An experimental study of chondrogenesis and osteogenesis in rat submandibular gland induced by implantation of demineralized dentin

Demineralized dentin pieces were implanted in 18 rat submandibular glands to examine the chondrogenesis and osteogenesis in pleomorphic adenoma of the salivary gland. After 7 days of implantation, a large amount of cartilage tissue was found next to the inner portions of the implanted pieces, and small amounts of the osteoid and cartilage tissues were detected next to the outer portions. A small amount of bone tissue was found in contact with the cartilage 10 days after the implantation. In the inner portions, invasions of capillaries and a small amount of osteoid tissue were noted. These histological findings resembled those of endochondral ossification. Large amounts of bone tissue and resorption of the implant were observed after 14 days. It has been suggested that cartilage and bone are produced by bone morphogenetic proteins (BMP) in demineralized dentin resulting in chondrogenesis followed by osteogenesis in submandibular gland. Apparently, undifferentiated mesenchymal cells are produced by implantation, undergo dedifferentiation, and are redifferentiated into chondroblasts and osteoblasts in the presence of BMP. These results suggest that chondrogenesis and osteogenesis in the submandibular gland are induced by BMP. It is possible that the chondroid tissues in pleomorphic adenoma of the salivary glands are induced by proteins such as BMP.

Freeze-fracture studies of salivary glands

Freeze-fracture electron microscopy was employed to study the general morphology, membrane fusion during exocytosis, intercellular junctions in adult and developing salivary glands, and morphological changes of intercellular junctions in secretory stimulation and neoplastic disorders. Intramembranous particles distributed on plasma membranes and organelle-membranes were determined on the basis of particle density per unit. Relationship between distribution and density of particles and functions of membranes and organelles was discussed. Fused membranes took the form of smooth areas of intramembranous particles free on the PF face in the submandibular acinar cells induced by isoproterenol stimulation. The sequence of membrane fusion during secretion was discussed from these freeze-fracture observations. Tight junctions which limited solute diffusion between adjacent cells formed continuous belts around the juxtaluminal region of plasma membrane. Their permeability function was regulated by the number and the geometrical pattern of the tight-junctional strands. The junction appeared late during gestational life, and its development and morphology correlated with the establishment of electrochemical tightness. Similarity in the location and morphology between developmental and neoplastic conditions might indicate reflect the function and degree of cytodifferentiation in salivary gland. Gap junctions were detected as clusters of particles, representing voltage-regulated intercellular channels connecting adjacent cells. The junctions were developmentally regulated, and their size and frequency correlated with the functional activity and with cytodifferentiation in neoplastic disorders. Desmosomes, which appeared as round or elongated clusters of particles, provided the mechanical stability necessary to maintain the organization of acini and ducts.

Osteogenic activity of cells from dental pulp, periodontal ligament, bone marrow and muscle in vitro: an ultrastructural study and alkaline-phosphatase activity

Dental pulp, periodontal ligament, bone marrow and muscle tissue from the same rat were cultured in vitro in order to investigate their osteogenic activity by transmission electron microscope. Immunohistochemical methods with various antibodies were utilized and alkaline-phosphatase (ALPase) activities of these cells were also measured biochemically. Dental pulp cells were stellate in shape, showed an intense ALPase reaction, and had lipid-like droplets. Periodontal ligament cells were composed of spindle fibroblasts and epithelial cells. The former revealed a positive reaction for ALPase and possessed microfilaments. Bone marrow cells were spindle shaped, resembling fibroblasts, but some of them were similar to osteoblasts. Muscle cells were long, slender in shape, and showed no positive reaction for ALPase. The cells from pulp tissue showed the highest activity of ALPase, followed by periodontal ligament and bone marrow; there was no activity in muscle tissue. All the cells except the epithelial-like cells of the periodontal ligament and muscle cells were positive in reaction with ALPase which is a marker for osteogenic cells, and vimentin which is a marker of fibroblastic characteristics. Osteogenic activity and cellular differentiation of these cells were discussed.

Multiple dens invaginatus and cranio-vertebral abnormality

This paper reports a case of multiple dens invaginatus (DI) bilaterally involving the maxillary central incisors, mandibular canines, and first premolars. The patient was a 11-year-old boy with steeple-head and mild mental retardation. The maxillary central incisors showed disproportionately large crowns and short roots. A roentgenographic survey of the skeletal system showed a sutural hyperostosis of the skull at bregma and a hypoplastic cervical vertebra. The review of the literature yields 6 cases of multiple DI, including the present case; these can be classified into 2 types, cases of only DI and cases of DI with anomalies of skeletal and other systems. Morphological differences in the central incisors are found between these 2 types.

Ameloblastoma and its relationship to ameloblastic fibroma: their histogenesis based on an unusual case and review of the literature

The present paper describes the relationship between ameloblastoma and ameloblastic fibroma deduced from a case diagnosed as "ameloblastoma combined with ameloblastic fibroma" arising in the mandible of a 5-year-old boy. Histologically, the tumor consisted of ameloblastoma in the central area and ameloblastic fibroma in the peripheral area; it clinically fits the characteristics of ameloblastic fibroma based on predominant age, manner of growth, and encapsulation. We reviewed the literature and discussed the relationship between ameloblastoma a ameloblastic fibroma in terms of tumorigenesis. It is assumed that ameloblastic fibroma can also be transformed into ameloblastoma, if the succeeding hard tissues are not formed, and the collagenous connective tissue substituting for the stromal mesenchymal tissue is formed by the inductive effect of the epithelial strands or other unknown factors. Several possibilities relative to the pathogenesis of ameloblastoma have been proposed by oral pathologists; however, to our knowledge, "ameloblastic fibroma can be transformed into ameloblastoma" has not hitherto been reported. The case we experienced here may be thought as an intermediate tumor pattern between ameloblastic fibroma and ameloblastoma.

Vacuoles and vesicles in the rat junctional epithelium: a study with serial ultrathin sections

To investigate whether the electron-lucent structures resembling vesicles and vacuoles in the rat molar junctional epithelium (JE) are in fact intracellular or extracellular, a study using serial ultrathin sections was carried out. In one series of experiments, the animals were not treated before the tissues were conventionally fixed; in another, anesthetized animals were administered horseradish peroxidase 20 min before the tissues were fixed. A large number of electron-lucent structures resembling vesicles and vacuoles were detected in both the peripheral and central cytoplasm of the JE localized at enamel and connective tissue sites. These were 70 to 800 nm in diameter and had a lucency similar to that of the extracellular space in untreated specimens fixed with conventional fixative. Serial ultrathin sectioning revealed that the electron-lucent structures gradually became part of the extracellular space in the following sections. There were also found in the middle portion of the cytoplasm in specimens pretreated with horseradish peroxidase. Numerous vacuole-like structures containing peroxidase-positive materials were found to be contiguous with the extracellular space. A small number of vesicles, also containing peroxidase-positive materials, did not appear in the previous or following sections. These results indicate that almost all electron-lucent structures resembling vesicles and vacuoles in the JE are located at the end of a long infolding, and are still in contact with the extracellular space.

An ultrastructural study of the pocket epithelium in rats

The purpose of the present study was to elucidate the biological characteristics of pocket epithelium in experimental periodontitis. Elastic rubber was inserted between the first and second molars of the left maxilla in rats. The rubber was removed after one week, and the animals were sacrificed one week after the removal, i.e., two weeks after the insertion. Sections of the teeth and surrounding tissues were examined by electron microscopy. Periodontal pockets were evident between the tooth surface and epithelial cell layer in the coronal portion. A large number of bacteria surrounded by neutrophils were observed on the cementum surface in the pocket; however, no bacterial invasion could be seen in the epithelium. The epithelial cells were spilt in the central portion by invasion of neutrophils, so that one or two layers of surviving epithelial cells were present on the cementum surface. Numerous fenestrations of capillaries were found in the connective tissue immediately below the epithelium. These results suggest that the pocket epithelium is formed by an intercellular split of the epithelium, not between cementum surface and epithelium.

Induction of cartilage and bone formation by cells from explants of various oral tissues in vitro

Cells with both osteogenic and chondrogenic capabilities from various connective tissues, dental pulp, periodontal ligament, bone marrow, muscle and subcutaneous connective tissues of the rat were investigated by using either mineralized or demineralized bone and dentin matrix in vitro. After 28 days of the cell culture, explant cells were examined histologically. Bone and cartilage formations were assessed by counting their numbers in serial sections. Induction of cartilage was occurred only in muscle. New bone formation was occurred most frequently in dental pulp, followed in order by bone marrow and periodontal ligament. These results suggest that osteogenic cells, dental pulp, bone marrow stromal cells, and periodontal ligament can not response to inductive stimuli such as the bone morphogenetic protein, BMP.

Blood coagulation findings and the efficacy of factor XIII concentrate in premature infants with intracranial hemorrhages

Coagulation findings were examined in 55 cases of neonatal intracranial hemorrhages (ICH). Marked decreases of the platelet count, fibrinogen, factor XIII (F XIII) activity, were observed in these cases. However, the relatively mild increases in the alpha 2-plasmin inhibitor activity, alpha 2-plasmin inhibitor.plasmin complex and fibrin/fibrinogen degradation products level were observed and only about one third of the cases showed abnormal values. In consideration of these coagulation findings, fifty-eight cases of premature infants were randomly divided into a treated group with a F XIII concentrate and a non-treated group. Thirty cases were administered within 6 hours after delivery to investigate the preventive effects against intraventricular hemorrhages (IVH). Compared in frequencies between both groups limited to the cases with a high risk of IVH, the frequency in the treated group was two out of 13 (15.4%), significantly low (p less than 0.05), while it was six out of eight cases (75.0%) in the non-treated group. From these results it was concluded that a F XIII concentrate is effective in the prophylaxis of IVH in premature infants.

Immunohistochemical study of basal cell adenoma in the parotid gland

Basal cell adenoma of the parotid gland was studied with immunohistochemical methods. We observed cells in the tumor with positive reaction to polyclonal keratin, prekeratin, monoclonal PKK-1, polyclonal S-100 protein, monoclonal S-100 protein (alpha), secretory component, actin and laminin. However, no cells which stained positively with monoclonal KL-1, amylase, carcinoembryonic antigen, or epithelial membrane antigen were recognized. From these immunohistochemical results and our ultrastructural observations reported previously, we conclude that the cells constituting the basal cell adenoma are ductal, myoepithelial, and squamous cells but not secretory ones. It is also suggested that the origins of basal cell ademona as well as those of pleomorphic and clear cell adenoma are undifferentiated cells of intercalated duct.

Congenital fibrous epulis: an undescribed fibrous lesion studied immunohistochemically and ultrastructurally

Histological, immunohistochemical, and ultrastructural studies were done on a case of congenital gingival tumor with previously undescribed histopathological findings. The present lesion clinically mimicked a congenital epulis (congenital gingival granular cell tumor); however, it histologically consisted of densely packed collagen fibers forming numerous, well demarcated bundles surrounded by flattened cells with long slender cytoplasmic precesses. Immunohistochemical and ultrastructural findings suggested that these flattened cells embracing collagen bundles were fibroblastic in nature. Intracytoplasmic lysozomal granules could not be found in any cells of the lesion. Fibrous lesions similar to the present case have not been documented previously in the literature.

Regeneration of periodontal tissues following experimentally induced periodontitis in rats: a comparison of sucrose-rich and conventional diets

The purpose of the present study is to elucidate influences of diet on periodontal regeneration following experimental periodontitis in rats. S-D rats were divided into two groups, which were fed either a conventional diet (group A) or a sucrose-rich diet (group B). Experimental periodontitis was produced by placement of elastic bands between maxillary molar teeth. After one week, the elastic bands were removed and the animals were sacrified by perfusion fixation with formalin immediately, 1, 3, or 5 days, or 1, 2, 3, 4, 6, or 8 weeks after the removal. Sections of the teeth and surrounding tissue were examined by light microscopy. Three days after the removal, in both groups, granulation tissues with many inflammatory cells were covered by epithelial cells; the attachment site to the root surface was located more apically than the cemento-enamel junction. Distinct periodontal pockets were formed by five days after the removal in group A. In group B, the infiltrations of inflammatory cells were more prominent than in group A. Six weeks after the removal in both groups, an epithelium which resembled long junctional epithelium rather than pocket epithelium became thicker. Eight weeks after the removal, the findings were similar to those of six weeks in group A. However, a severe inflammatory cell concentration was found in group B. These results suggest that periodontal wound healing is markedly influenced by diet, and that this experimental system is useful for studying dynamic changes in both pocket and long junctional epithelia.

[Statistical study of epulis, especially in general pathology]

This report contains a statistical study of 874 cases of epulis diagnosed by the Department of Pathology of Tokyo Dental College from 1966 to 1986. 1. Of the 874 cases, 344 were epulis fibrosa, 217 were epulis granulomatosa, 78 were epulis fibromatosa, 74 were epulis fibrosaosteoplastica, 51 were epulis hemangiomatosa, 43 were epulis fibrosa teleangiectaticum, 15 were epulis cementoplastica, 14 were epulis osteomatosa, 3 were congenital epulis, 2 were giant cell epulis, and 1 was epulis cementomatosa. 2. As has been reported in other literature, there is a marked tendency for this condition to occur in females (331 male cases and 539 female cases). 3. Our data indicate a higher occurrence rate in people in their fifties, although the occurrence rates were similar in people in their twenties and in people in their sixties. 4. The epulis was observed most frequently in the maxillary incisor region.

An experimental study of osteogenesis in explants of rat dental pulp, periodontal ligament, bone marrow and muscle cells in vitro

Cells of dental pulp, periodontal ligament, bone marrow and muscle derived from the same rat were cultured in vitro. Outgrowth of cells from these four explants were examined using phase-contrast microscope, light microscope and scanning electron microscope. Furthermore, cell lengths were measured randomly from SEM photographs and growth curves were plotted by calculating cell numbers. These cells had different morphology in both shape and length. The bone marrow cells showed the most rapid proliferation rate followed by muscle, periodontal ligament and most slowly in dental pulp cells.

Ultrastructure of basal cell adenoma in the parotid gland

Basal cell adenoma of the parotid gland was studied with electron microscopy. The cells constituting this tumor were divided into three types of epithelial cells; ductal, myoepithelial, and squamous cells. The ductal cells, which were polygonal and cuboidal in shape, formed a sometimes distinct lumen. Glycogen were recognized in the cytoplasm of these cells. The myoepithelial cells appeared as plasmacytoid cells which contained abundant microfilaments. The squamous cells were characterized by the presence of well-developed tonofilaments and desmosomes. However, no secretory cells could be found, although small, electron dense granules were detected in the cytoplasm of the ductal cells. The granules were unlike secretory granules in their size, number and location. In consideration of the presence of secretory and myoepithelial cells, we reviewed previously reported literature and discussed the identification of secretory granules. From our and other reported results, we tentatively concluded that the electron dense granules described as secretory granules are not intrinsic secretory granules. Further, we suggested that the cell types and the histogenesis of basal cell adenoma are analogous to those of both pleomorphic and clear cell adenomas.

A cytochemical study of dense granules in the rat junctional epithelium

To clarify the details of intracytoplasmic granules in the junctional epithelium (JE) of the rat gingiva, phosphotungstic acid (PTA) staining, acid phosphatase cytochemistry and zinc iodide-osmium (ZIO) staining were carried out. Condensing granules containing homogeneous electron-dense materials, measuring about 260 nm in diameter, have been observed at the peripheral cytoplasm of the JE. These granules reveal PTA-positive, ZIO-positive and acid phosphatase-positive staining. These results indicate that the granules contain glycoprotein, phospholipid, lipoprotein and lysosomal enzymes. From their composition and morphology, it is suggested that these granules in the JE may contribute secretory function and secrete glycoproteins or glycolipids. Although it is unclear whether the dense granules correspond to membrane-coating granules by our staining methods, it is surmised that, if the dense granules can engage in establishment of the barrier function, then this role is impeded by the large intercellular space in the JE.

[A statistical study of autopsies performed on cases of oral cancer: with reference to distant metastasis in tongue cancer]

1. A statistical survey of oral-cancer (tongue, maxilla, and mandible) patients on which autopsies were performed by the 2nd. Department of Pathology of Tokyo Dental College from 1964 to 1987 was carried out. Of a total of 18 autopsies in cases in which death resulted from tongue carcinoma, 11 subjects were male and 7 female. Average age was 63.4 years. This cancer occurred most frequently in individuals in the age group of 60 to 69 years. The lung was the most common (50%) site of distant organic metastasis; the next most common sites were the liver, the thyroid gland, and the diaphragm (11.1% each). Submandibular and cervical lymph nodes were the most common sites of lymphatic metastasis in cases of tongue cancer. These data were similar to those in previous reports. 2. An autopsy on a 57-year-old man who died of tongue cancer revealed a number of distant metastases in both organs and lymph nodes were reported. 3. The report includes a review of literature on distant metastasis in cases of tongue cancer.

Regeneration of periodontal tissues

To elucidate the regenerative capability of the periodontal tissues, we carried out two experiments: (1) Regeneration of the gingival tissue following gingivectomy in rats. Ultrastructurally, regenerating junctional epithelium was similar in morphology to that of untreated animals and appeared to attach to the enamel after five days. Basal lamina and hemidesmosomes were produced faster at the enamel interface than at the connective tissue interface. Gingival tissue was completely regenerated seven days after the gingivectomy. (2) Regeneration of the cementum, periodontal ligament, and alveolar bone following intradentinal cavity preparation in dogs. In the early stages, the cavity was filled with an exudate and granulation tissue. Seven days after the operation, osteoblasts and cementoblasts were arranged regularly on the cut surface of the alveolar bone and dentin, respectively. Newly formed bone and cementum, and periodontal ligament grew to resemble pre-existing bone and cementum after 28-42 days. From these results, it is suggested that the periodontal tissues have an extremely high capability of regeneration.

Morphological changes of intercellular junctions in the rat submandibular gland treated by long-term repeated administration of isoproterenol

Long-term repeated administration of isoproterenol (IPR) 2 mg/100 g bw, once daily for ten days, resulted in morphological changes in the intercellular junctions of rat submandibular glands, which were investigated by means of the freeze-fracture technique. A significantly increased number of tight-junctional strands was present. These junctional strands extended much deeper toward the basal membrane than those in normal acinar cells. The basal frontier strands that branched from the networks of tight junctions were elongated and had either free-endings or terminal loops, which were more frequently observed in the IPR-treated acinar cells than in untreated acinar cells. Some of the strands of tight junctions were connected to small gap junctions. The diameters of gap junctions were not significantly different from those of control acinar cells. However, smooth areas devoid of particles were found intermingling with the usual packed particles in irregularly shaped small gap junctions. There was no significant difference between the desmosomes of IPR-treated and untreated acinar cells, in terms of either morphology or distribution. These changes in junctional morphology in the IPR-treated acinar cells resemble those seen in salivary glands during development, and in some experimental conditions including tumorous changes.

Study of the selectivity of the impregnation of neurons by the Golgi method

The selectivity of the impregnation of neurons by the Golgi method was examined by comparing Nissl-stained specimens with Golgi-stained specimens in terms of the somatic orientation, cross-sectional area, and long and short axes of the soma in the ventromedial hypothalamic nucleus (VMH) and lateral hypothalamic area (LHA) of 5-week-old rats. With regard to somatic orientation, we made comparisons directly between the Nissl distribution pattern and the Golgi pattern. The two distribution patterns did not differ significantly in either VMH or LHA (Smirnov test, P greater than 0.05). For somatic cross-sectional area and diameter (long and short), a mean value of every 10% of the total frequency was estimated for each histogram; the histogram was segmented into 10 percentile frequency domains, and a mean value for each domain was estimated. A linear regression was calculated between Golgi mean values and Nissl's at the same place. By use of the linear regression, all of the observed values on Nissl sections for somatic cross-sectional area and diameter were transformed into their corresponding Golgi values. The frequency distribution of these transformed Nissl values was compared with that of the actually observed Golgi values. There was a high degree of similarity between the two distribution patterns in all regions examined for long and short diameters as well as cross-sectional area of the soma (Smirnov test, P greater than 0.05). These findings suggest that the sampling of VMH and LHA neurons in the Golgi method used in the present study is similar to the corresponding sampling in Nissl preparation.(ABSTRACT TRUNCATED AT 250 WORDS)

Nodular fascitis of the mandible in a child

Nodular fascitis is an unusual, tumor-like, proliferative, fibroblastic lesion with infiltrative properties. We describe a case of nodular fascitis appearing in the mandible of a 2-year-old boy. A brief review of the literature on this lesion arising from intra or perioral regions, and the importance of differential diagnosis for this lesions are discussed.

Kimura's disease and its relation to angiolymphoid hyperplasia with eosinophilia: report of three cases and review of the literature

Kimura's disease, eosinophilic granuloma of soft tissues, is a chronic inflammatory condition and appears as subcutaneous tumor-like nodules in the head and neck regions. Histopathologically, it is characterized by the presence of lymphoid follicles, marked infiltration of eosinophils, fibrosis and vascular proliferation. This disease occurring in the orofacial region is relatively rare, only 14 cases having been previously reported. We describe 3 additional cases of Kimura's disease and discuss these in relation to angiolymphoid hyperplasia with eosinophilia.

Morphometry of cytoarchitecture of the lateral hypothalamic area in the rat

The cytoarchitecture of the lateral hypothalamic area (LHA) in rats was studied with cresyl violet-stained coronal celloidin sections and with sections of the brain impregnated by a Golgi method. Unimodality was established in the frequency distribution histogram of both the somatic cross-sectional area of the LHA neurons and somatic shape (elongation and circularity). The predominant somatic orientation was in the dorsomedial-ventrolateral direction: bimodality of the frequency distribution of somatic orientation was denied. These findings suggest that the LHA neurons examined in the present study are not subdivisible on the basis of the somatic area, shape or orientation. Although the neurons were classified into eight types based upon the dendritic pattern, those in the LHA largely consisted of only three of them; Type III (dendrites extending in two directions along the long axis of soma), Type IV (three directions) and Type VIII (four directions) jointly accounted for 97.1 percent of the total neurons examined. This finding suggests that the parameter of dendritic pattern serves an important purpose in the typing of the rat LHA neurons. The orientation of intrinsic dendrites and intrinsic axons in the LHA has also been described.

The evaluation of a new synthetic pyrethroid pesticide (permethrin) for neurotoxicity

A new synthetic pyrethroid, permethrin, has recently been granted a registration by the United States Environmental Protection Agency. Permethrin and a large number of other chemicals of its type are expected to receive widespread use in the environment in the near future. Since the mechanism by which these compounds exert their toxic effect in insects (and at higher doses in mammals) is by disruption of the normal function of nervous tissue, a detailed morphologic evaluation of the nervous system was performed on rats from two long-term feeding studies conducted on permethrin. In this evaluation, examination of central and peripheral nervous plus examination of extensive morphometric data and teased myelinated fibers of distal sural and tibial nerves and of the maxillary division of cranial nerve V did not reveal any changes which could be attributed to the feeding of the pesticide.

Acinic cell carcinoma arising in the glossopalatine glands: a report of two cases with electron microscopic observations

Two cases of acinic cell carcinoma arising in the glossopalatine glands were examined with the electron microscope by means of conventional thin sectioning and freeze-fracturing. Light and electron microscopic observation revealed that the tumors consisted of three types of cells: serous-type, ductlike, and vacuolated cells. Serous-type cells had numerous secretory granules, some of which were discharged into the intercellular spaces. Ductlike cells were smaller, usually lacked secretory granules, and were similar to intercalated duct cells. Vacuolated cells had electron-opaque vacuoles in the cytoplasm. Our findings supported the hypothesis that acinic cell carcinoma may represent a neoplasm of multipotential duct cells which have differentiated mainly into granulated serous cells. Freeze-fracture images of this tumor revealed that tight junctions were composed of ten or more interlinked strands with elongation of basal frontier strands. These findings suggested that the junctional morphology of the tumor resembled that of developing salivary glands and was associated with the degree of cellular differentiation.

Intercellular junctions in odontoblasts of the rat incisor studied with freeze-fracture

The morphology and distribution of various types of intercellular junctions were investigated in young odontoblasts. Gap junctions were found between odontoblasts as well as between odontoblasts and fibroblasts in the dental pulp. The junctions between odontoblasts were larger and more numerous than those between odontoblast and fibroblast, suggesting that the former may play an important role in regulating cellular activity and the latter may provide a pathway of low electrical resistance between odontoblast and nerve fibres. Irregularly-shaped gap junctions appeared as small aggregations of particles associated with a particle-free area and may indicate that the junction might not yet have been completely assembled. Tight junctions were observed at the distal ends of the young odontoblasts, arranged to form small maculae or faciae occludentes rather than belt-like zonulae. It is therefore not likely that the junction contributes to barrier function in the young odontoblasts. Although structures resembling typical desmosome were recognizable, this type of junction in odontoblasts is properly termed a desmosome-like junction from its morphological peculiarities.

[Case of Borrmann III stomach cancer effectively treated by UFT therapy (co-administration of uracil and futraful)]

Through X-ray and endoscopic examination of stomach, a 77 year-old man, who complained of epigastralgia, he was diagnosed to have Borrmann III type gastric carcinoma on the antrum. The gastric biopsy specimen obtained from the tumor revealed to be well differentiated adenocarcinoma. Since the patient refused receiving surgical treatment, a combined administration of futraful and uracil (UFT therapy) was performed. 4 weeks after receiving UFT therapy, the patient became less aware of subjective symptom and the gastrofiberscopic picture showed smaller mass lesion compared to that of prior to the treatment. 8 weeks later, the tumor was remarkable reducing its size. When compared 14 cases of gastric carcinoma receiving UFT therapy with 26 cases receiving Futraful therapy (FT therapy), the UFT group responded more effectively than the FT group. In the UFT therapy, complete (CR) and partial response (PR) were obtained in 4 of 13 cases of gastric carcinoma with an effective rate of 30.8% according to the response criteria proposed by the Koyama-Saitoh group and with a Karnofsky scale of IA or better in 6 (42.8%) of 14 cases. On the other hand, in the FT therapy CR and PR were obtained in 5 of 26 cases with that of 19.2%, while a Karnofsky scale of IA or better was achieved in 6 (23.1%). As for 3 cases of PR in the UFT therapy the microscopic view of the biopsy specimen from gastric carcinoma showed well differentiated adenocarcinoma, which responded to the UFT therapy remarkably 4-5 weeks after receiving UFT therapy.