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臨床婦人科産科69巻1号

2015年01月発行

文献概要

今月の臨床 ゲノム時代の婦人科がん診療を展望する─がんの個性に応じたpersonalizationへの道 【各論2】子宮体がん

1.子宮体がんにおけるMELFパターンの病理と臨床

著者: 三上芳喜1

所属機関: 1熊本大学医学部附属病院病理診断科(病理部)

ページ範囲:P.70 - P.74

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●類内膜腺癌はMELF(microcystic,elongated,fragmented)型浸潤を示すことがある.

●MELF型浸潤を伴う類内膜腺癌では,脈管侵襲,リンパ節転移(微小転移,ITC)の頻度が高いが,長期予後への影響は明らかでない.

●生物学的には,MELF型浸潤はEMT(epithelial-mesenchymal transition)を反映する現象である可能性がある.

参考文献

1) Murray SK, et al : Unusual epithelial and stromal changes in myoinvasive endometrioid adenocarcinoma : a study of their frequency, associated diagnostic problems, and prognostic significance. Int J Gynecol Pathol 22 : 324─333, 2003
2) Pavlakis K, et al : MELF invasion in endometrial cancer as a risk factor for lymph node metastasis. Histopathology 58 : 966─973, 2011
3) Stewart CJ, et al : MELF pattern invasion in endometrial carcinoma : association with low grade, myoinvasive endometrioid tumours, focal mucinous differentiation and vascular invasion. Pathology 41 : 454─459, 2009
4) Quick CM, et al : Low-grade, low-stage endometrioid endometrial adenocarcinoma : a clinicopathologic analysis of 324 cases focusing on frequency and pattern of myoinvasion. Int J Gynecol Pathol 31 : 337─343, 2012
5) Euscher E, et al : The pattern of myometrial invasion as a predictor of lymph node metastasis or extrauterine disease in low-grade endometrial carcinoma. Am J Surg Pathol 37 : 1728─1736, 2013
6) Stewart CJ, et al : Micro-anatomical variation in cellular proliferation in endometrial adenocarcinoma, and inverse correlation between Ki67 and cytokeratin 7 expression. Histopathology 57 : 46─54, 2010
7) Stewart CJ, et al : Cytokeratin 19 expression in normal endometrium and in low-grade endometrioid adenocarcinoma of the endometrium. Int J Gynecol Pathol 30 : 484─491, 2011
8) Stewart CJ, et al : CD147(EMMPRIN)and matrix metalloproteinase-2 expression in uterine endometrioid adenocarcinoma. Pathol Res Pract 207 : 30─36, 2011
9) Stewart CJ, et al : Galectin-3 expression in uterine endometrioid adenocarcinoma : comparison of staining in conventional tumor glands and in areas of MELF pattern myometrial invasion. Int J Gynecol Pathol 29 : 555─561, 2010
10) Stewart CJ, et al : Fascin expression in low-grade uterine endometrioid adenocarcinoma : correlation with microcystic, elongated and fragmented(MELF)-type alteration at the deep invasive margin. Histopathology 59 : 73─80, 2011

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1294

印刷版ISSN:0386-9865

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