INTESTINE Vol.13 No.4(4-2)


特集名 いまこそde novo
題名 de novo癌の発育過程 (2)表面微細構造から
発刊年月 2009年 07月
著者 田村 智 田村クリニック胃腸科・内科
【 要旨 】 pit pattern と対応する腺管の三次元構造から,大腸腫瘍の発育進展について検討した.de novo 癌の代表である陥凹型腫瘍の腺管は,IIIS 型pit pattern を呈し,単離した腫瘍腺管の三次元構造は,正常腺管に似た単一腺管と,腺底部で裂開した腺管から成り立っていた事実から,陥凹型は腫瘍腺管が腺底部から裂開することにより腺管数が増加していくことで,腫瘍辺縁で正常腺管を圧排しながら発育していくと考えられた.
Theme Revaluation of de nove cancer
Title Morphogenesis of de novo cancer in relation to isolated crypts
Author Satoru Tamura Division of Gastroenterology, Tamura Clinic
[ Summary ] The goal of this study was to clarify morphogenetic development in relation to isolated crypts and pit patterns in colorectal neoplasms. The HCl-digestion method was used for crypt isolation.
In colorectal tumors with type IIIL pit patterns, isolated crypts of the protruded type displayed greater roughness with budding on their surface. Non-granular type laterally spreading tumors (LST-NG) with type IIIL pit patterns, isolated crypts displayed frontal formation, that is, the surface area was tumorous but bottom was non-tumor. Crypt orifices exhibiting type IIIS pit patterns revealed crypts with or without fission from the bottom. Colorectal neoplasms with depression enlarge throughthe process of crypt bifurcation in which a single crypt divides into two crypts. These results indicate that colorectal neoplasms with a depression enlarge through the process of "crypt fission" in which a single crypt divides into two crypts, LST-NG type neoplasms enlarge through the processof "top-down morphogenesis", and neoplasms with protrusion enlarge by the process of "budding".
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