Department of Pathology,
Kurume University School of Medicine.

見つめ、考え、共に解き明かす。ここから始まる
病理の探究。

The Department of Pathology at Kurume University School of Medicine is committed to advancing medicine through pathological diagnosis, education, and research.

Since its establishment in 1928, the Department has contributed to the development of pathology, with particular strengths in liver pathology and tumor pathology. Today, we continue to pursue clinically relevant research while providing comprehensive education and training for medical students, residents, graduate students, and future pathologists.

Our Mission

Our mission is to:

  • provide accurate and reliable pathological diagnoses;
  • educate physicians who can think logically and critically;
  • conduct pathological research that contributes directly to clinical medicine;
  • train highly qualified pathologists who support regional healthcare; and
  • promote communication, collaboration, and critical thinking within the Department.

About Us

Message from the Professor and Chair

My name is Jun Akiba, and I was appointed Professor and Chair of the Department of Pathology, Kurume University School of Medicine, effective July 1, 2024.

It is a great honor to assume leadership of this distinguished Department, which has produced many outstanding pathologists and has earned a strong reputation both nationally and internationally. At the same time, I am keenly aware of the responsibility entrusted to me.

Our Commitment to Education

Pathology is the discipline of interpreting tissues and cells to understand what is occurring within a patient’s body. By establishing the basis for diagnosis and supporting decisions regarding treatment, pathology plays a fundamental role in modern medicine.

Pathologists are expected not merely to know the correct diagnosis, but also to explain why they have reached that conclusion. They must develop the ability to integrate individual findings and arrive at a diagnosis through logical and systematic reasoning.

This ability to “think pathologically” will become a valuable asset in clinical practice, regardless of the specialty that students and residents may ultimately pursue.

At the Department of Pathology, Kurume University School of Medicine, we are committed to providing careful instruction and a supportive learning environment in which students and residents can develop into physicians who think independently. We welcome questions, discussion, and the willingness to continue exploring difficult problems.

Our Commitment to Research

Our research philosophy is to pursue pathology-based studies that are directly relevant to medicine and genuinely beneficial to clinical practice.

Pathology is not only a diagnostic discipline but also a field that investigates the essential mechanisms of disease and contributes to the advancement of clinical medicine. Research findings should ultimately be translated into improved patient care.

Although scientific research is inevitably influenced by current trends, we also believe in addressing important clinical questions that have remained unresolved over many years. By actively mentoring medical students, residents, and graduate students, we aim to pass the Department’s academic tradition on to the next generation and produce research of international significance.

Our Approach to Departmental Management

We place importance on maintaining an appropriate balance among diagnostic practice, research, and education.

Our goal is to create an open and supportive working environment in which physicians, research assistants, technical staff, and administrative staff can make full use of their abilities.

The Department is guided by the principles of the 3Cs:

  • Communication
  • Collaboration
  • Critical Thinking

Through open communication, mutual cooperation, and objective discussion, we aim to build a healthy and sustainable academic department.

Contribution to Regional Healthcare

The Department supports regional healthcare by assigning pathologists to hospitals in Fukuoka City and the Chikugo area.

We remain committed to educating and training highly qualified pathologists who can provide stable and reliable pathology services throughout the region. We also support pathologists working at affiliated hospitals so that they can perform their diagnostic responsibilities with confidence.

History of the Department

  1. The former First Department of Pathology was founded in 1928, when Kurume University was established as the Kyushu Medical College.
  2. The Department was led successively by Professor Michimoto Yokoyama, Professor Michio Hashimoto, Professor Kentaro Hieda, and Professor Toshiro Nakashima.
  3. Professor Nakashima conducted extensive studies of hepatocellular carcinoma and portal hypertension, primarily using autopsy materials. Through detailed observations of vascular cast specimens created by injecting colored contrast media into blood vessels, he clarified the hemodynamics of hepatocellular carcinoma and esophageal varices. His work established liver pathology as one of the Department’s major academic fields.
  4. Under Professor Masamichi Kojiro, the fifth Professor, the main focus of research shifted from autopsy specimens to surgically resected specimens as the number of resectable hepatocellular carcinomas increased. Professor Kojiro identified “early hepatocellular carcinoma” as a distinct disease entity and established evidence-based pathological criteria for its diagnosis. This concept became widely recognized both in Japan and internationally and had a major influence on the diagnosis and study of liver cancer.
  5. Professor Hirohisa Yano, the sixth Professor, established numerous original cell lines derived from primary liver tumors. Using these cell lines and advanced analytical technologies, he produced important research findings and identified clinically relevant biomarkers. Research activities subsequently expanded beyond hepatocellular carcinoma to tumors of the biliary tract, pancreas, head and neck, skin, and kidney.
  6. The Department is currently led by Professor Jun Akiba, the seventh Professor, together with faculty members, graduate students, research assistants, technical staff, and administrative staff.

Our Activities

Diagnostic Pathology

We contribute to patient care through the pathological examination of:

  • surgical specimens;
  • biopsy specimens;
  • cytology specimens;
  • intraoperative frozen sections; and
  • autopsy specimens.

We also participate in multidisciplinary conferences with clinical departments and support treatment planning through pathological diagnosis.

Education

We provide pathology education for:

  • undergraduate medical students;
  • residents;
  • pathology trainees;
  • graduate students; and
  • physicians from affiliated hospitals.

Research

Our research includes clinicopathological, molecular, and translational studies of human diseases, with particular expertise in:

  • liver diseases and liver tumors;
  • biliary and pancreatic diseases;
  • hematolymphoid diseases;
  • neurological diseases;
  • gynecological diseases; and
  • tumors arising in various organs.

Education and Training

Pathology Residency Program

The Kurume University Pathology Residency Program is jointly organized by the Department of Pathology, Kurume University School of Medicine, and the Division of Diagnostic Pathology, Kurume University Hospital.

The program is designed to train well-balanced pathologists who possess not only diagnostic knowledge and technical skills, but also professionalism, communication skills, and an understanding of multidisciplinary medicine.

Trainees rotate through Kurume University Hospital and affiliated training hospitals over a three-year period. The program offers exposure to a wide variety of diseases, surgical pathology specimens, biopsy specimens, cytology specimens, intraoperative consultations, and autopsy cases.

Training Objectives

The program aims to develop pathologists who can:

  • provide accurate diagnoses based on a broad understanding of pathology;
  • evaluate surgical, biopsy, cytological, and autopsy specimens;
  • discuss diagnostic findings effectively with clinicians;
  • contribute to the quality and safety of medical care;
  • understand medical systems, ethics, and relevant regulations;
  • participate in education and research; and
  • contribute to regional healthcare.

Three-Year Training Program

Year 1
Foundations of Diagnostic Pathology

Trainees develop fundamental skills in surgical pathology, biopsy diagnosis, cytology, specimen dissection, autopsy pathology, clinical-pathological conferences, medical safety, and relevant legal and ethical issues. Training may begin at Kurume University or at one of the major affiliated hospitals.

Year 2
Development of Diagnostic Expertise

Trainees gain experience with more specialized and challenging cases under the supervision of board-certified pathologists. They participate in autopsy practice and clinicopathological conferences, organ-based diagnostic training, cytopathology, multidisciplinary conferences, and academic presentations.

Year 3
Advanced and Independent Training

Trainees work toward greater diagnostic independence and gain advanced experience in complex surgical pathology, specialized cytopathology, molecular pathology, intraoperative consultation, autopsy diagnosis, and clinical-pathological correlation. Required educational courses and preparations for the pathology board examination are completed during this period.

Training Options

  • Standard University-Based Pathway

    Training begins at Kurume University, followed by rotation through an affiliated hospital, and concludes with advanced training at the University or another training institution.

  • Affiliated Hospital-Based Pathway

    Training begins at a major affiliated hospital, followed by training at Kurume University and further rotation through affiliated institutions.

  • Graduate School Pathway

    Trainees may enter graduate school while continuing their pathology residency. This pathway enables participants to combine diagnostic training with research under academic supervision.

  • Pathway for Physicians from Other Specialties

    Physicians who already hold certification in another medical specialty may undertake a pathology training program combining university-based and affiliated-hospital training.

Clinical Experience

The training program provides experience in:

  • histopathological diagnosis;
  • cytopathology;
  • intraoperative frozen-section diagnosis;
  • autopsy pathology;
  • specimen handling and gross examination;
  • clinicopathological conferences;
  • multidisciplinary clinical conferences; and
  • molecular pathology.

The program includes numerous collaborating hospitals with different clinical strengths. This allows trainees to experience both highly specialized medical care and community-based medicine.

Academic and Research Opportunities

Trainees are encouraged to participate in national and regional pathology meetings and to present their own cases or research findings.

During the three-year training period, trainees are expected to present at least once as the first author or principal presenter at an academic meeting, such as the Annual Meeting of the Japanese Society of Pathology or the Kyushu–Okinawa Slide Conference of the Japanese Society of Pathology.

Trainees are also encouraged to develop their presentations into manuscripts for publication in Japanese or international medical journals. Research opportunities are available in parallel with diagnostic training. Trainees who are interested in academic careers may pursue graduate studies, domestic research training, or research experience abroad.

Subspecialty Training

Following or alongside general pathology training, trainees may receive advanced instruction in areas including:

  • hepatopathology;
  • biliary and pancreatic pathology;
  • hematopathology;
  • neuropathology;
  • gynecological pathology; and
  • other organ-specific fields.

Affiliated Training Hospitals

The residency program includes Kurume University Hospital and numerous affiliated institutions in Fukuoka, Kumamoto, Oita, and other areas.

These institutions provide different case profiles and educational opportunities, including university hospital practice, regional core hospital practice, cancer-specialized pathology, emergency and tertiary care pathology, community-based pathology, and pathology services at hospitals without full-time pathologists.

Contact

Department Department of Pathology, Kurume University School of Medicine
Address 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan
Telephone +81-942-31-7546
Fax +81-942-32-0905
Email 1pathology-krm-group@kurume-u.ac.jp
Inquiries Clinical training, graduate education, research opportunities, and visits to the Department