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  1. Public
  2. 研究紀要
  3. 医学雑誌
  4. 18(1)1993

胃癌における神経浸潤の組織化学的検討

https://kindai.repo.nii.ac.jp/records/2002266
https://kindai.repo.nii.ac.jp/records/2002266
bcf4513a-01fd-4f67-8d31-33d9f8f4f264
名前 / ファイル ライセンス アクション
AN00063584-19930325-0119.pdf AN00063584-19930325-0119.pdf (1.7 MB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2025-01-17
タイトル
タイトル 胃癌における神経浸潤の組織化学的検討
言語 ja
タイトル
タイトル Histochemical studies on perineural invasion of gastric cancer
言語 en
著者 渡辺, 勉

× 渡辺, 勉

ja 渡辺, 勉
近畿大学

en Watanabe, Tsutomu
Kinki University

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田中, 晃

× 田中, 晃

ja 田中, 晃
近畿大学

en Tanaka, Akira
Kinki University

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言語
言語 jpn
キーワード
主題 gastric cancer, perineural invasion, laminin staining, peritoneal dissemination, type of recurrence, prognosis factor
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
出版者 名前
出版者 近畿大学医学会
言語 ja
bibliographic_information ja : 近畿大学医学雑誌
en : Medical Journal of Kinki University

巻 18, 号 1, p. 119-135, 発行日 1993-03-25
ISSN
収録物識別子タイプ PISSN
収録物識別子 03858367
内容記述
内容記述タイプ Abstract
内容記述 Perineural invasion (PNI) was studied histochemically in 283 cases of gastric cancer resected from 1982 to 1989 with pm or deeper invasion. PNI was studied in relation to the histopathological findings, the type of metastasis, the type of recurrence and outcome. Immunohistochemical staining of laminin was most useful for judgment of PNI as it stained the perineurium and nerve fasciculs in comparison with the other staining methods of HE, S-100 and silver-impregnation. PNI-positive cases were most frequently invasive type in gross appearance with the primary lesion occupying entire stomach, circular type in horizontal location, and stage III・IV and ssγ・se in depth of invasion. Of the peritoneal dissemination cases 72.4% were PNI-positive. Among the 216 curative resection cases, recurrence occurred in 103 cases, and was highly frequent in the cases with ssγ or deeper invasion. These recurrent cases were closely associated with ly, n and PNI. Peritoneal recurrence was found in 63.1% (65 cases) of the 103 recurrent cases. Peritoneal recurrence was most closely associated with PNI in the cases with pm and ss invasion. The 5-year survival rate of 71.3% for PNI-negative cases was significantly higher than the 23.7% for PNI-positive cases. Furthermore, the survival rate in PNI-positive cases was evidently low in the cases with pm and ss invasion. The results of multivariate analysis with a Cox regression model in the relationship between histopathological findings and outcome, revealed that the presence of PNI had the largest influence on the outcome, and was indicated to be useful as a prognostic factor in advanced gastric cancer.
言語 en
内容記述
内容記述タイプ Other
内容記述 本文データはCiNiiから複製したものである。
言語 ja
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