Publications by authors named "Yasuyoshi Ishii"

Article Synopsis
  • The study focuses on reflex cytology, particularly the role of prominent nucleoli in immature metaplastic squamous cells (IM), which may be misinterpreted in diagnoses.
  • Researchers aimed to identify human papillomaviruses (HPVs) in IM clusters found in cervical intraepithelial neoplasia 2 (CIN2) using Pap smears from 32 patients.
  • Findings showed that HPV-positive IM clusters had a significantly larger median nuclear area compared to HPV-negative clusters, suggesting that certain nuclear characteristics can indicate the presence of neoplastic cells linked to HPV.
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This study aimed to investigate the optimal conditions for Papanicolaou (Pap) smear to increase the success rate of target cell isolation through manual microdissection (MMD) and prevent cell spread. Pap smears were prepared using an HPV42-positive SurePath™ liquid-based cytology case, and 46 and 50 koilocytes were used in wet and dried Pap smears, respectively, to verify the success rate of target cell isolation using MMD based on the HPV detection rate. During MMD, the microscopic examination of both specimens revealed that cells in dried smears could be easily identified; however, cell debris remained in the surrounding area after MMD.

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Article Synopsis
  • The study investigates how different types of human papillomavirus (HPV) prefer to infect specific tissues, focusing on high-risk (HR) and low-risk (LR) HPV types.
  • It was found that HR types are commonly found in cervical samples, while all LR types were exclusively located in vaginal samples, suggesting distinct infection sites for each.
  • This preference for certain tissues may play a significant role in the risk of developing cervical cancer and its progression to malignant states.
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Cornflake artifacts are artifacts that commonly occur while the mounted medium starts to evaporate before coverslipping. This study aimed to determine factors contributing to the occurrence of these artifacts in Papanicolaou (Pap) smears. Residual specimens were used after cytology to microscopically evaluate various effects on cornflake artifacts.

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Introduction: The morphology of high-grade squamous intraepithelial lesion (HSIL) on Papanicolaou (Pap) smears widely varied, including syncytial aggregates, sheets, and scattered single cells, and no particular cellular pattern is consistently observed. Therefore, this study aimed to determine whether the menstrual cycle affects the cellular pattern of HSILs, an effort to avoid false negatives due to the oversight of scattered small single HSIL cells in the cytological triage of human papillomavirus-positive women.

Methods: A total of 147 HSIL samples of liquid-based cytology (LBC) in patients with cervical intraepithelial neoplasia grade 2 or 3 were obtained, and then, the relationship between cellular patterns, such as single-cell-like and syncytial aggregates, and menstrual cycles classified into six phases was analyzed.

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Objectives: False-negatives on cytology may be observed during follow-ups for patients with persistent cervical intraepithelial neoplasia (CIN); however, the underlying reasons are unknown, and the relationship between the intra-individual variability of false-negatives and the menstrual cycle phase has not been elucidated. Therefore, this study aimed to determine whether the menstrual cycle influences cytological results to maximise the accuracy of such tests.

Methods: A total of 154 liquid-based cytological (LBC) samples were obtained during follow-ups for 26 patients with CIN, and the relationship between cytological results and the menstrual cycle, which was classified into six phases, was analysed.

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Human papillomavirus (HPV) testing using self-collected vaginal specimens is the preferred choice to increase screening uptake. Although the HPV testing results of these samples depend on the cells that naturally exfoliate from the cervical lesion and drift into the vagina, the mechanism of when and how these exfoliated cells mix with the self-collected sample remains unclear. Hence, the study aimed to clarify the relationship between the vaginal drift of HPV-infected cells exfoliated from the cervix, and the menstrual cycle.

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Article Synopsis
  • HPV infection is linked to cervical pre-cancer (CIN) and cancer, with a study using uniplex PCR detecting 37 HPV genotypes in 267 CIN cases.
  • Most CIN1 and more severe cases (CIN1+) were found to carry a single high-risk HPV type, particularly HPV16, while some CIN3 cases showed non-high-risk HPV34.
  • The study indicates different HPV genotypes are associated with CIN, but the presence of multiple HPV types doesn't seem to correlate with the severity of CIN.
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Koilocytes are considered a common cytopathological effect in patients with human papillomavirus (HPV) infection. Thus, we aimed to elucidate whether koilocytes are common to all HPV infections. Liquid-based cytology samples from 651 patients with abnormal Papanicolaou (Pap) test results were used to analyze the presence of koilocytes and HPV genotype.

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Article Synopsis
  • * Analysis of 247 ASC-H cases showed that 88% of cases had cervical intraepithelial neoplasia grade 1 or higher (CIN1+), while 12% were benign, with HPV present in all CIN1+ cases.
  • * Key differences in cell features, like marked hyperchromasia and thickened nuclear contours, help indicate the likelihood of CIN in ASC-H cases.
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Molecular orientation analysis in a single monolayer deposited on a glass substrate has been a difficult matter, since the glass substrate absorbs infrared rays so strongly that the measurements of infrared spectra are difficult to perform, and the single monolayer is not suitable for X-ray diffraction analysis because no periodical structure is available. When a thin glass is used as the substrate, in particular, the infrared analysis becomes more difficult, since optical fringes appear strongly on the absorption spectra due to the multiple reflections in the glass. In the present study, infrared multiple-angle incidence resolution spectrometry (MAIRS) has been employed to remove the fringes from the spectra of single- and five-monolayer Langmuir-Blodgett (LB) films of cadmium stearate deposited on a thin glass plate.

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