Current Status of Uterine Leiomyosarcoma in the Tohoku Region: Results of the Tohoku Translational Center Development Network Survey.

BACKGROUND: To prepare for a future clinical trial for improving the long-term prognosis of patients with uterine leiomyosarcoma (ULMS), we conducted a multi-institutional survey in the Tohoku region of Japan. METHODS: We conducted a retrospective cohort study between 2011 and 2014 in member institutions of the Tohoku Translational Research Center Development Network. RESULTS: A total of 53 patients with ULMS were registered in 31 institutions for the present survey. The median patient age was 56 years, 67.9% of the patients were postmenopausal, 88.7% had a performance status of 0 or 1, and only 6 patients (11.3%) showed preoperative evidence of malignancy. Although retroperitoneal lymphadenectomy was performed in only 26.4% of patients, 64.2% patients were identified as having FIGO stage 1 disease; 73.6% were eligible to undergo complete surgery. Among 36 patients who were treated with postoperative chemotherapy, 28 (77.8%) received docetaxel and gemcitabine combination therapy. The most frequent recurrence site was the lungs, and the median progression-free survival of all enrolled patients was 11.7 months. However, the median progression-free survival and the median overall survival in patients with stages III and IV disease were 3.4 and 11.4 months, respectively. CONCLUSION: Although ULMS was associated with a high rate of complete or optimal surgery, the long-term prognosis was poor. Effective postoperative therapy should be developed to improve the long-term prognosis of patients with ULMS.

Characterization of curved hair of Japanese women with reference to internal structures and amino acid composition.

The variation of hair curvature in Japanese women was quantitatively investigated and the structure of curved hair was characterized with transmission electron microscopy (TEM) and amino acid analysis. Two hundred and thirty Japanese women volunteers, aged from 10 to 70 years, were randomly selected. The evaluation of the volunteers' natural hair shape showed that 53% of Japanese women have straight hair, while the remaining 47% have curved hair (varying from a slightly wavy shape to a frizzy style). The average curl radius of the volunteers' hair was determined to be 4.4 +/- 2.3 cm, and ranged widely from 0.6 to 16 cm. The TEM observation of curved hair fiber revealed an inhomogenous internal structure between the outer and inner regions of the curved shape. In relation to the inhomogeneous structure of the curved hair, different amino acid composition of the hair keratin was observed between the outer and inner regions. Interestingly, these results of the TEM observation and the amino acid analysis are analogous to the difference between the ortho- and paracortical cells in wool fibers, suggesting the universal structure of curved mammalian hair.