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2000 Fiscal Year Final Research Report Summary

Clinicopathological and molecularbiological study of perineural invasion in pancreatic cancer.

Research Project

Project/Area Number 11671207
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionFirst Department of Surgery, Yamagata University School of Medicine.

Principal Investigator

KIMURA Wataru  Yamagata University School of Medicine, First Department of Surgery, Professor, 医学部・第1外科, 教授 (00169947)

Co-Investigator(Kenkyū-buntansha) HIRAI Ichiro  Yamagata University School of Medicine, First Department of Surgery, Assistant, 医学部・第1外科, 助手 (00313156)
KUDO Shun  Yamagata University School of Medicine, First Department of Surgery, Assistant, 医学部・第1外科, 助手 (60302296)
FUSE Akira  Yamagata University School of Medicine, First Department of Surgery, Assistant professor, 医学部・第1外科, 助教授 (80199398)
Project Period (FY) 1999 – 2000
KeywordsPerineural invasion / Pancreatic cancer / 病理組織学 / 免疫組織学
Research Abstract

Purpose : Perineural invasion is regarded as a factor associated with local recurrence of pancreatic cancer. We examined perineural invasion of pancreatic cancer pathologically and clinically.
Method : In 24 cases of surgically resected pancreatic cancer, correlations among the degree of perineural invasion, differentiation, interstitial connective tissue, lymph node metastasis and survival rate were examined. Consecutive 5-μm serial sections (n=1072) were made in 6 interesting cases.
Results : Perineural invasion was observed in 17 cases (70.8% ; ne0-7 ; ne1-6 ; ne2-9 ; and ne3-2 cases). Perineural invasion was absent in 3 of 5 cases of papillary carcinoma, but was observed in 12 out of 14 cases of moderately differentiated carcinoma. The survival rate for ne0 was better than that of the other groups, the 3-year survival rate being 57.1%. Cancer glands in the perineural space had developed discontinuously in 2 cases.
Conclusions : Perineural invasion is an important prognostic factor in pancreatic cancer, increasing as the cancer becomes undifferentiated. Even if there are no cancer cells at the margin of the pancreas at the time of surgery, the cancer may spread further to the non-cancerous pancreas or retroperitoneum. Sufficient dissection of the neural plexus or intraoperative radiation may be required.

  • Research Products

    (4 results)

All Other

All Publications (4 results)

  • [Publications] 平井一郎,布施明,木村理: "膵癌の神経浸潤"外科治療. 83. 748-749 (2000)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Hirai I, Kimura W, Ozawa K,: "Perineural invasion in pancreatic cancer."Pancreas. (in press). (2001)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Hirai I, Kimura W, Kudo S, Fuse A.: "Perineural invasion in pancreatic cancer"Pancreas. (in press). (2001)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Hirai I, Fuse A, Kimura W.: "Perineural invasion in pancreatic cancer"Gekatiryou (Surgical treatment). 83. 748-749 (2001)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2002-03-26  

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