Publications by authors named "Jun Wei Su"

Article Synopsis
  • The study focuses on the effectiveness and safety of a triple-targeted therapy (dabrafenib, trametinib, and osimertinib) for advanced non-small cell lung cancer (NSCLC) patients who developed a V600E mutation after initially responding to EGFR-TKI treatment.
  • A multi-center review of 13 NSCLC patients showed promising results, with an objective response rate of 61.5% and a disease control rate of 92.3%, alongside a median progression-free survival of 13.5 months.
  • The research also included patient-derived organoids to assess drug response and next-generation sequencing to identify resistance mechanisms, highlighting significant tumor growth inhibition with the triple-targeted therapy compared to other reg
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Background: Some studies of dual-targeted therapy (DTT) targeting epidermal growth factor receptor (EGFR) and mesenchymal-epithelial transition (MET) have shown promising efficacy in non-small-cell lung cancer (NSCLC). Consequently, patient management following DTT resistance has gained significance. However, the underlying resistance mechanisms and clinical outcomes in these patients remain unclear.

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Background: Mesenchymal-epithelial transition () amplification is a crucial oncogenic driver and a resistance mechanism to epidermal growth factor receptor tyrosine kinase inhibitors (TKIs) of non-small-cell lung cancer (NSCLC). Fluorescence hybridization (FISH) is the gold standard for amplification detection. However, it is inapplicable when tissue samples are unavailable.

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Background: For patients with lung malignancies with RET rearrangement, the efficacy of immune checkpoint inhibitors is limited. The characteristics of the tumour immune microenvironment (TIME) and molecular pathological features of these patients have not been well elucidated. We aimed to investigate their clinical outcomes and explore characteristics of TIME, using multiplex immunohistochemistry technology (mIHC).

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Objectives: De novo mesenchymal-to-epithelial transition (MET) gene fusions in non-small cell lung cancer (NSCLC) are a promising target for MET tyrosine kinase inhibitors (TKIs). We aimed to examine the response to targeted therapy with MET TKIs and resistance mechanisms in de novo MET fusion-positive NSCLC as these have not been comprehensively explored.

Materials And Methods: We examined the MET fusions in 4,429 patients with advanced-stage NSCLC using targeted next-generation sequencing and validated the results using RT-PCR.

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Predicting the clinical response to chemotherapeutic or targeted treatment in patients with locally advanced or metastatic lung cancer requires an accurate and affordable tool. Tumor organoids are a potential approach in precision medicine for predicting the clinical response to treatment. However, their clinical application in lung cancer has rarely been reported because of the difficulty in generating pure tumor organoids.

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Objectives: Transformed small-cell lung cancer (T-SCLC) has an extremely poor prognosis, and no remedies based on immunotherapy have been evaluated among T-SCLC patients. We retrospectively analysed the efficacy and safety of combining atezolizumab with chemotherapy for T-SCLC.

Methods: Forty-seven patients harbouring EGFR mutations who developed T-SCLC were enrolled.

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Objective: Cervical pregnancy is a rare type of ectopic pregnancy. When the pregnancy is terminated, it will sometimes lead to persistent bleeding. In some cases, hysterectomy is inevitable and the patient loses fertility.

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Article Synopsis
  • A 38-year-old first-time mother underwent several amniocentesis procedures during her pregnancy, revealing a mosaic trisomy 18 condition but also showing normal fetal development.
  • The genetic tests indicated varying percentages of trisomy 18 and maternal uniparental disomy throughout the pregnancy, with the final amniocentesis confirming the presence of both conditions.
  • Ultimately, the baby was born healthy and phenotypically normal, despite the prenatal indications of genetic abnormalities, highlighting a favorable outcome in this complex case.
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Background: MET dysregulation has been implicated in the development of primary and secondary resistance to EGFR tyrosine kinase inhibitor (TKI) therapy. However, the clinicopathological characteristics and outcomes of patients harboring EGFR-sensitive mutations and de novo MET amplifications still need to be explored.

Methods: A total of 54 patients from our hospital with non-small cell lung cancer harboring EGFR-sensitive mutations and/or de novo MET amplifications were included in this study.

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Objective: We present our observation of cytogenetic discrepancy between cultured amniocytes and uncultured amniocytes in mosaic dup(9)(q22.3q34.1) at amniocentesis in a pregnancy with a favorable outcome.

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Fine air pollutant particles have been reported to be associated with risk of preeclampsia. The association between air pollutant exposure and preeclampsia risk in heavily air polluted Taiwan warrants investigation. We combined data from Taiwan National Health Insurance (NHI) Research Database (NHIRD) and Taiwan Air Quality Monitoring Database.

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Rationale: Pyopneumopericardium related to bungee jumping is a rare occurrence in the current antibiotic era. We present a case of esophagus-seeded Streptococcus sanguinis pyopneumopericardium in a young man with tuberculosis who had just completed bungee jumping.

Patient Concern: A 27-year-old man was hospitalized with a 1-day history of fever, chest tightness, and intermittent sharp chest pain after bungee jumping for the first time.

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As of Apr. 22, 2020, the World Health Organization (2020) has reported over 2.4 million confirmed coronavirus disease 2019 (COVID-19) patients and 169 151 deaths.

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Article Synopsis
  • A study analyzed 74 confirmed COVID-19 cases with gastrointestinal (GI) symptoms in Zhejiang province, focusing on their epidemiological, clinical, and virological characteristics.
  • Out of 651 patients, 11.4% exhibited GI symptoms like nausea, vomiting, or diarrhea, with a notable correlation to more severe illness and family clustering.
  • The study highlights the need for healthcare providers to pay attention to non-classical COVID-19 symptoms, as GI-related symptoms can indicate more severe cases and were associated with specific risk factors.
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Hepatitis C virus (HCV) is one of the most important virus as the cause of liver disease in China. The aim of the present study was to explore whether sofosbuvir and ribavirin-based treatment can cure patients with chronic hepatitis C in eastern China. We examined a cohort of HCV-monoinfected patients and 9 patients agreed to participate in our treatment and research.

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Objective: To present prenatal diagnosis and molecular cytogenetic characterization of mosaic isochromosome 20q at amniocentesis.

Materials And Methods: A 36-year-old woman underwent amniocentesis at 17 weeks of gestation because of advanced maternal age, and conventional cytogenetic analysis revealed a karyotype of 46,XY,i(20)(q10)[12]/46,XY[7]. Repeated amniocentesis was performed at 20 weeks of gestation.

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Background And Purpose: Currently there are more and more studies on the association between short-term effects of exposure to particulate matter (PM) and the morbidity of stroke attack, but few have focused on stroke subtypes. The objective of this study is to assess the relationship between PM and stroke subtypes attack, which is uncertain now.

Methods: Meta-analyses, meta-regression and subgroup analyses were conducted to investigate the association between short-term effects of exposure to PM and the morbidity of different stroke subtypes from a number of epidemiologic studies (from 1997 to 2012).

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Article Synopsis
  • A prenatal case of hypochondroplasia (HCH) was identified in a fetus not previously considered at risk, involving a 28-year-old pregnant woman referred for genetic counseling due to observed short-limbed dwarfism at 30 weeks of gestation.
  • Genetic tests confirmed the presence of a novel mutation in the FGFR3 gene linked to HCH, despite normal ultrasound results for other fetal measurements.
  • The study emphasizes the importance of including HCH in the differential diagnosis for abnormal ultrasound findings suggestive of achondroplasia.
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