4.5 Article

The prognostic impact of differentiation at the invasive front of biliary tract cancer

Journal

JOURNAL OF SURGICAL ONCOLOGY
Volume 117, Issue 6, Pages 1278-1287

Publisher

WILEY
DOI: 10.1002/jso.24946

Keywords

biliary tract cancer; invasive front of tumor; prognostic factor; surgical pathology; tumor differentiation

Funding

  1. Ministry of Health, Labour and Welfare of Japan
  2. JSPS KAKENHI Grant [22790624]
  3. Grants-in-Aid for Scientific Research [22790624] Funding Source: KAKEN

Ask authors/readers for more resources

BackgroundThe invasive front of tumor can provide prognostic information in many cancers. We investigated the prognostic morphological factors at the invasive front including tumor differentiation (Dif(inv)) and tumor budding (Bud) in biliary tract cancer (BTC). MethodsThe resected specimen from the 299 BTC patients were examined. Intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, gallbladder cancer, and ampulla of Vater cancer were found in 16%, 48%, 17%, and 19%, respectively. Dif(inv)grade (G) 3 and Bud foci 5 were found in 47% and 10%. Tumor with Dif(inv)G3 showed the high frequencies of Bud, vascular invasion (Ve) and nodal metastasis (LN) compared to tumor with Dif(inv)G1/2 (Bud: 21% vs 0%, Ve: 71% vs 50%, LN: 52% vs 36%). Multivariate analysis revealed that the independent predictors were Dif(inv)G3 (HR: 1.71), Bud foci 5 (HR: 2.14), Ve (HR: 1.56) and LN (HR: 2.59) in overall survival and were positive resection margin (HR: 1.71), Dif(inv)G3 (HR: 1.75), Ve (HR: 1.50), and LN (HR: 2.19) in relapse free survival. ConclusionPoor differentiation at the invasive front of tumor was associated with poor prognosis and early relapse in BTC patients.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Gastroenterology & Hepatology

Impact of pancreaticoduodenal arcade dilation on postoperative outcomes after pancreaticoduodenectomy

Yusuke Nakayama, Motokazu Sugimoto, Tatsushi Kobayashi, Naoto Gotohda, Shinichiro Takahashi, Masahiko Kusumoto, Masaru Konishi

Article Chemistry, Multidisciplinary

Dexamethasone Increases Cisplatin-Loaded Nanocarrier Delivery and Efficacy in Metastatic Breast Cancer by Normalizing the Tumor Microenvironment

John D. Martin, Myrofora Panagi, Chenyu Wang, Thahomina T. Khan, Margaret R. Martin, Chrysovalantis Voutouri, Kazuko Toh, Panagiotis Papageorgis, Fotios Mpekris, Christiana Polydorou, Genichiro Ishii, Shinichiro Takahashi, Naoto Gotohda, Toshiyuki Suzuki, Matthew E. Wilhelm, Vinicio Alejandro Melo, Sabina Quader, Jumpei Norimatsu, Ryan M. Lanning, Motohiro Kojima, Matthew David Stuber, Triantafyllos Stylianopoulos, Kazunori Kataoka, Horacio Cabral

ACS NANO (2019)

Article Gastroenterology & Hepatology

Relationship between pancreatic thickness and staple height is relevant to the occurrence of pancreatic fistula after distal pancreatectomy

Motokazu Sugimoto, Michael L. Kendrick, Michael B. Farnell, Shogo Nomura, Naoki Takahashi, Tatsushi Kobayashi, Shin Kobayashi, Shinichiro Takahashi, Masaru Konishi, Naoto Gotohda

Article Oncology

Plasma and tumoral glypican-3 levels are correlated in patients with hepatitis C virus-related hepatocellular carcinoma

Yasuhiro Shimizu, Shoichi Mizuno, Norihiro Fujinami, Toshihiro Suzuki, Keigo Saito, Masaru Konishi, Shinichiro Takahashi, Naoto Gotohda, Toshifumi Tada, Hidenori Toyoda, Takashi Kumada, Masahiro Miura, Kouzou Suto, Taiki Yamaji, Takahisa Matsuda, Itaru Endo, Tetsuya Nakatsura

CANCER SCIENCE (2020)

Article Medicine, Research & Experimental

Assessment of Upper Limb Physiological Features in Patients with Lymphedema After Breast Surgery Using Multiple Instruments

Motohiro Kojima, Chisako Yamauchi, Shunsuke Oyamada, Takashi Hojo, Satoru Iwase, Atsushi Naito, Kazuhiko Yamano, Shinichiro Takahashi, Atsushi Ochiai

LYMPHATIC RESEARCH AND BIOLOGY (2020)

Article Multidisciplinary Sciences

Area of residual tumor (ART) can predict prognosis after post neoadjuvant therapy resection for pancreatic ductal adenocarcinoma

Satoshi Okubo, Motohiro Kojima, Yoko Matsuda, Masayoshi Hioki, Yasuhiro Shimizu, Hirochika Toyama, Soichiro Morinaga, Naoto Gotohda, Katsuhiko Uesaka, Genichiro Ishii, Mari Mino-Kenudson, Shinichiro Takahashi

SCIENTIFIC REPORTS (2019)

Article Gastroenterology & Hepatology

Comparison of morphological features in lymph node metastasis between pancreatic neuroendocrine neoplasms and pancreatic ductal adenocarcinomas

Daigoro Takahashi, Motohiro Kojima, Ryo Morisue, Motokazu Sugimoto, Shin Kobayashi, Shinichiro Takahashi, Masaru Konishi, Naoto Gotohda, Masafumi Ikeda, Atsushi Ochiai

PANCREATOLOGY (2020)

Editorial Material Oncology

ASO Author Reflections: The Moment That BRAF V600E Mutation Starts Evolving into Precision Oncosurgery in Colorectal Liver Metastases

Shin Kobayashi, Shinichiro Takahashi, Takayuki Yoshino, Hiroya Taniguchi

ANNALS OF SURGICAL ONCOLOGY (2020)

Article Oncology

Survival Outcomes of Resected BRAF V600E Mutant Colorectal Liver Metastases: A Multicenter Retrospective Cohort Study in Japan

Shin Kobayashi, Shinichiro Takahashi, Naoki Takahashi, Toshiki Masuishi, Hirokazu Shoji, Eiji Shinozaki, Tatsuro Yamaguchi, Motohiro Kojima, Naoto Gotohda, Shogo Nomura, Takayuki Yoshino, Hiroya Taniguchi

ANNALS OF SURGICAL ONCOLOGY (2020)

Article Surgery

Neoadjuvant S-1 With Concurrent Radiotherapy Followed by Surgery for Borderline Resectable Pancreatic Cancer A Phase II Open-label Multicenter Prospective Trial (JASPAC05)

Shinichiro Takahashi, Izumi Ohno, Masafumi Ikeda, Masaru Konishi, Tatsushi Kobayashi, Tetsuo Akimoto, Motohiro Kojima, Soichiro Morinaga, Hirochika Toyama, Yasuhiro Shimizu, Atsushi Miyamoto, Moriaki Tomikawa, Norihisa Takakura, Wataru Takayama, Satoshi Hirano, Takehito Otsubo, Masato Nagino, Wataru Kimura, Keishi Sugimachi, Katsuhiko Uesaka

Summary: This study evaluated the effectiveness of neoadjuvant chemoradiotherapy (CRT) with S-1 in patients with locally advanced pancreatic cancer (BRPC). The results showed that S-1 and concurrent radiotherapy can effectively increase the R0 resection rate and improve survival in BRPC patients.

ANNALS OF SURGERY (2022)

Article Multidisciplinary Sciences

Objective assessment of tumor regression in post-neoadjuvant therapy resections for pancreatic ductal adenocarcinoma: comparison of multiple tumor regression grading systems

Yoko Matsuda, Satoshi Ohkubo, Yuko Nakano-Narusawa, Yuki Fukumura, Kenichi Hirabayashi, Hiroshi Yamaguchi, Yatsuka Sahara, Aya Kawanishi, Shinichiro Takahashi, Tomio Arai, Motohiro Kojima, Mari Mino-Kenudson

SCIENTIFIC REPORTS (2020)

Article Oncology

Relationship between surgical R0 resectability and findings of peripancreatic vascular invasion on CT imaging after neoadjuvant S-1 and concurrent radiotherapy in patients with borderline resectable pancreatic cancer

Sho Yasuta, Tatsushi Kobayashi, Hidetoshi Aizawa, Shinichiro Takahashi, Masafumi Ikeda, Masaru Konishi, Motohiro Kojima, Hirofumi Kuno, Katsuhiko Uesaka, Soichiro Morinaga, Atsushi Miyamoto, Hirochika Toyama, Norihisa Takakura, Keishi Sugimachi, Wataru Takayama

BMC CANCER (2020)

Article Gastroenterology & Hepatology

Clinical Utility of Histological and Radiological Evaluations of Tumor Necrosis for Predicting Prognosis in Pancreatic Cancer

Masashi Kudo, Tatsushi Kobayashi, Naoto Gotohda, Masaru Konishi, Shinichiro Takahashi, Shin Kobayashi, Motokazu Sugimoto, Satoshi Okubo, John Martin, Horacio Cabral, Genichiro Ishii, Motohiro Kojima

PANCREAS (2020)

Article Gastroenterology & Hepatology

Extrapancreatic Nerve Plexus Invasion on Imaging Predicts Poor Survival After Upfront Surgery for Anatomically Resectable Pancreatic Cancer

Motokazu Sugimoto, Tatsushi Kobayashi, Shin Kobayashi, Shinichiro Takahashi, Masaru Konishi, Shuichi Mitsunaga, Masafumi Ikeda, Naoto Gotohda

PANCREAS (2020)

Article Immunology

The potential application of PD-1 blockade therapy for early-stage biliary tract cancer

Kumiko Umemoto, Yosuke Togashi, Yasuhito Arai, Hiromi Nakamura, Shinichiro Takahashi, Tokiyoshi Tanegashima, Mikiya Kato, Tsubasa Nishikawa, Daisuke Sugiyama, Motohiro Kojima, Naoto Gotohda, Takeshi Kuwata, Masafumi Ikeda, Tatsuhiro Shibata, Hiroyoshi Nishikawa

INTERNATIONAL IMMUNOLOGY (2020)

No Data Available