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Ann Thorac Surg 2006;82:1904-1906
© 2006 The Society of Thoracic Surgeons


Case Reports

Autocrine Growth by Granulocyte Colony-Stimulating Factor in Malignant Mesothelioma

Motohiro Nishimura, MD, PhDa, Kyoko Itoh, MD, PhDb, Kazuhiro Ito, MD, PhDa, Masashi Yanada, MDa, Kunihiko Terauchi, MDa, Shinji Fushiki, MD, PhDb, Junichi Shimada, MD, PhDa,*

a Department of Thoracic Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
b Department of Pathology and Applied Neurobiology, Kyoto Prefectural University of Medicine, Kyoto, Japan

Accepted for publication February 2, 2006.

* Address correspondence to Dr Shimada, Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566 Japan. (Email: shimajun{at}beige.plala.or.jp).

We report the first case of a malignant mesothelioma expressing not only granulocyte-colony stimulating factor (G-CSF), but also its receptor. A 59-year-old male carpenter underwent a panpleuropneumonectomy, but the tumor relapsed and spread rapidly, accompanied by leukocytosis. The white blood cell count reached 147,000/mm3 (96.2% neutrophils), and the concentration of serum G-CSF was 77 pg/mL. An autopsy demonstrated that some of the tumor cells produced G-CSF, but more tumor cells and endothelial cells in the tumor expressed G-CSF receptor. It was hypothesized that an autocrine loop involving G-CSF and the G-CSF receptor greatly accelerated the tumor growth.







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