POST-HYSTERECTOMY OVARIAN CANCER : HISTOLOGICAL CHARACTERISTICS AND A PREDICTION OF OCCURRENCE OF OVARIAN CANCER BY IMMUNOHISTOLOGICAL INSPECTIONS FOR SPECIMENS IN INITIAL OPERATIONS
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概要
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Abstract Background : The prognosis of ovarian cancer is generally poor. To approach the onset of ovarian cancer, we investigated clinical characteristics and performed pathohistological examinations of organ specimens from ovarian cancer patients who had previously received hysterectomy. Materials and Methods : This study consisted of a clinical analysis of 192 ovarian cancer patients, of whom 22 had previously received a hysterectomy. Next, we chose three patients who had received hysterectomies for adenomyosis and myoma, and compared the expression of several markers (estrogen receptor, progesterone receptor, Bcl-2, p53 and Ki-67) in their uterine and ovarian specimens. Results : The rate of endometrioid adenocarcinoma (40.9%, 9/22) in patients with ovarian cancers after hysterectomy was significantly higher than that in women without hysterectomy (13.5%, 23/170). Immunohistochemistry staining showed the expression of Bcl-2 in both uterine and ovarian specimens from a patient with endometrioid adenocarcinoma, but not from a patient with mucinous adenocarcinoma. Conclusion : In this study, endometrioid adenocarcinoma developed most frequently in patients who had previously undergone a hysterectomy. The onset of ovarian cancer could be predicted in the future by assessing specific marker levels.
著者
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Nanjo Hiroshi
Department Of Clinical Pathology Akita University School Of Medicine Hondo
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Fujimoto Toshio
Department Of Obstetrics And Gynecology Hokkaido University School Of Medicine
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Terada Yukihiro
Department Of Obstetrics And Gynecology Tohoku University School Of Medicine
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Satoh Naoki
Department Of Cardiology Tokyo Women's Medical University
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Satoh Akira
Department Of Applied Biochemistry Faculty Of Applied Biological Science Hiroshima University
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Shirasawa Hiromitsu
Department Of Obstetrics And Gynecology Akita University School Of Medicine
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Kubo Shinichi
Department of Obstetrics and Gynecology, Akita University School of Medicine
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Shimizu Dai
Department of Obstetrics and Gynecology, Akita University School of Medicine
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Tanaka Toshinobu
Ueda Clinic of Obstetrics and Gynecology
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Shimizu Dai
Department Of Obstetrics And Gynecology Akita University School Of Medicine
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Fujimoto Toshio
Department Of Obstetrics And Gynecology Akita University School Of Medicine
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Nanjo Hiroshi
Department Of Patholology Akita University School Of Medicine
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Terada Yukihiro
Department Of Obstetrics And Gynecology Akita University School Of Medicine
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Satoh Naoki
Department Of Obstetrics And Gynecology Akita University School Of Medicine
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Kubo Shinichi
Department Of Obstetrics And Gynecology Akita University School Of Medicine
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Terada Yukihiro
Department Of Obstetrics And Gynecology Akita University Graduate School Of Medicine
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Satoh Akira
Department Of Obstetrics And Gynecology Akita University School Of Medicine
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Shimizu Dai
Department of Mechanical Engineering, Graduate School of Engineering, University of Osaka, Suita, Osaka 565-0871
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Nanjo Hiroshi
Department of Chemical Engineering, Yamagata University
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