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Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue of pleural origin. 结外边缘区淋巴瘤的粘膜相关淋巴组织的胸膜起源。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-11-01 Epub Date: 2023-08-22 DOI: 10.1111/pin.13372
Yuya Urano, Kennosuke Karube, Yukihiro Shiraki
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引用次数: 0
Gastric juvenile polyposis syndrome with inflammatory changes in the intervening mucosa. 胃少年性息肉病综合征,其间黏膜有炎性改变。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-11-01 Epub Date: 2023-08-22 DOI: 10.1111/pin.13374
Mitsuhiro Nikaido, Takafumi Takimoto, Takaki Sakurai, Masahito Hoki, Sachiko Minamiguchi, Takeshi Nakajima, Masako Torishima, Tatsuto Nishigori, Kazutaka Obama, Yukari Koyama, Tsutomu Chiba, Mineko Ushiama, Masahiro Gotoh, Mari Teramura, Haruhiko Takeda, Takahiro Shimizu, Hiroshi Seno
Juvenile polyposis syndrome (JPS) is an autosomal dominant inherited disorder characterized by multiple hamartomatous polyps in the gastrointestinal tract, and is caused by germline mutations in SMAD4 or BMPR1A. 1 However, no pathogenic variant is found in 40% of cases, and one-fourth of cases occur without a family history. Multiple polyps are typically found in the colon (98%), stomach (14%), duodenum (7%), jejunum, and ileum (7%). This article is protected by copyright. All rights reserved.
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引用次数: 1
PTEN loss in intraductal carcinoma of the prostate has low incidence in Japanese patients. 前列腺导管内癌的PTEN缺失在日本患者中发病率较低。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-11-01 Epub Date: 2023-08-23 DOI: 10.1111/pin.13369
Takanori Ito, Taishi Takahara, Natsuki Taniguchi, Yuki Yamamoto, Akira Satou, Akiko Ohashi, Emiko Takahashi, Naoto Sassa, Toyonori Tsuzuki

Clinical and genomic features of prostate cancer (PCa) vary considerably between Asian and Western populations. PTEN loss is the most frequent abnormality in intraductal carcinoma of the prostate (IDC-P) in Western populations. However, its prevalence and significance in Asian populations have not yet been well studied. In the present study, we evaluated PTEN expression in IDC-P in a Japanese population and its association with ERG expression. This study included 45 and 59 patients with PCa with and without IDC-P, respectively, who underwent radical prostatectomy. PTEN loss was observed in 10 patients with PCa with IDC-P (22%) and nine patients with PCa without IDC-P (17%). ERG expression was relatively frequent in patients with PCa with PTEN loss, although a significant difference was not observed. The co-occurrence of PTEN loss and ERG expression was observed in four patients with PCa with IDC-P and one without IDC-P. PTEN loss and ERG expression did not affect progression-free survival, regardless of the presence of IDC-P. The frequency of PTEN loss in IDC-P is lower in Asian patients than in Western patients. Our results indicate that mechanisms underlying IDC-P in Asian populations are different from those of Western populations.

前列腺癌(PCa)的临床和基因组特征在亚洲和西方人群中差异很大。PTEN缺失是西方人群中前列腺导管内癌(IDC-P)最常见的异常。然而,其在亚洲人群中的流行程度和重要性尚未得到很好的研究。在本研究中,我们评估了日本人群中IDC-P中PTEN的表达及其与ERG表达的关系。本研究分别纳入了45例和59例伴有和不伴有IDC-P的前列腺癌患者,他们接受了根治性前列腺切除术。在10例合并IDC-P的PCa患者(22%)和9例不合并IDC-P的PCa患者(17%)中观察到PTEN丢失。在PTEN缺失的PCa患者中,ERG表达相对频繁,但未观察到显著差异。在4例合并IDC-P的PCa患者和1例未合并IDC-P的PCa患者中观察到PTEN缺失和ERG表达的共存。无论是否存在IDC-P, PTEN缺失和ERG表达均不影响无进展生存期。亚洲患者在IDC-P中PTEN丢失的频率低于西方患者。我们的研究结果表明,亚洲人群中IDC-P的发病机制与西方人群不同。
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引用次数: 0
A novel FET-ETS family fusion (FUS::FLI1) in a case of Ewing sarcoma. Ewing肉瘤一例新的FET-ETS家族融合(FUS::FLI1)。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-11-01 Epub Date: 2023-08-22 DOI: 10.1111/pin.13373
Pranav Dorwal, Duncan Lambie, Andrew Dettrick, Anna F N Goh, Beena Kumar, Peter Manders
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引用次数: 0
Lymphoepithelial cyst of the parotid gland may be an alternative histogenetic pathway of Warthin tumor. 腮腺淋巴上皮囊肿可能是Warthin瘤的另一种组织发生途径。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-11-01 Epub Date: 2023-08-28 DOI: 10.1111/pin.13375
Shinnichi Sakamoto, Fumio Ide, Miyako Hoshino, Michiko Nishimura, Tsutomu Nomura, Kentaro Kikuchi
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引用次数: 0
Metabolic and epigenetic reprogramming in the pathogenesis of glioblastoma: Toward the establishment of "metabolism-based pathology". 胶质母细胞瘤发病机制中的代谢和表观遗传学重编程:建立“基于代谢的病理学”。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-11-01 Epub Date: 2023-09-27 DOI: 10.1111/pin.13379
Kenta Masui, Paul S Mischel

Molecular genetic approaches are now mandatory for cancer diagnostics, especially for brain tumors. Genotype-based diagnosis has predominated over the phenotype-based approach, with its prognostic and predictive powers. However, comprehensive genetic testing would be difficult to perform in the clinical setting, and translational research is required to histologically decipher the peculiar biology of cancer. Of interest, recent studies have demonstrated discrete links between oncogenotypes and the resultant metabolic phenotypes, revealing cancer metabolism as a promising histologic surrogate to reveal specific characteristics of each cancer type and indicate the best way to manage cancer patients. Here, we provide an overview of our research progress to work on cancer metabolism, with a particular focus on the genomically well-characterized malignant tumor glioblastoma. With the use of clinically relevant animal models and human tissue, we found that metabolic reprogramming plays a major role in the aggressive cancer biology by conferring therapeutic resistance to cancer cells and rewiring their epigenomic landscapes. We further discuss our future endeavor to establish "metabolism-based pathology" on how the basic knowledge of cancer metabolism could be leveraged to improve the management of patients by linking cancer cell genotype, epigenotype, and phenotype through metabolic reprogramming.

分子遗传学方法现在对于癌症诊断是强制性的,特别是对于脑肿瘤。基于基因型的诊断以其预后和预测能力而优于基于表型的方法。然而,在临床环境中进行全面的基因检测是困难的,需要进行转化研究来从组织学角度解读癌症的特殊生物学。令人感兴趣的是,最近的研究证明了癌基因型和由此产生的代谢表型之间的离散联系,揭示了癌症代谢是一种很有前途的组织学替代物,可以揭示每种癌症类型的具体特征,并指明管理癌症患者的最佳方法。在此,我们概述了我们在癌症代谢方面的研究进展,特别关注基因组特征良好的恶性肿瘤胶质母细胞瘤。通过使用临床相关的动物模型和人类组织,我们发现代谢重编程通过赋予癌症细胞治疗耐药性并重新连接其表观基因组景观,在侵袭性癌症生物学中发挥着重要作用。我们进一步讨论了我们未来建立“基于代谢的病理学”的努力,即如何利用癌症代谢的基本知识,通过代谢重编程将癌症细胞基因型、表观基因型和表型联系起来,改善患者的管理。
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引用次数: 0
Donepezil attenuates inflammation and apoptosis in ulcerative colitis via regulating LRP1/AMPK/NF-κB signaling. 多奈哌齐通过调节LRP1/AMPK/NF-κB信号传导减轻溃疡性结肠炎的炎症和细胞凋亡。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-11-01 Epub Date: 2023-10-13 DOI: 10.1111/pin.13380
Angqing Li, Junyi Zhang, Ke Chen, Jian Wang, Aman Xu, Zhengguang Wang

This article focuses on the specific effects and mechanisms of donepezil (DNPZ) hydrochloride on inflammation and apoptosis in ulcerative colitis (UC). In vivo and in vitro models of UC were established using dextran sodium sulfate (DSS)-induced mice and NCM460 cells, respectively. Following oral administration of DNPZ, body weight, disease activity index (DAI) scores and colon lengths of mice were recorded. Histopathological damage was detected employing hematoxylin and eosin (H&E) staining. Inflammatory factors were tested using enzyme-linked immunosorbent assay and quantitative reverse transcription polymerase chain reaction, respectively. Apoptosis was estimated utilizing terminal deoxynucleotidyl transferase dUTP nick-end labeling and western blot. Low-density lipoprotein receptor-related protein 1 (LRP1)/AMP activated protein kinase (AMPK)/nuclear factor-κB (NF- κB) signaling proteins were detected utilizing western blot. NCM460 cell viability was assessed by cell counting kit (CCK)-8. We found that DNPZ partially restored body weight, reduced DAI scores and attenuated intestinal pathological damage in DSS-induced mice. Additionally, inflammatory factors decreased significantly after DNPZ treatment, accompanied by reduced apoptosis level. Phosphorylation (p)-AMPK increased and p-p65 decreased after DNPZ treatment, whereas LRP1 knockdown showed the opposite effect. Moreover, DNPZ treatment greatly restored NCM460 cell viability after DSS stimulation. DNPZ attenuated DSS-induced inflammation and apoptosis in NCM460 cells, which was reversed by LRP1 knockdown. In summary, DNPZ hydrochloride attenuates inflammation and apoptosis in UC via LRP1/AMPK/NF-κB signaling.

本文着重研究盐酸多奈哌齐(DNPZ)对溃疡性结肠炎(UC)炎症和细胞凋亡的特异性作用及其机制。分别使用右旋糖酐硫酸钠(DSS)诱导的小鼠和NCM460细胞建立UC的体内和体外模型。口服DNPZ后,记录小鼠的体重、疾病活动指数(DAI)评分和结肠长度。苏木精-伊红(H&E)染色检测组织病理学损伤。分别采用酶联免疫吸附试验和定量逆转录聚合酶链式反应检测炎症因子。利用末端脱氧核苷酸转移酶dUTP缺口末端标记和蛋白质印迹来估计细胞凋亡。利用蛋白质印迹法检测低密度脂蛋白受体相关蛋白1(LRP1)/AMP活化蛋白激酶(AMPK)/核因子-κB(NF-κB)信号蛋白。通过细胞计数试剂盒(CCK)-8评估NCM460细胞的活力。我们发现,在DSS诱导的小鼠中,DNPZ部分恢复了体重,降低了DAI评分并减轻了肠道病理损伤。此外,DNPZ治疗后炎症因子显著降低,并伴有细胞凋亡水平降低。DNPZ处理后,磷酸化(p)-AMPK增加,p-p65降低,而LRP1敲低显示相反的效果。此外,DNPZ处理大大恢复了DSS刺激后NCM460细胞的活力。DNPZ减弱了DSS诱导的NCM460细胞的炎症和凋亡,LRP1敲低可逆转这一作用。总之,DNPZ盐酸盐通过LRP1/AMPK/NF-κB信号减弱UC的炎症和细胞凋亡。
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引用次数: 0
The role of nonlinear dimension reduction of genome-wide DNA methylome in integrated diagnosis: A case study of glioblastoma, IDH-wildtype. 全基因组DNA甲基组非线性降维在综合诊断中的作用:胶质母细胞瘤IDH野生型的病例研究。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-10-01 Epub Date: 2023-08-02 DOI: 10.1111/pin.13359
Kaishi Satomi, Kuniaki Saito, Hiroaki Shimoyamada, Hiromi Onizuka, Takahiro Shibayama, Takashi Hibiya, Akimasa Hayashi, Kiyotaka Nagahama, Yuki Yamagishi, Nobuyoshi Sasaki, Keiichi Kobayashi, Miho Gomyo, Motoo Nagane, Junji Shibahara
To the Editor, Genome‐wide analysis of the DNA methylome has become one of the most important modalities for the integrated diagnosis of central nervous system (CNS) tumors, as demonstrated by the inclusion of this analysis in the fifth edition of the World Health Organization classification (WHO CNS5). Capper et al. showed that array‐based DNA methylome profiling can be used to classify CNS tumors using unsupervised machine‐learning techniques. Recent research supports the use of DNA methylation‐based classification, particularly in challenging cases involving pathological diagnoses. The DKFZ classifier, developed by the German Cancer Research Center (Deutsches Krebsforschungszentrum, DKFZ), has currently been considered the standard for DNA methylome classification. Raw intensity data (IDAT) files generated through the Illumina Infinium Methylation EPIC BeadChip arrays (Illumina Inc., San Diego, CA, USA), which provide genome‐wide DNA methylation profiles, were uploaded to a website (https:// www.molecularneuropathology.org/mnp/) to use the DKFZ classifier. The DKFZ classifier uses machine‐ learning techniques similar to artificial intelligence to perform unsupervised clustering and classify the methylation classes. The calibrated score produced by the classifier indicates the likelihood of a methylation class classification, with scores ranging between 0 and 1. Methylation class scores of ≥0.9 and <0.9 are considered match and unmatched, respectively. Importantly, the DKFZ classifier raises the awareness that DNA methylation data may still be relevant in unmatched cases with low tumor content or low DNA quality. Nonlinear dimensionality reduction techniques, such as t‐distributed stochastic neighbor embedding (t‐SNE) and uniform manifold approximation and projection, may be helpful via allowing the visualization of the similarity of the genome‐wide DNA methylome profile with existing data on reference cases accompanied with clinicopathological information to improve our ability to analyze cases where the DKFZ classifier shows “no match” or a methylation class with a low calibrated score. These techniques can reveal clusters and patterns in high‐dimensional data that may be difficult to detect using conventional linear dimensionality reduction methods, such as principal component analysis. In this paper, we present a case of an infiltrating high‐grade glioma in a younger patient, in which dimensionality reduction of the genome‐wide DNA methylome complemented the integrated diagnosis. The project was approved by an institutional ethics committee. The investigation was conducted in accordance with the Declaration of Helsinki of 1975. A 42‐year‐old Japanese man presented to a clinic with headache, nausea, dizziness, and visual disturbance that first appeared 2 months earlier. Brain magnetic resonance imaging revealed an approximately 6.0 cm in diameter T2/fluid‐attenuated inversion recovery (FLAIR) hyperintense (Supporting information: Figure 1) a
{"title":"The role of nonlinear dimension reduction of genome-wide DNA methylome in integrated diagnosis: A case study of glioblastoma, IDH-wildtype.","authors":"Kaishi Satomi,&nbsp;Kuniaki Saito,&nbsp;Hiroaki Shimoyamada,&nbsp;Hiromi Onizuka,&nbsp;Takahiro Shibayama,&nbsp;Takashi Hibiya,&nbsp;Akimasa Hayashi,&nbsp;Kiyotaka Nagahama,&nbsp;Yuki Yamagishi,&nbsp;Nobuyoshi Sasaki,&nbsp;Keiichi Kobayashi,&nbsp;Miho Gomyo,&nbsp;Motoo Nagane,&nbsp;Junji Shibahara","doi":"10.1111/pin.13359","DOIUrl":"10.1111/pin.13359","url":null,"abstract":"To the Editor, Genome‐wide analysis of the DNA methylome has become one of the most important modalities for the integrated diagnosis of central nervous system (CNS) tumors, as demonstrated by the inclusion of this analysis in the fifth edition of the World Health Organization classification (WHO CNS5). Capper et al. showed that array‐based DNA methylome profiling can be used to classify CNS tumors using unsupervised machine‐learning techniques. Recent research supports the use of DNA methylation‐based classification, particularly in challenging cases involving pathological diagnoses. The DKFZ classifier, developed by the German Cancer Research Center (Deutsches Krebsforschungszentrum, DKFZ), has currently been considered the standard for DNA methylome classification. Raw intensity data (IDAT) files generated through the Illumina Infinium Methylation EPIC BeadChip arrays (Illumina Inc., San Diego, CA, USA), which provide genome‐wide DNA methylation profiles, were uploaded to a website (https:// www.molecularneuropathology.org/mnp/) to use the DKFZ classifier. The DKFZ classifier uses machine‐ learning techniques similar to artificial intelligence to perform unsupervised clustering and classify the methylation classes. The calibrated score produced by the classifier indicates the likelihood of a methylation class classification, with scores ranging between 0 and 1. Methylation class scores of ≥0.9 and <0.9 are considered match and unmatched, respectively. Importantly, the DKFZ classifier raises the awareness that DNA methylation data may still be relevant in unmatched cases with low tumor content or low DNA quality. Nonlinear dimensionality reduction techniques, such as t‐distributed stochastic neighbor embedding (t‐SNE) and uniform manifold approximation and projection, may be helpful via allowing the visualization of the similarity of the genome‐wide DNA methylome profile with existing data on reference cases accompanied with clinicopathological information to improve our ability to analyze cases where the DKFZ classifier shows “no match” or a methylation class with a low calibrated score. These techniques can reveal clusters and patterns in high‐dimensional data that may be difficult to detect using conventional linear dimensionality reduction methods, such as principal component analysis. In this paper, we present a case of an infiltrating high‐grade glioma in a younger patient, in which dimensionality reduction of the genome‐wide DNA methylome complemented the integrated diagnosis. The project was approved by an institutional ethics committee. The investigation was conducted in accordance with the Declaration of Helsinki of 1975. A 42‐year‐old Japanese man presented to a clinic with headache, nausea, dizziness, and visual disturbance that first appeared 2 months earlier. Brain magnetic resonance imaging revealed an approximately 6.0 cm in diameter T2/fluid‐attenuated inversion recovery (FLAIR) hyperintense (Supporting information: Figure 1) a","PeriodicalId":19806,"journal":{"name":"Pathology International","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9921072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of mitochondrial quantity and quality controls in white adipose tissue on healthy lifespan: Essential roles of GH/IGF-1-independent pathways in caloric restriction-mediated metabolic remodeling. 白色脂肪组织中线粒体数量和质量控制对健康寿命的影响:GH/IGF-1非依赖性途径在热量限制介导的代谢重塑中的重要作用。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-10-01 Epub Date: 2023-08-22 DOI: 10.1111/pin.13371
Yuina Otani, Yuka Nozaki, Yuhei Mizunoe, Masaki Kobayashi, Yoshikazu Higami

Long-term caloric restriction is a conventional and reproducible dietary intervention to improve whole body metabolism, suppress age-related pathophysiology, and extend lifespan. The beneficial actions of caloric restriction are widely accepted to be regulated in both growth hormone/insulin-like growth factor 1-dependent and -independent manners. Although growth hormone/insulin-like growth factor 1-dependent regulatory mechanisms are well described, those occurring independent of growth hormone/insulin-like growth factor 1 are poorly understood. In this review, we focus on molecular mechanisms of caloric restriction regulated in a growth hormone/insulin-like growth factor 1-independent manner. Caloric restriction increases mitochondrial quantity and improves mitochondrial quality by activating an axis involving sterol regulatory element binding protein-c/peroxisome proliferator-activated receptor γ coactivator-1α/mitochondrial intermediate peptidase in a growth hormone/insulin-like growth factor 1-independent manner, particularly in white adipose tissue. Fibroblast growth factor 21 is also involved in this axis. Moreover, the axis may be regulated by lower leptin signaling. Thus, caloric restriction appears to induce beneficial actions partially by regulating mitochondrial quantity and quality in white adipose tissue in a growth hormone/insulin-like growth factor 1-independent manner.

长期热量限制是一种传统且可重复的饮食干预措施,可改善全身代谢,抑制与年龄相关的病理生理学,延长寿命。热量限制的有益作用被广泛接受为以生长激素/胰岛素样生长因子1依赖和非依赖的方式调节。尽管生长激素/胰岛素样生长因子1依赖性调节机制已被很好地描述,但那些独立于生长激素/类胰岛素生长因子1发生的机制却知之甚少。在这篇综述中,我们重点关注以生长激素/胰岛素样生长因子1非依赖性方式调节热量限制的分子机制。热量限制通过以生长激素/胰岛素样生长因子1非依赖的方式激活涉及甾醇调节元件结合蛋白-c/过氧化物酶体增殖物激活受体γ共激活因子-1α/线粒体中间肽酶的轴,特别是在白色脂肪组织中,增加线粒体数量并改善线粒体质量。成纤维细胞生长因子21也参与该轴。此外,该轴可以通过较低的瘦素信号调节。因此,热量限制似乎部分通过以生长激素/胰岛素样生长因子1非依赖性的方式调节白色脂肪组织中的线粒体数量和质量来诱导有益作用。
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引用次数: 0
A case of diffuse goblet cell adenocarcinoma of the appendix showing carcinoid-like expansion. 阑尾弥漫性杯状细胞腺癌一例,表现为类癌样扩张。
IF 2.2 4区 医学 Q2 Medicine Pub Date : 2023-10-01 Epub Date: 2023-09-01 DOI: 10.1111/pin.13363
Daichi Yamakawa, Shu Yuguchi, Arinobu Yoshinaga, Junichiro Ikeda, Masayuki Noguchi
To the Editor, Goblet cell adenocarcinoma (GCA) arises exclusively in the appendix and is a very rare tumor (0.3%–0.9% of appendectomies and 35%–58% of all appendiceal neoplasms). Consequently, the clinicopathological characteristics of GCA have rarely been reported. Historically, GCA has been confused with (typical) carcinoid tumor of the appendix. GCA was first reported as “goblet cell carcinoid (GCC)” by Subbuswamy et al. in 1974 and considered an amphicrine tumor with histopathologic and immunohistochemical features that overlap between typical carcinoid and adenocarcinoma. As a result of historical ambiguity, GCA has been referred to under various names, such as GCC, mucinous carcinoid, adenocarcinoid, and crypt cell carcinoma. Currently, GCA is considered to develop from multipotential crypt stem cells, and is treated as a distinct tumor with a histogenesis different from (typical) carcinoid tumor, which is thought to develop from subepithelial neuroendocrine cells of neural crest derivation. Recently, it was finally classified as GCA and is now an independent epithelial tumor of the appendix (World Health Organization (WHO) classification, 5th Ed). Although few papers have examined multiple cases of GCA, Tang et al. examined 63 cases of GCA and signet ring cell carcinoma in 2008 and classified GCC on the basis of histologic characteristics including the arrangement of the goblet cells, the degree of atypia, and the degree of desmoplasia. GCC is classified into three categories: typical GCC (group A), adenocarcinoma ex‐GCC, signet ring cell (group B), and adenocarcinoma ex‐GCC (group C). Clinicopathologically, the mean overall survival for the three categories has been reported to be 199, 43, and 31 months, with 5‐year overall survival rates of 100%, 36%, and 0%, respectively. According to the classification, typical GCC (group A) has an extremely favorable prognosis compared with the adenocarcinoma groups (groups B and C), and typical GCC (Group A) can be dealt with as a benign counterpart of GCA. Therefore, GCC seems to clinicopathologically mimic (typical) carcinoid tumor. However, the WHO have classified GCA using a consecutive grading system (Grades 1, 2, and 3) and have not set a benign counterpart of GCA. Here we describe a case of GCA (Grade 1) without any mucosal element and showing subepithelial diffuse proliferation. The patient was a 48‐year‐old Japanese woman who presented with pain in the right lower abdomen. Laboratory examinations revealed no abnormalities except for an elevated C‐reactive protein level. Abdominal CT showed no masses or urinary stones. She was diagnosed clinically as having acute appendicitis and underwent appendectomy. Macroscopically, the resected appendix was 10 cm in length with a wall thickness of 6mm. No palpable mass or tumorous lesion was evident in the specimen. The mucosal surface was flat with no evident tumorous lesion, stones, ulcer or perforation, but mild erosion was evident (Figure 1a). After
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引用次数: 0
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Pathology International
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