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Hisao Kawamura

Publications and source records attributed to Hisao Kawamura.

4 recordsLinked to original sources

Cytokeratin 20-positive large cell neuroendocrine carcinoma of the colon.

Herein is presented a case of cytokeratin (CK) 20-positive large cell neuroendocrine carcinoma of the colon, in which the tumor was clinically at stage IV and located in the ascending colon. Pathological examination of the resected tumor revealed nested and solid proliferation of large undifferentiated cells with vesicular nucleus and prominent nucleoli. No areas showed differentiation toward adenocarcinoma or squamous cell carcinoma. Tumor cells were immunohistochemically positive for chromogranin A, synaptophysin, CD 56 (focal), and bore electron-dense granules. With these features, the tumor was diagnosed as a large cell neuroendocrine carcinoma of the colon. Liver metastasis and local recurrence progressed, and the patient died of the primary disease 7 months after operation. The autopsy confirmed this diagnosis without detectable tumors in the lungs. Interestingly, more than half of the tumor cells were positive for CK 20, while CK 7 was not expressed. Most neuroendocrine carcinomas do not express CK 20, with the exception of Merkel cell carcinomas, and most colorectal adenocarcinomas express CK 20. To the best of the authors' knowledge, the present case is the first CK 20-positive, CK 7-negative colorectal neuroendocrine carcinoma to be described, suggesting a link between colorectal neuroendocrine carcinoma and conventional adenocarcinoma.

Aged↗

Uranium concentration in typical Pakistani diet.

To strengthen the radiation protection infrastructure in Pakistan, the uranium concentration in daily diet was measured and its associated radiation risks were estimated for the adult population. Food samples were collected from major cities and districts of the country by the market basket method, from which daily diets were prepared. These diet samples were analyzed using inductively coupled plasma mass spectrometry (ICP-MS) at the National Institute of Radiological Sciences, Japan, the regional Central Reference Laboratory of the Reference Asian Man Project. The measured values of the uranium content were found to vary from 2.3 ng (g dry)(-1) to 11 ng (g dry)(-1). The geometric mean concentration and geometric standard deviation were 4.5 x//1.7 ng (g dry)(-1). This leads to a daily dietary intake of 2.6 x// 1.7 microg d(-1) or 33 x// 1.7 mBq d(-1), which is approximately 40% higher than the ICRP value. The measured value, i.e. 33 mBq d(-1), contributes 12 Bq y(-1) to annual intake of 238U activity and 0.54 microSv to the committed effective dose to the adult population. This is a very small fraction of the ICRP annual effective dose limit of 1 mSv for the general public. Therefore, it would pose no significant health hazard.

Diet↗

Dietary intake of essential minor and trace elements from Asian diets.

In view of the limited data available from the Asian region on the daily intake of nutritionally essential trace elements, a study was taken up, as part of a coordinated research project of the International Atomic Energy Agency, to estimate the daily dietary intake and organ content of some selected trace elements of importance in radiation protection, and also in nutrition. Nine Asian countries--Bangladesh, China, India, Indonesia, Japan, South Korea, Pakistan, Philippines, and Vietnam--which represented more than 50% of the world's population, participated in this study. Analysis of about 700 diet samples was carried out for four minor (calcium, potassium, magnesium, and sodium) and eight trace (chromium, cobalt, copper, iron, iodine, manganese, selenium, and zinc) elements using nuclear and other sensitive analytical methods employing neutron activation analysis (NAA), inductively coupled plasma mass spectrometry (ICP-MS), inductively coupled plasma atomic emission spectrometry (ICP-AES), and atomic absorption spectrometry (AAS) techniques. These samples consisted of the total cooked diet, market basket, duplicate diets, and 225 staple foods. Emphasis was placed on the quality assurance and harmonization of the sampling techniques to ensure quality data. Significant inter- and intra-country variations in daily dietary intake of various trace elements were observed. The maximum inter-country variation was observed for iodine intake (factor of more than 45), being highest for Japan and lowest for Pakistan. For iron, an important trace element, the variation between the intakes was by a factor of four being lowest for Vietnam and highest for Pakistan.

Adult↗

Estimation of daily micronutrient intake of Filipinos.

The Fourth National Nutrition Survey of the Food and Nutrition Research Institute conducted in 1993 showed an increasing prevalence of micronutrient-related diseases in various age groups. Hence, the daily diet consumed by the average Filipino was examined for its nutrient content. A total of 19 regional diet samples were collected and analyzed for phosphorous, iron, zinc, magnesium, manganese, calcium, potassium, and sodium by using inductively coupled plasma atomic emission spectrometry (ICP-AES). Iodine was determined by inductively coupled plasma mass spectrometry (ICP-MS). Benchmark data for the abovementioned micronutrients showed decreased intake values as compared to the recommended dietary allowance established in 1989. The information will be useful in assessing the existing nutritional status so that appropriate nutrient interventions can possibly be put in place.

Family Characteristics↗