This web site is conducted by Kennichi Kakudo, MD, PhD, professor emeritus of Wakayama Medical University and visiting professor of Kindai University, Faculty of Medicine, Japan. I am also a visiting professor of Shandon University and Taishan Medical University, China. It is designed for a personal communication with you to discuss one of the followings; 1) (to pathologists) about pathology and its future directions and case consultation, 2) (to patients) about your diagnosis and advises for your decision making, as a second opinion consultation and 3) (to physicians in the other fields), as consultation and quality control for your patients’pathology reports.
Although the most parts of this home page are written in Japanese, you may enjoy my English pages and my scientific publications written in English. Please send your comments and discussion to me at E-mail: kakudo@thyroid.jp

Second Opinion Consultation on Thyroid Diseases from Patients.
It is a well-known fact that there are severe observer disagreements in benign and malignant diagnosis of thyroid tumors (Hirokawa M, et al.: Observer variation of encapsulated follicular lesions of the thyroid gland. Am J Surg Pathol, 26:1508-1514, 2002 & Lloyd RV, et al.: Observer Variation in the Diagnosis of Follicular Variant of Papillary Thyroid Carcinoma. Am J Surg Pathol, 28(10):1336-1340, 2004). Although an accurate diagnosis is essential to ensure the most effective treatments, over-diagnoses and over-treatments are serious problems in some areas including thyroid tumors (Esserman LJ et al: Addressing overdiagnosis and overtreatment in cancer: a prescription for change. Lancet Oncol, 15:234-242, 2014.). Second opinion consultation will solve some of the problems and lead you to most proper treatments with confidence.

How to get a second opinion from Dr Kakudo.
Ask your doctor to obtain a second opinion from Dr Kakudo showing this HP ( http://www.kakudok.jp/english/ ), and then your physician or hospital send me your histological slides and a case summary to the following address. As no official request form prepared in this HP, please includes followings in your request letter; 1) contact address, E-mail address and names where my second opinion diagnosis should be sent, 2) patient name, date of birth, and PDFs (copies) of pathology reports (first opinion) together with histological slides, 3) a case summary including clinical diagnosis and medical history of the patient, 4) questions and points where you (patient) most concern and 5) address the histological samples should be returned.
(Gross photos of resected specimens and image files such as ultrasound, CT or MRI are desirable but not must.)
Address where samples and request should be sent.
K. Kakudo, MD, PhD
Nishitomigaoka 3-11-2,
Nara-city, Nara, 631-0006 Japan.
E-mail: kakudo@thyroid.jp
Consultation Fee: $200.00(Two hundred US dollars).
Please transfer above sum to
The Bank of Tokyo-Mitsubishi UFJ, Ltd, Japan (bank code: 0005).
Account holder: Kakudo Kenichi
Account number: 5054926 and branch number: 458 (Kintetsu-Gakuenmae branch).
After confirmation of receipt, the samples will be returned to the address you indicated.


International Thyroid Cancer Symposium was held at the IRCAD in Taiwan on October 4, 2015.

Please find the following link for my presentation, and my title is “Classification of the thyroid follicular cell tumors – identification of borderline lesions-”.
Things usually move very slowly but sometimes the change may occur dramatically. Pathology is a very old science and usually stable and immutable, however we are facing to an epoch making drastic change in diagnosis of thyroid tumors. This is my history of diagnostic criteria for encapsulated follicular variant papillary carcinoma. The pathology diagnosis is no longer a gold standard for cancer diagnosis in thyroid tumors. You will find it in my lecture.



The 55th Annual Meeting of the Japan Thyroid Association

Centennial of Hashimoto Disease International Symposium I ”Future Perspective of Thyroid Autoimmunity”

2012.12.1 ACROS Fukuoka B2F Event Hall

[Session 5]

Chairs:
Yuji Nagayama (Nagasaki University Graduate School of Biomedical Sciences, Japan)
Wilmar M.Wiersinga (University of Amsterdam, The Netherlands)

Speakers:
3)IgG4 Thyroiditis and Fibrotic Variant of Hashimoto’s Disease
Kenich Kakudo, Yaqion Li
(Department of Medical Technology, Kobe Tokiwa University, Japan
Department of Human Pathology, Wakayama Medical University, Japan)

 

Recent Posts

Differences of Clinical Managements between Asia and Western Countries.

2017/11/23

Education in medical school should be the same among countries and medical science should be the same in any countries. However, medical practice is not the same among countries due to different economic condition and different ratial back ground. I found one more important factor impacts on clinical managements of patients, and it was different logic and way of thinking among us. I wrote how it was different between Asian countries’ practice and western countries’ practice in the following two publications. I believe these differences count very much for patients. They are free access and please visit them if you are interested in.
  1. Kakudo K, Higuchi M, Horokawa M et al.: Thyroid FNA cytology in Asian practice – Active surveillance for indeterminate thyroid nodules reduces overtreatment of thyroid carcinomas. Cytopathology 2017; Nov 2. doi: 10.1111/cyt.12491. [Epub ahead of print]

  2. Kakudo K: How to handle borderline/precursor thyroid tumors in management of patients with thyroid nodules. Gland Surg 2017. doi: 10.21037/gs.2017.08.02

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Qilu Friendship Award

2017/11/22

I would like to share with you about my recent news from China, http://mp.weixin.qq.com/s/Kvr9fAy2TFvH08GLSuwLWQ .  It is a great honor to have such a prestigious award, Qilu Friendship Award, from Shandon province. During my 20 years chairmanship of Department of Human Pathology, Wakayama Medical University, I received 11 Chinese PhD students, visited Shandon University more than 10 times and promoted in exchange medical students between the 2 universities. I am happy to know these efforts were appreciated in this friendship award.

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Special Issue in J Pathol Translational Medicine

2017/11/22

The Working Group of Asian Thyroid FNA Cytology had several projects and one of them become visible.  I would like to announce a special issue of Journal of Pathology and Translational Medicine on Current Practices of Thyroid Fine-Needle Aspiration in Asia (http://jpatholtm.org/current/?vol=51&no=6​).  Nine authors from our Working Group published their practices introducing their practice in details. I believe this special issue will be a good sources in the future when refere thyroid practice in Asian countries.

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