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Minimum Invasive Surgery with using Barrier Theory Construction against the Invasion of Tongue Cancer

Research Project

Project/Area Number 18K09742
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 57060:Surgical dentistry-related
Research InstitutionOsaka University

Principal Investigator

OKURA MASAYA  大阪大学, 大学院歯学研究科, 招へい教員 (10281130)

Project Period (FY) 2018-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2020: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords口腔癌 / 舌癌 / 浸潤様式 / 生存率 / 累積死亡率 / BMI / TNM分類 / QOL / 予後 / 局所浸潤 / 腫瘍浸潤周囲環境 / minimum invasive surgery / 舌部節
Outline of Final Research Achievements

Oral function analysis after oral cancer treatment showed that the amount of mouth opening and the number of teeth associated with contralateral occlusion were determinants of the foods eaten and the range of food choices for eating out. Level IV/V metastasis was an even stronger high-risk group for oral cancer, and adjuvant therapy was non-inferior to RT alone and to CCRT. The invasion of cancer cells into the tongue was determined to be a rare case of invasion into the muscle scaffold, causing an inflammatory reaction around the cancer cells, inducing a peritumoral stromal reaction Desmoplasia, and invading the stroma into the scaffold. Low pretreatment body weight was found to be associated with an increased risk of lymph node metastasis and further distant metastasis, leading to increased disease-specific cumulative mortality.

Academic Significance and Societal Importance of the Research Achievements

本研究によって、希少癌に分類される口腔癌について様々なEBMを日本人で検証することができた。欧米と同じ結果のものは少なく、日本人に限定された結果を示すものであった。これらの結果は、術前の評価すべき項目、手術法の選択、術後のAdjuvant療法の選択など、今後の臨床に大きく役立つものである。
舌癌の浸潤様式は、新しい知見が得られた。この知見を完全に証明することが今後の課題であるが、舌癌切除法のMinimum Invasive Surgeryを確立できると考えている。

Report

(6 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (26 results)

All 2023 2022 2021 2020 2019 2018

All Journal Article (10 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 10 results,  Open Access: 8 results) Presentation (15 results) (of which Int'l Joint Research: 2 results) Book (1 results)

  • [Journal Article] The Impact of Pretreatment Low Body Mass Index on Cause-Specific Mortality in Patients with Squamous Cell Carcinoma of the Oral Cavity2022

    • Author(s)
      Kurioka Kyoko、Rin Shin、Otsuru Mitsunobu、Naruse Tomohumi、Hasegawa Takumi、Yamakawa Nobuhiro、Yamada Shin-ichi、Hirai Eiji、Yamamoto Kozo、Ueda Michihiro、Kirita Tadaaki、Akashi Masaya、Kurita Hiroshi、Ohiro Yoichi、Okura Masaya
    • Journal Title

      Nutrition and Cancer

      Volume: 75 Issue: 2 Pages: 520-531

    • DOI

      10.1080/01635581.2022.2125989

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Oral melanoma: a multicenter study of 69 patients from Japan2022

    • Author(s)
      Yamada Shin-ichi、Hasegawa Takumi、Yamakawa Nobuhiro、Tamura Masashi、Takizawa Atsushi、Kakei Yasumasa、Okura Masaya、Naruse Tomofumi、Otsuru Mitsunobu、Rin Shin、Ueda Michihiro、Yamashita Tetsuro、Kirita Tadaaki、Ota Yoshihide、Kurita Hiroshi
    • Journal Title

      Clinical Oral Investigations

      Volume: 26 Issue: 10 Pages: 6187-6193

    • DOI

      10.1007/s00784-022-04568-w

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Muticenter retrospective study of weekly cetuximab plus paclitaxel for recurrent or metastatic oral squamous cell carcinoma2021

    • Author(s)
      TOMOFUMI NARUSE1, SOUICHI YANAMOTO1, MITSUNOBU OTSURU1, NOBUHIRO YAMAKAWA2, TADAAKI KIRITA2, YUKARI SHINTANI3, TATSUSHI MATSUMURA3, MASAYA OKURA4,5, MASASHI SASAKI6, YOSHIHIDE OTA6, SHIN-ICHI YAMADA7, HIROSHI KURITA7 and MASAHIRO UMEDA1; JAPAN ORAL ONCOLOGY GROUP (JOOG)
    • Journal Title

      Anticancer Res

      Volume: 41 Issue: 11 Pages: 5785-91

    • DOI

      10.21873/anticanres.15395

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] General rules for clinical and pathological studies on oral cancer (2nd edition): a synopsis2021

    • Author(s)
      Ota Y, Noguchi T, Ariji E, Fushimi C, Fuwa N, Harada H, Hayashi T, Hayashi R, Honma Y, Miura M, Mori T, Nagatsuka H, Okura M, Ueda M, Uzawa N, Yagihara K, Yagishita H, Yamashiro M, Yanamoto S, Kirita T
    • Journal Title

      Int J Clin Oncol

      Volume: 26 Issue: 4 Pages: 623-35

    • DOI

      10.1007/s10147-020-01812-9

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Postoperative adjuvant therapy for patients with loco-regionally advanced oral squamous cell carcinoma who are at high risk of recurrence.2020

    • Author(s)
      Yanamoto S, Denda Y, Ota Y, Hasegawa T, Akashi M, Okura M, Yamada SI, Kurita H, Yamakawa N, Kirita T, Ueda M, Umeda M; Japan Oral Oncology Group (JOOG)
    • Journal Title

      Int J Oral Maxillofac Surg

      Volume: 49 Issue: 7 Pages: 848-853

    • DOI

      10.1016/j.ijom.2019.12.007

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical Significance of the G8 Screening Tool in Elderly Patients With Oral Squamous Cell Carcinoma2020

    • Author(s)
      Yamada SI, Hasegawa T, Okuyama K, Yamakawa N, Okura M, Hashidume M, Yanamoto S, Akashi M, Kirita T, Umeda M, Kurita H.
    • Journal Title

      Clin Oral Investig

      Volume: 24 Issue: 6 Pages: 1953-1961

    • DOI

      10.1007/s00784-019-03056-y

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Multicenter retrospective study of the prognosis and treatment outcomes of Japanese oral squamous cell carcinoma patients with level IV/V metastasis.2019

    • Author(s)
      Hasegawa T, Yanamoto S, Otsuru M, Kakei Y, Okura M, Yamakawa N, Yamada SI, Ota Y, Umeda M, Kirita T, Kurita H, Ueda M, Komori T; Japan Oral Oncology Group (JOOG)
    • Journal Title

      Head & Neck

      Volume: 41 Issue: 7 Pages: 2256-2263

    • DOI

      10.1002/hed.25672

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Tumor budding and adjacent tissue at the invasive front correlate with delayed neck metastasis in clinical early-stage tongue squamous cell carcinoma.2019

    • Author(s)
      Yamakawa N, Kirita T, Umeda M, Yanamoto S, Ota Y, Otsuru M, Okura M, Kurita H, Yamada SI, Hasegawa T, Aikawa T, Komori T, Ueda M; Japan Oral Oncology Group (JOOG)
    • Journal Title

      J Surg Oncol

      Volume: 119 Issue: 3 Pages: 370-378

    • DOI

      10.1002/jso.25334

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Performance status scale for head and neck scores for oral cancer survivors: predictors and factors for improving quality of life.2019

    • Author(s)
      Kondo T, Sugauchi A, Yabuno Y, Kobashi H, Amano K, Aikawa T, Kogo M, Okura M.
    • Journal Title

      Clin Oral Investig.

      Volume: 23 Issue: 4 Pages: 1575-1582

    • DOI

      10.1007/s00784-018-2587-7

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Multicenter Retrospective Study of Elective Neck Dissection for T1-2N0M0 Tongue Squamous Cell Carcinoma: Analysis Using Propensity Score-Matching.2019

    • Author(s)
      Otsuru M, Ota Y, Yanamoto S, Okura M, Umeda M, Kirita T, Kurita H, Ueda M, Komori T, Yamakawa N, Kamata T, Hasegawa T, Shibahara T, Ohiro Y, Yamashita Y, Noguchi K, Noguchi T, Karakida K, Naito H, Aikawa T, Yamashita T, Kabata D, Shintani A.
    • Journal Title

      Ann Surg Oncol.

      Volume: 26 Issue: 2 Pages: 555-563

    • DOI

      10.1245/s10434-018-07089-7

    • NAID

      120006557465

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 治療前Body Mass Indexが低いこと(低体重)は口腔扁平上皮癌の疾患特異的死亡率を有意に悪化させる2023

    • Author(s)
      大倉正也、栗岡恭子、大廣洋一、林信、上田倫弘、山田慎一、栗田浩、山川延宏、桐田忠明、長谷川巧実、柳本惣一、梅田正博、大鶴光信、平井英治、横田祐介
    • Organizer
      第41回日本口腔腫瘍学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 治療前のBody Mass Indexの低い日本人は口腔癌の疾患徳的死亡率が高い。日本口腔癌臨床研究グループ多施設共同研究2023

    • Author(s)
      大倉正也、栗岡恭子、横田祐介、大廣洋一、上田倫弘、林信、 山田慎一、栗田浩、山川延宏、桐田忠昭、長谷川巧実、柳本惣一、 大鶴光信、梅田正博、平井英治、密田正喜仁、長田宗一郎、鈴木康昭
    • Organizer
      第75回済生会総会
    • Related Report
      2022 Annual Research Report
  • [Presentation] Multi-institutional research of oral cancer in Japan:2022

    • Author(s)
      Yanamoto S, Umeda M, Kurita H, Yamada SI, Ota Y, Okura M, Ueda M, Hasegawa T, Yamakawa N, Kirita T
    • Organizer
      8th International Association of Oral Oncology
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 下顎歯肉癌の治療成績の検討および外科的治療の再考~多施設共同研究から~2022

    • Author(s)
      山川 延宏 、大倉 正也 、長谷川 巧実 、明石 昌也 、柳本 惣市 、大鶴 光信 、梅田 正博 、山田 慎一 、 栗田 浩 、平井 英治 、林 信 、上田 倫弘 、上田 順宏 、桐田 忠昭
    • Organizer
      第40回日本口腔腫瘍学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 早期舌扁平上皮癌における頸部リンパ節転移に関する検討ー多施設共同研究の結果2022

    • Author(s)
      山川延宏、桐田忠昭、梅田正博、柳本惣市、大倉正也、他
    • Organizer
      日本口腔腫瘍学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 術後再発転移高リスク因子の再考とその対応ー多施設共同研究から2022

    • Author(s)
      長谷川巧実、筧康正、山川延宏、桐田忠昭、大倉正也、他
    • Organizer
      日本口腔腫瘍学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 下顎歯肉癌の治療成績の検討及び外科的治療の再考ー多施設共同研究から2022

    • Author(s)
      山川延宏、大倉正也。他
    • Organizer
      日本口腔腫瘍学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 顎骨中心性扁平上皮癌の治療成績に関する多施設共同後ろ向き観察研究2022

    • Author(s)
      鳴瀬智史、大鶴光信、長谷川巧実、明石昌也、大倉正也、他
    • Organizer
      日本口腔腫瘍学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 口腔悪性黒色腫の治療と予後ー多施設共同後ろ向き研究より2022

    • Author(s)
      山田慎一、長谷川巧実、柳本惣市、鎌田孝広、大鶴光信、山川延宏、田村優志、大倉正也、他
    • Organizer
      日本口腔腫瘍学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 術後原発頸部制御例における遠隔転移高リスク因子の再考ー多施設共同研究から2022

    • Author(s)
      筧康正、長谷川巧実、山川延宏、桐田忠昭、大倉正也、他
    • Organizer
      日本口腔腫瘍学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 多施設後ろ向き試験による舌癌における手術断端近接症例の検討2022

    • Author(s)
      大鶴光信、長谷川巧実、明石昌也、山川延宏、桐田忠昭、大倉正也、他
    • Organizer
      日本口腔腫瘍学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 早期舌扁平上皮癌における頸部後発転移の新たな予測因子2021

    • Author(s)
      山川延宏1,8,桐田忠昭1,8,梅田正博2,8,柳本惣市2,8,大鶴光信2,8,大倉正也3,8,相川友直3,8,太田嘉英4,8,栗田 浩5,8,山田慎一5,8,明石昌也6,8,長谷川巧実6,8,上田倫弘
    • Organizer
      日本頭頚部癌学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 口腔顎顔面領域における肉腫に関する多施設共同後ろ向き観察研究2020

    • Author(s)
      小田切 宏樹 、山田慎一 、長谷川巧実、柚鳥宏和、山川延宏 、傳田祐也、伊藤隆一 、大倉正也、柳本惣市 、明石昌也 、桐田忠昭 、太田嘉英 、梅田正博 、栗田浩
    • Organizer
      第38回日本口腔腫瘍学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 希少がんである口腔癌を多方面から考える 早期舌癌における頸部後発転移に対する新規予測因子の検討2018

    • Author(s)
      山川 延宏, 桐田 忠昭, 梅田 正博, 柳本 惣市, 太田 嘉英, 大鶴 光信, 大倉 正也, 相川 友直, 栗田 浩, 山田 慎一, 古森 孝英, 長谷川 巧実, 上田 倫弘, 日本口腔がん臨床研究グループ
    • Organizer
      56回日本癌治療学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] Prevention of surgical site infection after oral cancer surgery by topical tetracycline: Results of a multicenter randomized control trial.2018

    • Author(s)
      Madoka Funahara, Souichi Yanamoto, Michihiro Ueda, Takatsugu Suzuki, Yoshihide Ota, Fumihiro Nishimaki, Hiroshi Kurita, Nobuhiro Yamakawa, Tadaaki Kirita, Masaya Okura, Yasuaki Mekaru, Keiichi Arakaki, Masahiro Umeda
    • Organizer
      ASCO Annual Meeting 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Book] 口腔癌取扱い規約 第2版2019

    • Author(s)
      太田嘉英、野口忠秀、長塚仁、有地榮一郎、上田倫弘、鵜澤成一、大倉正也、桐田忠昭、林孝文、林隆一、伏見千宙、不破信和、本間義崇、三浦雅彦、森泰昌、柳下寿郎、八木原一博、柳本惣市、山城正司
    • Total Pages
      180
    • Publisher
      金原出版
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2024-01-30  

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