Local recurrence after rectal endoscopic submucosal dissection: a case of tumor cell implantation

We report a case of local recurrence of cancer after rectal endoscopic submucosal dissection (ESD). A 52-year-old male underwent a curative resection with ESD for rectal intramucosal cancer. Seventy-four months after ESD, surveillance colonoscopy showed an elevated lesion on the ESD scar, suspicious of a recurrence. The patient subsequently underwent a low anterior resection (intersphincteric) with lymph node dissection. Pathology revealed a well-differentiated adenocarcinoma, similar to the ESD specimen. We suspected that the local recurrence was caused by implantation of tumor cells during the ESD, due to surgical manipulation performed with the tumor in an exposed setting for a long period of time

ヒト大腸癌におけるHVEM発現は腫瘍の進行と予後に影響する

Background: Herpesvirus entry mediator (HVEM) has been recently suggested to play certain roles in cancer biology. We examined HVEM expression in human colorectal cancer (CRC) to reveal its clinical importance. Materials and Methods: Immunohistochemical staining was carried-out in normal epithelium, benign and malignant lesions. Results: While intense HVEM expression was not observed in normal epithelium and hyperplastic polyps, 24% of adenoma and more than half of CRCs had high HVEM expression. In 234 CRCs, HVEM expression was significantly associated with tumor status and pathological stage. Patients with high HVEM expression had a significantly poorer prognosis than those with low expression. Importantly, HVEM status had an independent prognostic value in CRC. Furthermore, HVEM status was inversely corrected with the presence of tumor-infiltrating T-cells. Conclusion: HVEM may play a critical role in tumor progression and immune evasion, and may also be a novel prognostic marker and potential therapeutic target in human CRC.博士（医学）・乙第1363号・平成27年7月31日発行元の規定により、本文の登録不可。本文は以下のURLを参照 "http://ar.iiarjournals.org/content/35/3/1361.abstract"　（※全文閲覧は学内限定

Effects of noble-metal loading and ultraviolet-light irradiation on gas-sensing properties of porous indium oxide films at room temperature

Fundamental gas-sensing properties of porous (pr-)In2O3 powders loaded with and without 0.5 mass % noble metal (pr-0.5N/In2O3 and pr-In2O3, respectively, N: noble metal (Au or Pd)) to NO2, H2, and ethanol balanced with dry air were investigated at 30 °C under UV-light irradiation (main wavelength: 365 nm). The spherical pr-0.5N/In2O3 and pr-In2O3 powders were prepared by ultrasonic-spray pyrolysis employing polymethylmethacrylate microspheres with a diameter of ca. 70 nm, which were synthesized by ultrasonic-assisted emulsion polymerization. The Au loading largely improved the NO2 response of the pr-In2O3 sensor, a ratio of the resistance in NO2 to that in air, especially under weak UV-light irradiation, because of the relatively large resistance in air. On the other hand, the Pd loading efficiently increased the difference in the conductance of the pr-In2O3 sensor between in NO2 and in air under the whole UV-light irradiation range. The UV-light irradiation is effective in improving the NO2-sensing properties of these sensors at room temperature, but the sensing performance was a little inferior to that operated at elevated temperatures under no UV-light irradiation. These sensors also responded to reducing gases, H2 and ethanol, under UV-light irradiation, and the responses to ethanol were much larger than those to H2. However, the responses to both the gases were much smaller than that to NO2