論文 - 青木　大輔

子宮頸がん検診の現状と課題

青木大輔

東京都医師会雑誌 72 （ 3 ） 9 - 12 2019年03月

研究論文（学術雑誌）

がん検診における精度管理の考え方－アセスメントとマネジメントの関係性を踏まえて－

青木大輔，森定 徹

日本産科婦人科学会雑誌 71 （ 3 ） 449 - 458 2019年03月

研究論文（学術雑誌）, 共著

婦人科がん術後の残尿量測定において看護師による超音波断層法を受けた患者の主観的な評価 ―アンケート調査より―

宗 知美，高根沢美輝，粟津未紀，三浦美紀，田邊 愛，齋藤理恵，飯島美穂，渡部景都，堀川未来，片岡美樹，菊地敦子，野上侑哉，阪埜浩司，青木大輔

日本看護学会論文集　急性期看護 49   194 - 197 2019年03月

研究論文（学術雑誌）, 共著

Current status of uterine regenerative medicine for absolute uterine factor infertility

青木 大輔

Biomed Rep 10 （ 2 ） 79 - 86 2019年02月

研究論文（学術雑誌）, 共著

Gynecologic Cancer by Pyrosequencing the 16S Ribosomal RNA Gene Using Next-Generation Sequencing Technology

Nogami Y, Banno K, Adachi M, Kunitomi H, Kobayashi Y, Tominaga E, Aoki D

Infect Dis Obstet Gynecol 2019   9326285 2019年02月

研究論文（学術雑誌）, 査読有り

Current status of uterine regenerative medicine for absolute uterine factor infertility (Review)

Matoba Y., Kisu I., Sera A., Yanokura M., Banno K., Aoki D.

Biomed Rep 10 （ 2 ） 79 - 86 2019年02月

研究論文（学術雑誌）,  ISSN  20499434

　概要を見る

© 2019, Spandidos Publications. All rights reserved. Though assisted reproduction technology has been developed, a treatment for absolute uterine factor infertility (AUFI), such as defects in the uterus, has not yet been established. Regenerative medicine has been developed and applied clinically over recent years; however, whole solid organs still cannot be produced. Though uterine regeneration has the potential to be a treatment for AUFI, there have been only a few studies on uterine regeneration involving the myome-trium in vivo. In the present report, those relevant articles are reviewed. A literature search was conducted in PubMed with a combination of key words, and 10 articles were found, including nine in rat models and one in a mouse model. Of these studies, eight used scaffolds and two were performed without scaffolds. In four of these studies, scaffolds were re-cellularized with various cells. In the remaining four studies, scaffolds were transplanted alone, or other structures were used. Though the methods differed, the injured uterus recovered well, morphologically and functionally, in every study. Only 10 articles were relevant to our investigation, but the results were favorable, if limited to partial regeneration. Recently, uterus transplantation (UTx) has been investigated as a treatment for AUFI. However, UTx has many problems in the medical, ethical and social fields. Though the artificial uterus was also researched and some improvements in this technology were reported, it will take long time for this to reach a clinically applicable stage. Though the results of uterine regeneration studies were promising, these studies were conducted using animal models, so further human studies and trials are needed.

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Profiling of the Causative Bacteria in Infected Lymphocysts after Lymphadenectomy for Gynecologic Cancer by Pyrosequencing the 16S Ribosomal RNA Gene Using Next-Generation Sequencing Technology

Nogami Y., Banno K., Adachi M., Kunitomi H., Kobayashi Y., Tominaga E., Aoki D.

Infect Dis Obstet Gynecol 2019   9326285 2019年02月

研究論文（学術雑誌）,  ISSN  10647449

　概要を見る

© 2019 Yuya Nogami et al. Background. Surgery for gynecologic cancer with lymphadenectomy and pelvic radiotherapy can produce lymphoceles that sometimes complicate with infection, resulting in abscesses. The true pathogenic bacteria of abscesses are not always found because of false-negative results due to administered antibiotics and difficulty with detection, including for anaerobic bacteria. Analyzing bacteria flora by next-generation sequencing (NGS) using 16S ribosomal DNA may reveal the true pathogenic bacteria in abscesses. This is the first report on causative pathogens for infectious lymphocele using this technology. Methods. The subjects were patients who developed infectious lymphocele after surgery for gynecologic cancer at our hospital from July 2015 to September 2016. NGS analyses of bacterial flora were performed using specimens preserved at -80°C. Two steps of PCR were performed for purified DNA samples to obtain sequence libraries. Processing of sequence data, including operational taxonomic unit (OTU) definition, taxonomy assignment, and an OTU BLAST search were performed. All patients gave written informed consent and the study was approved by the institutional research ethics committee. Results. Six patients underwent puncture and drainage. The result in most cases indicated a single causative pathogen, including Staphylococcus lugdunensis, Streptococcus dysgalactiae, Streptococcus equinus, Enterococcus saccharolyticus, and Escherichia coli. Conclusions. NGS revealed that the causative bacteria in lymphocele infection are normally a single strain, such as a surface Gram-positive coccus or enteric bacteria. Antibiotics should be chosen as appropriate for elimination of these respective bacteria.

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Current Progress in Uterus Transplantation Research in Asia.

Kisu I, Liu Y, Chen G, Song MJ, Chang CY, Koon TH, Banno K, Aoki D

Journal of clinical medicine 8 （ 2 ） E245 2019年02月

研究論文（学術雑誌）

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子宮頸がん検診へのHPV検査導入までの経緯とその運用－オランダ・オーストラリアの事例－

齊藤英子，河野可奈子，雑賀公美子，中山富雄，森定 徹，斎藤 博，青木大輔

日本がん検診・診断学会誌 26 （ 2 ） 139 - 146 2019年01月

研究論文（学術雑誌）, 共著

Current state and outlook for drug repositioning anticipated in the field of ovarian cancer

Kobayashi Y., Banno K., Kunitomi H., Tominaga E., Aoki D.

Journal of Gynecologic Oncology （Journal of Gynecologic Oncology）  30 （ 1 ） e10 2019年01月

研究論文（学術雑誌）, 共著,  ISSN  2005-0380

　概要を見る

© 2019. Asian Society of Gynecologic Oncology, Korean Society of Gynecologic Oncology. Ovarian cancer is the seventh most common cancer and the eighth most common cause of cancer mortality in women. Although standard chemotherapy is the established treatment for ovarian cancer, the prognosis remains poor, and it is highly anticipated that new drugs will be developed. New drugs, such as humanized anti-vascular endothelial growth factor monoclonal antibodies and poly ADP-ribose polymerase inhibitors, are expected to improve clinical outcomes of ovarian cancer. However, long-term, costly research is required to develop such new drugs, and soaring national healthcare costs are becoming a concern worldwide. In this social context, drug repositioning, wherein existing drugs are used to develop drugs with new indications for other diseases, has recently gained attention. Because trials have already confirmed the safety in humans and the pharmacokinetics of such drugs, the development period is shorter than the conventional development of a new drug, thereby reducing costs. This review discusses the available basic experimental and clinical data on drugs used for other types of cancer for which drug repositioning is anticipated to repurpose the drug for the treatment of ovarian cancer. These include statins, which are used to treat dyslipidemia; bisphosphonate, which is used to treat osteoporosis; metformin, which is used to treat diabetes; non-steroidal anti-inflammatory drugs; ivermectin, an antiparasitic agent; and itraconazole, an anti-fungal agent. These drugs will play an important role in future drug repositioning strategies for ovarian cancer. Furthermore, drug repositioning is anticipated to extend not only to ovarian cancer treatment but also to ovarian cancer prevention.

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Japan Society of Gynecologic Oncology guidelines 2017 for the treatment of uterine cervical cancer

青木 大輔

International Journal of Clinical Oncology （International Journal of Clinical Oncology）  24 （ 1 ） 1 - 19 2019年01月

研究論文（学術雑誌）, 共著,  ISSN  13419625

　概要を見る

© 2018, Japan Society of Clinical Oncology. The Japan Society of Gynecologic Oncology (JSGO) Guidelines 2017 for the Treatment of Uterine Cervical Cancer are for the purpose of providing standard treatment strategies for cervical cancer, indicating treatment methods currently considered appropriate for cervical cancer, minimizing variances in treatment methods among institutions, improving the safety of treatment and prognosis of diseases, reducing the economic and psychosomatic burden of patients by promoting performance of appropriate treatment, and enhancing mutual understanding between patients and healthcare professionals. The guidelines were prepared through consensus of the JSGO Guideline Committee, based on careful review of evidence gathered through the literature searches and in view of the medical health insurance system and actual clinical practice situations in Japan. The guidelines comprise eight chapters and five algorithms. The main features of the 2017 revision are as follows: (1) evidence was collected using a search formula and with cooperation of the Japan Library Association. The bibliographical search formula was placed at the end of the book; (2) regarding clinical questions (CQs) where evidence or clinical inspection in Japan was lacking, opinions of the Guidelines Committee were described as “proposals for future directions”; (3) cervical intraepithelial neoplasia (CIN) 3 and adenocarcinoma in situ (AIS) were treated as a cervical precancerous lesion; (4) the CQs of endoscopic surgery, radical trachelectomy, and sentinel node biopsy were newly added in Chapter 3, “primary treatment for stage IB–II cervical cancer”; and (5) the CQ about hormone replacement therapy after cancer treatment was newly established. Each recommendation is accompanied by a classification of recommendation categories based on the consensus reached by the Guideline Committee members. Here, we present the English version of the JSGO Guidelines 2017 for the Treatment of Uterine Cervical Cancer.

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特発性血小板減少性紫斑病（ITP）を合併した抗リン脂質抗体症候群（APS）に対し脾臓摘出および抗血栓療法にて生児を得た1例

葉室明香，吉政佑之，升田博隆，丸山哲夫，瀬田康弘，片倉慧美，富里祥子，三木史恵，内田明花，内田 浩，田中 守，青木大輔

東京産科婦人科学会会誌 68 （ 1 ） 48 - 52 2019年01月

研究論文（学術雑誌）, 共著

当院における静脈内平滑筋腫症（IVL）3症例の治療経験

桑名温子，辻 浩介，小林佑介，高橋孝幸，安康真由香，竹田 貴，國富晴子、山上 亘，冨永英一郎，阪埜浩司，田中 守，青木大輔

東京産科婦人科学会会誌 68 （ 1 ） 107 - 114 2019年01月

研究論文（学術雑誌）, 共著

術中に回収したフィルム破片が術後にトロッカーのソフトバルブであると判明した1例

小林佑介，野村弘行，仲村 勝，山上 亘，林 茂徳，森定 徹，片岡史夫，冨永英一郎，阪埜浩司，青木大輔

東京産科婦人科学会会誌 68 （ 1 ） 69 - 72 2019年01月

研究論文（学術雑誌）, 共著

若年子宮体癌/子宮内膜異型増殖症に対する高用量黄体ホルモン療法の再発例の検討

北澤晶子，山上 亘，真壁 健，平野卓朗，坂井健良，千代田達幸，小林佑介，野村弘行，片岡史夫，阪埜浩司，進 伸幸，田中 守，青木大輔

関東連合産科婦人科学会誌 56 （ 4 ） 591 - 596 2019年

研究論文（学術雑誌）, 共著

　概要を見る

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Clinical application of photodynamic diagnosis and photodynamic therapy for gynecologic malignant diseases: a review

Matoba, Y., Banno, K., Kisu, I. and Aoki, D.

Photodiagnosis Photodyn Ther 24   52 - 57 2018年12月

共著,  ISSN  1572-1000

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子宮頸がん検診の精度管理の考え方

青木大輔

広島県臨床細胞学会誌 39   1 - 8 2018年12月

研究論文（学術雑誌）

難治性骨盤内炎症性疾患を呈した好酸球性胃腸炎の1例

玉川真澄，仙波宏史，山上 亘，高柳裕子，春日義史，小林佑介，冨永英一郎，田中　守，青木大輔

関東連合産科婦人科学会誌 55 （ 4 ） 453 - 458 2018年11月

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Current Status of Uterus Transplantation and Approaches for Future Clinical Application in Japan

Kisu, I., Banno, K., Matoba, Y., Adachi, M. and Aoki, D.

Transplant Proc 50 （ 9 ） 2783 - 2788 2018年11月

ISSN  0041-1345

　概要を見る

Uterus transplantation (UTx) has become an alternative to gestational surrogacy and adoption for women with uterine factor infertility (UFI). Brannstrom et al achieved the first human delivery after UTx in 2014, and to date a total of 8 babies have been born after UTx from living donors. This outcome has attracted much attention worldwide, and many countries are now preparing for UTx. There are an estimated 60,000 women of reproductive age with UFI in Japan, and these patients cannot have biological children because gestational surrogacy is forbidden in Japan. We have performed UTx research from 2009 using cynomolgus macaque, in preparation for clinical application of UTx for these patients to have a child, and we have accumulated a large amount of data. However, the UTx procedure still has many medical, ethical, and social issues that require discussion prior to clinical application. The Japan Society for Uterus Transplantation was established in 2014 for further discussion of these issues in Japan. UTx is still in the experimental stage overseas, and the safety and efficacy remain unclear, despite several clinical applications. Despite the many issues to be resolved, this organ transplantation technology will provide new hope for women with UFI, and further development of the technology is important for future reproductive and transplant medicine. In this article, we summarize the current status of UTx and the situation regarding future clinical application in Japan.

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Synchronous endometrial and ovarian cancer in Lynch syndrome with a MSH2 germline mutation: A case report

Takeda, T., Banno, K., Yanokura, M., Anko, M., Kobayashi, A., Sera, A., Takahashi, T., Adachi, M., Kobayashi, Y., Hayashi, S., Nomura, H., Hirasawa, A., Tominaga, E. and Aoki, D.

Mol Clin Oncol 9 （ 5 ） 479 - 484 2018年11月

ISSN  2049-9450

　概要を見る

Synchronous endometrial and ovarian cancer (SEOC) is a rare entity among gynecological cancers, which exhibits endometrioid histology in its early stages and generally has a good prognosis. However, diagnosis is difficult and recent reports have demonstrated that most clinically diagnosed cases of SEOC have clonally related cancers, indicating metastatic cancer. The association of SEOC with Lynch syndrome is also not clearly understood. We herein present the case of a 41-year-old SEOC patient with MSH2 mutation. The endometrial cancer was an endometrioid adenocarcinoma and the ovarian cancer was mainly endometrioid, but also included a clear cell carcinoma with a borderline clear cell adenofibromatous component, indicating primary ovarian cancer. Both tumors exhibited microsatellite instability (MSI) and loss of expression of MSH2 and MSH6. The patient had a family history of colorectal and gastric cancers. Genetic analysis revealed a germline mutation in exon 6 of MSH2 (c.1042C>T, p.Gln348*) and the patient was diagnosed with Lynch syndrome. This MSH2 mutation has only been registered in one case in the InSiGHT variant databases and has not been reported in a gynecological tumor or SEOC to date. This case is a rare example of a patient with genetically diagnosed Lynch syndrome who also developed SEOC. This synchronous cancer is not common, but it may be caused by Lynch syndrome. Testing for MSI and immunohistochemistry for mismatch repair deficiency is necessary in cases with suspected SEOC.

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