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Objectification of histological criteria for diagnosing colorectal and gastric cancer : conversion of atypical grades into the real number, and histogenesis of colorectal carcinoma induced with using the discriminant

Research Project

Project/Area Number 62440029
Research Category

Grant-in-Aid for General Scientific Research (A)

Allocation TypeSingle-year Grants
Research Field Human pathology
Research InstitutionTsukuba University

Principal Investigator

NAKAMURA Kyoichi  Univ. of Tsukuba, Inst. Basic Med. Sci., Prof., 基礎医学系, 教授 (70110492)

Co-Investigator(Kenkyū-buntansha) KIKUCHI Masanori  Univ. of Tsukuba, Inst. Clin. Med. Sci., Assist. Prof., 臨床医学系, 講師 (90110501)
SAITOH Kiyoshi  Univ. of Tsukuba, Inst. Basic Med. Sci., Assist. Prof., 基礎医学系, 講師 (20114754)
FUJII Keiji  Univ. of Tsukuba, Inst. Basic Med. Sci., Associate Prof., 基礎医学系, 助教授 (00091926)
Project Period (FY) 1987 – 1990
Project Status Completed (Fiscal Year 1990)
Budget Amount *help
¥21,500,000 (Direct Cost: ¥21,500,000)
Fiscal Year 1990: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 1989: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 1988: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 1987: ¥18,500,000 (Direct Cost: ¥18,500,000)
KeywordsNumerification of atypical grades / Histological criteria for diagnosing carcinoma / Discriminant for diagnosis of colorectal carcinoma / Histogenesis of the colorectal carcinoma / The structure of colorectal carcinoma / 大腸癌の構造 / 大腸癌組織診断基準 / 微小癌 / 核腺管係数 / 乱れ係数 / 腺管大小不同係数 / 不規則形腺管出現頻度 / 線形判別関係 / de novo carcinoma / 異型度数値変換 / 良性悪性判別式 / 癌組織発生 / DE NOVO CANCER / 癌発育進展過程 / 乱れ係数ISA / 核腺管係数ING / 良性腺腫 / 良性悪性境界領域病変
Research Abstract

There are not infrequently the cases that different diagnoses in the same histological preparation are given by pathologists, especially on the borderline lesions. It is absolutely necessary that histologic interpretation of atypical grades for diagnosing the carcinomas is much objectively performed. In the view-point of that, conversion of histological figures into the real number is required in order to objectify the interpretation of atypical grades. Numerification of complicated histological figures with computed morphometric analyses has been studied.
Two indices of atypical grades have been defined as follows : ING is nuclear area/cytoplasmic area per gland and ISA is tubular area per unit area. ING and ISA values of the normal mucosas, adenomas and carcinomas normally distributed in each groups. The mean of ISA and ING values increased with intensity of atypical grades. Furthermore, the mean of ING and ISA values of carcinomas limited to the mucosa was very similar to that of mucosal involvement of carcinomas infiltrating the submucosa. Application of t-test yields statistically significant differences (P<0.01) among the 3 groups. A discriminant of carcinoma for differentiating from adenoma can be induced with the ING and ISA values, since there is statistically a significant correlation between the ISA and ING (r=0.70). The discriminant induced is Fca=0.08 (ING) +0.04 (ISA) -6.59, provided that Fca>0 is carcinoma and Fca<0 is adeno
ma. Regarding the histogenesis of colorectal carcinomas, a completely inverse conclusion has been induced by using the discriminant.
A discriminant of tubular adenocarcinoma of the stomach differentiating from adenoma is F=0.1134 (ING) +0.0269 (ISA) +0.0243 (FCT) +0.0282 (IDS) -8.621, provided that F>0 is carcinoma, and F<0 is adenoma (FCT : Frequency of tubuli of irregular shape, IDS : Index of irregularity of tubular size).

Report

(5 results)
  • 1990 Annual Research Report   Final Research Report Summary
  • 1989 Annual Research Report
  • 1988 Annual Research Report
  • 1987 Annual Research Report
  • Research Products

    (68 results)

All Other

All Publications (68 results)

  • [Publications] 中村 恭一: "宿題報告III「大腸癌の構造:大腸癌組織発生とそれからみた癌の発育進展過程」" 日病会誌. 77. 25-62 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 大倉 康男: "大腸ポリ-プと癌:特に de novo癌について。" 臨床科学. 24. 303-317 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 中村 恭一: "大腸の腺腫と癌の異型度の数値変換:癌組織診断基準の客観化のために。" 癌の臨床別冊「第47回日本癌学会/パネル臓器癌・最近のトピックス」,篠原出版. 109-126 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 大倉 康男: "大腸微小癌の組織発生とその癌の発育進展" 消化器外科. 13. 407-418 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] NAKMURA,K.and OHKURA,Y.: "Estructura del Cancer Colorrectal:Histogenesis y Proceso de Crecimiento del Cancer Colorrectal deducidos a Partirde los indices de atipia." Escogidos en Gastroenterologia,ed.por Llorens,P.,Laboratorios Pecalcine(Santiago). 167-216 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 石堂 達也: "胃の腸型腫瘍性病変の悪性判別式率による客観的組織診断:その生検組織への応用。" 胃と腸. 25. 971-981 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 中村 恭一: "大腸癌の構造" 医学書院, 222 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 中村 恭一: "胃癌の構造,改訂第二版" 医学書院, 327 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Akabane, H., Kikuchi, M., and Nakamura, K.: "Objectification of grade of atypicality on dysplasia and differentiated adenocarcinoma of the stomach by morphometric analysis" Proceedings of 14th International Cancer Congress. 74(No. 271). (1986)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Nakamura, K. y Ohkura, Y.: "Estructura del Cancer Colorrectal : Histogenesis y proceso de crecimiento del cancer colorrectal deducidos a partir de los indices de atipia" "CAPITULOS ESCOGIDOS EN GASTROENTEROLOGIA" Ed. por Llorens. 167-216 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Ishido, T. and Nakamura, K.: "Objective quantification of grade of atypia in epithelial tumors of the stomach by image processing. Jpn. J. Cancer Res." 82(2). 199-205 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 大倉 康男: "大腸微小癌の組織発生とその癌の発育進展" 消化器外科. 13. 407-418 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 中村 恭一: "画像解析による腫瘍の組織異型度の数値変換:大腸癌組織診断の客観化とそれから導かれる癌組織発生" INNERVISION. 5. 72-76 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 石堂 達也: "胃の腸型腫瘍性病変の悪性判別率による客観的組織診断:その生検組織への応用" 胃と腸. 25. 971-981 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 中村 恭一: "大腸疾患の現状と問題点.腺腫と癌の病理組織診断." 臨床放射線誌. 35. 1125-1134 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 大倉 康男: "小さな表面型(II型)大腸癌.その組織学的特徴と肉眼形態の判定" 胃と腸. 25. 829-836 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 尾辻 真人: "異型度係数からみた大腸腺腫内癌とde novo癌の進展様式:特にポリペクトミ-標本に関して" 胃と腸. 26. (1991)

    • Related Report
      1990 Annual Research Report
  • [Publications] Nakamura,K.and Ohkura,Y.: "CAPITULOS ESCOGIDOS EN GASTROENTELOGIA Ed.por LIorens,P." Laboratorios Recalcine(Santiago), 167-216 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 中村恭一: "大腸癌の構造:異型度係数から導かれる大腸癌の組織発生とその発育進展" 日本病理学会誌. 77. 25-62 (1988)

    • Related Report
      1989 Annual Research Report
  • [Publications] 石堂達也,伴慎一,大倉康男,斉藤澄,菊池正教,中村恭一,牧野哲也,西沢護: "新たな2つの異型度係数による胃の腸上皮化生系列隆起性病変の病理組織学的検討" 日本癌学会総会記事. 47. 347 (1988)

    • Related Report
      1989 Annual Research Report
  • [Publications] 中村恭一,大倉康男,石堂達也,伴慎一,西沢護,牧野哲也: "大腸ポリ-プと癌:“大腸癌の大部分は腺腫の癌化したものであるのか?"" 消化器科. 9(3). 259-288 (1988)

    • Related Report
      1989 Annual Research Report
  • [Publications] 大倉康男,中村恭一: "大腸ポリ-プ(2)大腸ポリ-プと癌:特にde novo癌について" 臨床科学. 24(3). 303-317 (1988)

    • Related Report
      1989 Annual Research Report
  • [Publications] 大倉康男,伴慎一,中村恭一: "異型度係数からみた大腸癌の組織発生:大腸癌のほとんどすべては腺腫由来であるのか?" 病理と臨床. 6(9). 1043-1051 (1988)

    • Related Report
      1989 Annual Research Report
  • [Publications] 伴慎一,石堂達也,大倉康男,中村恭一: "大型扁平隆起を示す大腸上皮性腫瘍の組織学的異型度の検討" 日本病理学会誌. 78. 218 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 伴慎一,中村恭一,斉藤澄,石堂達也,大倉康男,尾辻真人: "大腸絨毛状腫瘍の病理組織学的検討" 第48回日本癌学会総会記事. 48. 234 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 駒野肇,藤井敬二,中村恭一: "1,2ーDimethylhydrazine誘発マウス大腸発癌過程における大腸粘膜の細胞動態" 第48回日本癌学会総会記事. 48. 63 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 千葉智樹,斉藤澄,中村恭一: "DNA polymerase alpha活性を指標としたヒト胃癌の細胞動態" 第48回日本癌学会総会記事. 48. 194 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 尾辻真人,中村恭一,斉藤澄,大倉康男,石堂達也,伴慎一: "異型度係数からみた大腸腺腫内癌とde novo癌の進展様式:特にポリペクトミ-標本に関して" 第48回日本癌学会総会記事. 48. 245 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 大倉康男,中村恭一,伴慎一,石堂達也,尾辻真人: "最大径5mm以下の大腸上皮性腫瘍:微小な腺腫と癌の病理組織学的検討" 第48回日本癌学会総会記事. 48. 245 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 大倉康男,中村恭一,伴慎一,石堂達也,尾辻真人: "大腸腺腫と癌の関係ー私の診断基準よりー大腸癌組織診断基準の客観化,異型度の数値変換とその視座を変えての検討" 胃と腸. 24(3). 241-251 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 大倉康男,中村恭一: "大腸癌の発生と de novo癌" Medical Practice. 6(12). 2009-2013 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 伴慎一,斉藤洋子,石堂達也,中村恭一: "胃癌の成因・病態:胃癌発生の場としての粘膜変化と癌組織発生" Geriatric Medicine(老年医学). 27(10). 1461-1465 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 石堂達也,中村恭一,西沢護: "胃の腸型腫瘍性病変の悪性判別率による客観的組織診断:その生検組織への応用" 胃と腸. 25(8). (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 中村恭一: "『大腸癌の構造』" 医学書院(東京), 222 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 中村恭一,大倉康男,石堂達也,伴慎一,西沢護: "癌の臨床別冊「第47回日本癌学会/パネル臓器癌最近のトピックス」大腸の腺腫と癌の異型度の数値変換:癌組織診断基準の客観化のために" 篠原出版(東京), 17 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 大倉康男,中村恭一,伴慎一,尾辻真人: "『消化器外科セミナ-』大腸微小癌の組織発生とその癌の発育進展" へるす出版(東京), (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] Sanemoto,Togo;Kyoichi,Nakamura;Masanori,Kikuchi: 13th International Cancer Congress(Seattle,USA). 13. 388 (1982)

    • Related Report
      1988 Annual Research Report
  • [Publications] 東郷実元,中村恭一: 胃と腸. 18(4). 423-432 (1983)

    • Related Report
      1988 Annual Research Report
  • [Publications] 菊池正教,中村恭一,赤羽久昌,渋谷進: 胃と腸. 19(10). 1117-1125 (1984)

    • Related Report
      1988 Annual Research Report
  • [Publications] 渋谷進,中村恭一,池園洋,東郷実元,菊池正教: 胃と腸. 19(12). 1341-1348 (1984)

    • Related Report
      1988 Annual Research Report
  • [Publications] 中村恭一,渋谷進,西沢護,牧野哲也: 胃と腸. 20(8). 877-888 (1985)

    • Related Report
      1988 Annual Research Report
  • [Publications] 中村恭一,渋谷進,大倉康男: 日本医事新報. 3227. 126-129 (1986)

    • Related Report
      1988 Annual Research Report
  • [Publications] 大倉康男,渋谷進,中村恭一: Mebio. 3(8). 126-127 (1986)

    • Related Report
      1988 Annual Research Report
  • [Publications] Akabane,H.;Kikuchi,M.;Kyoichi,N.: 14th INTERNATIONAL CANCER CONGRESS. No.271. 74 (1986)

    • Related Report
      1988 Annual Research Report
  • [Publications] 大倉康男,中村恭一: 胃と腸. 22(4). 431-441 (1987)

    • Related Report
      1988 Annual Research Report
  • [Publications] 大倉康男,中村恭一: 日本大腸肛門病学会誌. 40. 699-707 (1987)

    • Related Report
      1988 Annual Research Report
  • [Publications] 中村恭一: 日本大腸肛門病学会誌. 41(4). 428-441 (1988)

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      1988 Annual Research Report
  • [Publications] 中村恭一,大倉康男,伴慎一,石堂達也: Mebio. 5(5). 51-54 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 中村恭一,大倉康男,石堂達也,伴慎一,西沢護,牧野哲也: 消化器科. 9(3). 259-288 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 大倉康男,中村恭一: 臨床科学. 24(3). 303-317 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 中村恭一,石堂達也,大倉康男,伴慎一,斉藤澄: 第47回日本癌学会総会記事(東京). 47. 32 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 大倉康男,伴慎一,中村恭一: 第47回日本癌学会総会記事. 47. 350 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 石堂達也,伴慎一,大倉康男,斉藤澄,菊池正教,中村恭一,牧野哲也,西沢護: 第47回日本癌学会総会記事. 47. 347 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 伴慎一,斉藤澄,石堂達也,大倉康男,中村恭一: 第47回日本癌学会総会記事. 47. 358 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 大倉康男,伴慎一,中村恭一: 病理と臨床. 6(9). 1043-1051 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 中村恭一: 日本病理学会誌. 77. (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 大倉康男,中村恭一,伴慎一,石堂達也,斉藤洋子,尾辻真人: 胃と腸. 24(3). (1989)

    • Related Report
      1988 Annual Research Report
  • [Publications] 中村恭一,大倉康男,石堂達也,伴慎一,西沢護: "『第47回日本癌学会/パネル臓器癌・最近のトピックス』" 篠原出版, (1989)

    • Related Report
      1988 Annual Research Report
  • [Publications] 中村恭一: 第42回日本大腸肛門病学会総会特別講演 昭和62年. (1988)

    • Related Report
      1987 Annual Research Report
  • [Publications] 中村恭一: 胃と腸. 22(4). 371-372 (1987)

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      1987 Annual Research Report
  • [Publications] 大倉康男, 中村恭一: 胃と腸. 22(4). 431-441 (1987)

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      1987 Annual Research Report
  • [Publications] 中村恭一: 胃と腸. 22(6). 651-655 (1987)

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      1987 Annual Research Report
  • [Publications] 大倉康男, 中村恭一: 日本大腸肛門病学会雑誌. 40(6). 699-707 (1987)

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  • [Publications] 大倉康男, 中村恭一: 第34日本内視鏡学会総会 昭和62年. (1988)

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      1987 Annual Research Report
  • [Publications] 大倉康男, 石堂達也, 中村恭一: 日本病理学会雑誌. 76. 234 (1987)

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      1987 Annual Research Report
  • [Publications] 大倉康男, 中村恭一: 臨床科学. (1988)

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      1987 Annual Research Report
  • [Publications] 伴慎一, 大倉康男, 石堂達也, 中村恭一: Mebio. (1988)

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      1987 Annual Research Report
  • [Publications] 中村恭一, 大倉康男, 石堂達也, 伴慎一: 消化器科. (1988)

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      1987 Annual Research Report

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Published: 1987-04-01   Modified: 2016-04-21  

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