrosarcomaの1例2020

    • Author(s)
      牧野圭悟、畝田篤仁、黒住和彦、藤井謙太郎、島津洋介、松本悠司、坪井伸成、柳井広之、廣瀬隆則、伊達勲
    • Organizer
      第38回日本脳腫瘍病理学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 当院における内膜細胞診の標本作製法の違いによる比較検討2020

    • Author(s)
      高垣和代、加藤ゆり、濱武周平、上山優、南智也、炭本久代、前田妙子、高山みずほ、佐久間淑子、廣瀬隆則
    • Organizer
      第61回日本臨床細胞学会総会(春期大会)
    • Related Report
      2020 Annual Research Report
  • [Presentation] Infiltrative growth of retroperitoneal liposarcoma may cause recurrence.2020

    • Author(s)
      Hirose T.
    • Organizer
      32nd Congress of European Society of Pathology and 33th International Congress of International Academy of Pathology.
    • Related Report
      2020 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 腋窩軟部に発生しTFE3遺伝子増幅を認めたmalignant perivascular epithelioid cell tumor (PEComa)の1例2019

    • Author(s)
      重本理花、藤田郁夫、森下雅之、藤本卓也、佐久間淑子、小林杏奈、廣瀬隆則
    • Organizer
      第52回日本整形外科学会 骨・軟部腫瘍学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 坐骨神経近傍に発生した悪性筋上皮腫の1例2019

    • Author(s)
      北山和道、川上洋平、河本旭哉、原仁美、藤原周一、小松正人、廣瀬隆則、伊藤智雄、黒田良祐、秋本敏弘
    • Organizer
      第52回日本整形外科学会 骨・軟部腫瘍学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] Cellular neurothekeoma with anaplastic features: report of two cases.2019

    • Author(s)
      Takanori Hirose
    • Organizer
      31st European Congress of Pathology
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Atypical spindle cell lipomatous tumorの2症例2019

    • Author(s)
      小林杏奈、廣瀬隆則、佐久間淑子、梶本和義、前田尚子、酒井康裕
    • Organizer
      第107回日本病理学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 多形型脂肪肉腫様成分を有する後腹膜脱分化型脂肪肉腫の一例2019

    • Author(s)
      稲場礼奈、阿部志保、神保直江、神澤真紀、伊藤智雄、廣瀬 隆則
    • Organizer
      第64回日本病理学会秋期特別総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 異型多形脂肪腫様腫瘍と考えられた1例2018

    • Author(s)
      小松正人、阿部志保、西尾裕美、原仁美、神澤真紀、伊藤智雄、廣瀬隆則
    • Organizer
      第107回日本病理学会総会
    • Related Report
      2018 Research-status Report
  • [Book] 骨・軟部(癌診療指針のための病理診断プラクティス 原発不明癌)2019

    • Author(s)
      廣瀬隆則(都築豊徳、中塚伸一、安藤正志、水木満佐央 編集)
    • Total Pages
      195
    • Publisher
      中山書店
    • ISBN
      9784521747866
    • Related Report
      2019 Research-status Report

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Published: 2018-04-23   Modified: 2022-01-27  

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