Publications by authors named "Hiromune Takada"

The present report describes the case of a 64-year-old woman with advanced lung adenocarcinoma expressing mutant epidermal growth factor receptor (EGFR). The patient developed follicular lymphoma during treatment with the EGFR-tyrosine kinase inhibitor afatinib. Standard immunochemotherapy for follicular lymphoma was introduced in addition to continuing treatment with afatinib for lung cancer.

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Background: Treatment modalities for small-cell lung cancer (SCLC) with pre-existing interstitial lung disease (ILD) are limited. Although re-challenge with first-line chemotherapy can be effective for sensitive relapse SCLC, its safety and efficacy are uncertain in cases with ILD. This study aimed to investigate both the efficacy and safety of re-challenge chemotherapy in patients with sensitive relapse SCLC with ILD.

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Article Synopsis
  • EGFR T790M mutations are common resistance mechanisms against early tyrosine kinase inhibitors, but osimertinib typically offers effective treatment for such cases.
  • A 68-year-old woman with lung adenocarcinoma and multiple mutations, including T790M, did not respond to osimertinib.
  • The case indicates that osimertinib might be less effective for patients with rare mutations like G719S, particularly when combined with T790M resistance.
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Anti-programmed cell death-1 (PD-1) agents enhance the antitumor immunoresponse. A number of reports have indicated that patients with malignancies who receive anti-PD-1 agents are at risk for tuberculosis (TB) infection. In this report, we present a patient with non-small cell lung cancer who developed pulmonary tuberculosis while receiving the anti-PD-1 agent nivolumab, and who subsequently demonstrated a paradoxical response (PR) 10 days after initiation of anti-MTB treatment.

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Background/aim: Osimertinib has demonstrated promising efficacy in patients with epidermal growth factor receptor (EGFR) T790M-positive non-small cell lung cancer (NSCLC). We investigated the efficacy of osimertinib in such patients presenting with pleural effusion, which has been unclear to date.

Patients And Methods: The medical records of all patients treated with osimertinib for advanced NSCLC with EGFR T790M between April 2016 and July 2017 at our Institution were retrospectively reviewed.

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Article Synopsis
  • * After relapse, a rebiopsy showed he had transformed to small cell lung cancer (SCLC) while still having the original exon 19 deletion.
  • * This case emphasizes that rebiopsy is crucial for detecting SCLC transformation as a resistance mechanism to EGFR TKIs, and that normal tumor marker levels do not rule out SCLC transformation.
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We report the case of a 41-year-old woman with schizophrenia who developed persistent hypoglycemia following paliperidone administration. After discontinuing paliperidone, the hypoglycemia resolved, but symptoms of diabetes emerged. Therefore, it appears that the hypoglycemia induced by paliperidone may mask symptoms of diabetes.

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