Simultaneous staining of Ki-67 and chromosome 8 in invasive ductal carcinoma: association with prognosis

Introduction: This study aimed to evaluate an approach that uses simultaneous staining to estimate malignant potential. This approach combines immunofluorescence (IF) staining for Ki-67 expression with fluorescence in situ hybridization (FISH) for copy number aberrations (CNA) of chromosome 8 in breast cancer cells.Methods: In 50 specimens of invasive ductal carcinoma (IDC), we examined a method that simultaneously combined immunostaining (Ki-67) and FISH with a chromosome 8 centromere-specific probe. Breast cancer cells were classified into Group 1, Ki-67 positive and chromosomal aberrant; Group 2, Ki-67 negative and chromosomal aberrant; Group 3, Ki-67 positive and chromosomal wild; Group 4, Ki-67 negative and chromosomal wild.Results: The frequency of Group 1 was significantly associated with nodal metastasis (p<0.05) and patient prognosis (p<0.05); however, it was not associated with age, tumor size, estrogen receptor status, progesterone receptor status, or histological type. Furthermore, Group 1-positive cases showed a significantly worse prognosis, as shown by the Kaplan-Meier method.Conclusions: We successfully stained for Ki-67 expression and CNA of chromosome 8 in breast tumor sections (n=50). This approach indicated that Ki-67-positive cells with aberrant chromosome 8 were associated with malignant potential in IDC

Infrared Imaging of z=2.43 Radio Galaxy B3 0731+438 with the Subaru Telescope - Detection of Hα\alpha Ionization Cones of a Powerful Radio Galaxy

We report on infrared imaging observations of the z=2.429 radio galaxy B3 0731+438 with the Subaru telescope. The images were taken with the K'-band filter and the 2.25 um narrow-band filter to examine the structure and properties of the Ha+[N II] 6548,6583 emission-line components. The Ha+[N II] emission-line image shows biconical lobes with an extent of 40 kpc, which are aligned with the radio axis. The rest-frame equivalent widths of the emission lines at these cones are as large as 1100 AA, and can be well explained by a gas-cloud model photoionized by power-law continuum radiation. The isotropic ionizing photon luminosity necessary to ionize the hydrogen gas in these cones amounts to 1e57(photons/s), which is larger than that in the majority of radio-loud QSOs. From these results, we propose that the Ha alignment effect in this object is produced by biconical gas clouds, which are swept up by the passage of radio jets, and are ionized by strong UV radiation from a hidden AGN. The continuum image consists of two components, a stellar-like point source and an extended diffuse galaxy. These are supposed to be a type-2 AGN and its host galaxy. The SED is fitted by a combination of spectra of a reddened dust-scattered AGN and an instantaneous starburst population of 500 Myr old. The stellar mass of the galaxy is estimated to be 3e11 M_solar, which is as large as that of typical 3C radio galaxies at z=1.Comment: 12 pages, 4 Postscript figures, uses PASJ2.sty, PASJ95.sty, PASJadd.sty. Accepted for publication in PASJ (2000

Carcinoembryonic Antigen (CEA) in Colorectal Cancer - Prognostic Significance of Portal Blood Level -

The prognostic significance of carcinoembryonic antigen (CEA) values in the drainage vein of the tumor (portal blood levels of CEA) of colorectal cancer patients were evaluated by examining the correlation with the peripheral blood levels of CEA and histopathologic findings of the tumor. 1) Portal blood levels of CEA were significantly increased by the operative procedure. Mean values of CEA in portal blood were higher than those in peripheral blood. Portal blood CEA was correlated with Dukes\u27 staging, and revealed higher positive rates than CEA in peripheral blood in each stage. Elevated CEA levels were noted in those who had cancer infiltration extending through the proper muscle layer. There was a close correlation between portal CEA and CEA content in cancerous tissue (ng/g, wet weight) (p<0.05), but no significant correlation between peripheral CEA level and cancerous tissue CEA (r = 0.372). The mean values of portal CEA in aneuploidy were significantly higher than those in diploidy. These findings indicate that circulating CEA in peripheral blood might be influenced by the metabolic process of CEA in the liver as well as cancer progression rather than CEA production of the tumor. 2) The 5 year survival rate of the patient\u27s group with a negative rate of portal CEA (93%) was far better than that with a positive rate (57%). This study suggested that the portal blood level of CEA in colorectal carcinoma may be very useful for assessment of the patient\u27s survival

Clinical Aspect of Peripheral Cholangiocarcinoma: A Study of 7 Hepatectomy Cases

To clarify the features and problems presented by a peripheral cholangiocarcinoma (CCC), seven patients with hepatectomy from the First Department of Surgery, Nagasaki University School of Medicine (6 patients), and from Department of Surgery, National Ureshino Hospital (one patient) were reviewed. Men predominate with ratio of 5:2, and an average age was 65.4 years. Tumor location was left lateral segment in 4 patients, right lobe, middle lobe and posterior segment in one, respectively. Three patients were associated with hepatolithiasis. Underlying liver disease was found in 4 patients (57%); cirrhosis in 3 patients, and chronic hepatitis in one. Initial symptoms were abdominal pain, fever and palpable abdominal mass. In imaging modalities available, the detection rates of tumor were 100% in CT and 67% in US and angiography, respectively. Combination of MRI and CT clearly showed tumor characteristics. The serum CEA was slightly elevated in 5 patients (83%), but serum CA19-9 rose strikingly in 3 patients. Most tumors showed an infiltrating growth along intrahepatic bile duct, with a portal vein thrombus and/or satellite tumors frequently. In 3 patients, early recurrence with intrahepatic metastasis occured within the first 6 months. The patient of poorly differentiated adenocarcinoma containing a squamous or signet ring cell carinoma showed an extremely poor prognosis. This study suggests that early detection of small CCC and an extended resection are the most important factors for the survival of patient

Pancreatic Pseudocysts - Proposal for Diagnosis and Surgical Management -

To determine the clinical features and problems presented by a pancreatic pseudocyst, eighteen patients managed at our hospitals since 1980 were reviewed. Males predominated with a ratio of 16: 2, and the average age was 36.2 years. Pseudocyst was located in the pancreatic head in 6, in the body in 6, in the tail in 5 and multiple pseudocysts in one case. The cause of pancreatic pseudocyst was chronic pancreatitis in 9 (including 8 patients with histories of alcoholism), acute pancreatitis in 2 and trauma in 7 patients, respectively. Three patients were associated with pancreatic calculi. Rupture of pseudocyst occurred in one patient with multiple cysts. Autopsy showed acute pancreatic necrosis and penetration to the stomach and duodenum. The indications for surgery were principally cyst-related symptoms(infection, hemorrhage, enlargement and compression of adjacent organs) and differential diagnosis from malignancy. Most of the patients underwent internal drainage ; 9 cystojejunostomy, 2 cystogastrostomy). Three patients underwent cystojejunostomy with longitudinal pancreaticojejunostomy for chronic pancreatitis. Massive hemorrhage after cystogastrostomy occurred in one patient with infected pseudocysts, which required removal of the cysts. Postoperative outcome of the 17 surgical patients was excellent in 16 patients. Only one patient died of pancreatitis associated with alcohol abuse, resulting in a 5.9% mortality. This study suggests that adequate internal drainage by pancreaticojejunostomy to treat the underlying pancreatic disease is most important to obtain an excellent prognosis in patients with pseudocysts

Biliary Cystadenocarcinoma - Report of 2 Cases -

The clinical and pathologic features of two patients with biliary cystadenocarcinoma were presented and the previous literatures were reviewed. Case 1 : A 52-year-old man complained of heart burn and weight loss. Abdominal ultrasound and CT offered suspicions of biliary cystadenocarcinoma of the left hepatic lobe. Left hepatic lobectomy was performed, but the tumor invaded to adjacent viscera. The resected tumor (26×21×5.5 cm) was multilocular cystadenocarcinoma with mucin production. He survived for one year and 8 months after surgery. Case 2: A 60-year-old man suffering from sudden-onset frost and high fever underwent left lateral segmentectomy of the liver with a diagnosis of cystadenocarcinoma defined by biopsy specimen in previous operation. The tumor (6.0×4.5×3.5 cm) was multilocular cyst with mucin-producing papillary adenocarcinoma. He died of recurrent cancer 2 years and one month after surgery. The histogenesis of cystadenocarcinoma is still unclear because of its rare disease. The presence of benign epithelium in our cases may support their origin from cystadenoma

Current Performance and On-Going Improvements of the 8.2 m Subaru Telescope

An overview of the current status of the 8.2 m Subaru Telescope constructed and operated at Mauna Kea, Hawaii, by the National Astronomical Observatory of Japan is presented. The basic design concept and the verified performance of the telescope system are described. Also given are the status of the instrument package offered to the astronomical community, the status of operation, and some of the future plans. The status of the telescope reported in a number of SPIE papers as of the summer of 2002 are incorporated with some updates included as of 2004 February. However, readers are encouraged to check the most updated status of the telescope through the home page, http://subarutelescope.org/index.html, and/or the direct contact with the observatory staff.Comment: 18 pages (17 pages in published version), 29 figures (GIF format), This is the version before the galley proo