Publications by authors named "Kazuhiro Kojima"

Background/aim: Many glioma patients struggle to return to work after surgery because of higher brain dysfunction. Although the right frontal lobe has historically been considered functionally silent, reports of performing awake surgery to evaluate higher brain functions in patients with tumors in this area have increased. We present two cases of patients who underwent awake surgery for malignant glioma in the right frontal lobe to preserve emotional recognition and facilitate an early return to work.

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A 4-year 9-month-old Amami spiny rat reared in a zoo died following a history of anorexia, weight loss, and respiratory distress. At necropsy, neoplastic tissues were found along the pleura and adhered to the thoracic wall, heart, and lungs. Histologically, the tumor was composed of diffuse, patternless sheets of large round to polygonal neoplastic cells with abundant eosinophilic cytoplasm, and multinucleated giant cells were often present.

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  • A 5-year-old neutered Somali cat had jaundice due to extrahepatic biliary obstruction caused by a mass in the common bile duct, which was diagnosed as neuroendocrine carcinoma.
  • During surgery, a perforation in the duodenum was also found, leading to the combined surgical procedures of choledochoduodenostomy and Billroth II.
  • Although the cat recovered and survived for nearly 100 days without recurrence of the initial issues, it continued to experience intermittent vomiting and weight loss, indicating poor quality of life despite treatment.
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Merkel cell carcinoma (MCC) is a cutaneous neuroendocrine tumor, and more than 90% of feline MCC cases test positive for Felis catus papillomavirus type 2 (FcaPV2). In the present study, basal cell markers p40, p63, and p73 and the stem cell marker SOX2 and cytokeratin 14 (CK14) were immunohistochemically examined in normal fetal, infant, and adult feline skin tissues. The expression of these proteins was examined in tumors positive for FcaPV2, including MCC, basal cell carcinoma (BCC), Bowenoid in situ carcinoma (BISC), and squamous cell carcinoma (SCC).

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The accumulation of intraepithelial lymphocytes (IELs) is a histopathological feature of canine chronic enteropathy (CE), and IELs are considered the cells of origin of intestinal T-cell lymphoma (ITCL). However, the pathogenic mechanism of IEL activation in CE remains unclear. This study hypothesized that the expression of proinflammatory cytokines, associated with cytotoxic T/NK-cell activation, is upregulated in CE and ITCL, and examined the expression of , , , , and and the downstream signal transducers and activators of transcription (STAT) pathway in the duodenal mucosa of dogs without lesions ( = 11; NC), with IELCE ( = 19; CE without intraepithelial lymphocytosis), IELCE ( = 29; CE with intraepithelial lymphocytosis), and with ITCL ( = 60).

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  • The study aimed to explore the relationship between postoperative pneumonia and preoperative sarcopenia in esophageal cancer patients and identify factors contributing to sarcopenia.
  • A total of 274 patients undergoing surgery were analyzed using criteria like skeletal muscle index and handgrip strength, with statistical methods employed to assess the connections between variables.
  • Key findings revealed that preoperative sarcopenia is a risk factor for postoperative pneumonia, with age, male sex, physical activity, and nutritional status playing significant roles in the presence of sarcopenia, highlighting the need for a comprehensive approach to patient care.
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  • Despite advancements in minimally invasive esophagectomies, aspiration pneumonia is a major complication affecting recovery in esophageal cancer patients.
  • A study analyzed 216 patients undergoing thoracoscopic-laparoscopic esophagectomy, linking changes in tongue pressure to post-surgery aspiration risks.
  • Key findings showed that decreased tongue pressure, older age, and recurrent laryngeal nerve palsy significantly raise the likelihood of aspiration, suggesting that improving tongue pressure could help mitigate this risk.
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Background: Central neurocytomas usually have a favorable clinical course, and gross total resection (GTR) results in long-term survival. Recurrences of central neurocytomas are usually local, and dissemination is extremely rare.

Observations: A 24-year-old man who presented with vomiting was found to have a mass in the right lateral ventricle.

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T-zone lymphoma (TZL) is an indolent, nodal lymphoma that has been clinically characterized in detail in dogs, and T-zone hyperplasia (TZH) is a hyperplastic change in lymph nodes associated with antigen processing. In some cases, histopathological features of TZL and TZH are similar, and are difficult to differentiate by morphology alone. Since there have been few publications characterizing their immunohistochemical profiles, histological, immunohistochemical, and clonality examinations were performed using formalin-fixed paraffin-embedded samples of canine lymph nodes with TZL (14 cases) and canine lymph nodes with TZH associated with nonlymphocytic tumors (10 cases).

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An 8-year 8-month-old castrated male Munchkin presented with vomiting, anorexia and hypoactivity. Computed tomography revealed excessive gas accumulation within the intestinal lumen and gas bubbles in the liver, spleen, and portal venous system, indicating hepatic portal venous gas. The cat died without any significant improvement, and mild splenomegaly was found at necropsy.

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Human enteropathy-associated T-cell lymphoma (EATL) is considered to be derived from intraepithelial lymphocytes (IELs); however, the origin of canine intestinal T-cell lymphoma (ITCL) remains unclear. Histological, immunohistochemical, and clonality examinations were performed using endoscopically collected canine duodenum samples of mucosal lesions of chronic enteropathy (CE; 73 cases) and ITCL without transmural neoplastic mass lesions (64 cases). Histopathological examinations revealed the intraepithelial accumulation of lymphocytes (called "intraepithelial lymphocytosis") in 54/73 CE cases (74%) and the epitheliotropism of neoplastic lymphocytes in 63/64 ITCL cases (98%).

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To elucidate the histopathological characteristics and immunophenotypes of canine transmural "mass-forming" gastrointestinal lymphomas and plasmacytomas, 83 surgically resected biopsy samples were examined. All lymphomas and plasmacytomas were located in the small or large intestine except for 1 plasmacytoma which was in the stomach. According to the World Health Organization (WHO) classification, B-cell neoplasms (17 cases) included lymphoplasmacytic lymphoma (6/17), plasmacytoma (5/17), follicular lymphoma (3/17), and diffuse large B-cell lymphoma (3/17).

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  • * 97.4% of hospitals provided inpatient rehabilitation, but 67.7% of respondents found this provision inadequate, mainly due to insufficient staff and lack of skilled rehabilitation professionals.
  • * Adequate cancer rehabilitation requires an increase in staff, improved education, and better recognition of its importance in oncology departments.
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A 67-year-old man was admitted to our hospital because of nausea, anorexia and tarry stool. In the blood examination, serum α-fetoprotein(AFP)level was 1,650 ng/mL, and the upper gastrointestinal endoscopy showed a large hemorrhage tumor at the gastric body. Abdominal enhanced computed tomography(CT)showed a solitary mass in segment 4 of the liver.

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  • Neonatal encephalopathy with seizures (NEwS) is a genetic disorder affecting Standard Poodle puppies, caused by a specific mutation.
  • MRI scans reveal significant brain abnormalities, including reduced brain size and issues with white matter development.
  • Histopathological findings indicate irregular neuronal migration and cortical dysplasia, suggesting important insights into canine brain development.
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  • Alzheimer's disease (AD) is marked by amyloid plaques and neurofibrillary tangles, leading to oxidative stress and inflammation in the brain.
  • A study showed that App knock-in mice had decreased levels of the brain's primary antioxidant, glutathione (GSH), and that oral GSH supplementation improved these levels.
  • The increase in GSH reduced oxidative stress markers and inflammation while also improving memory, mood, and anxiety symptoms in these mice, suggesting GSH as a potential treatment for AD.
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Glucagon-like peptide-1 (GLP-1) is an incretin peptide that plays a crucial role in lowering blood glucose levels and holds promise for treating type II diabetes. In this study, we synthesized GLP-1 derivatives that were conjugated with glycosaminoglycans (GAGs), i.e.

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The pinning effect is useful for restraining austenite grain growth in low alloy steel and improving heat affected zone toughness in welded joints. We propose a new calculation model for predicting austenite grain growth behavior. The model is mainly comprised of two theories: the solute-drag effect and the pinning effect of TiN precipitates.

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Pancreatic fistula( PF) is a challenging postoperative complication. We report a case of PF following gastrectomy successfully treated using intravenous coagulation factor XIII( FXIII).A 78-year-old man with early gastric cancer underwent total gastrectomy with Roux-en-Y reconstruction.

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XELOX for metastatic colorectal cancer has been approved last year in Japan and used to manage some cases of metastatic colorectal cancer at our hospital. We thought that this regimen has some merits in the patient's quality of life (QOL). Case 1: A 66-year-old man who had been diagnosed sigmoid colon cancer with retroperitoneal invasion.

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Aims: Hepatocyte nuclear factor (HNF)-4alpha is a developmental regulator of the visceral endoderm, which is expressed in the embryonic gut and later in the adult intestine and colon. However, adult gastric mucosa does not express HNF-4alpha. We investigated the possible involvement of HNF-4alpha in intestinal metaplasia and the intestinalisation of gastric adenocarcinomas.

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Two N,O-diacetylaporphine alkaloids, N,O-diacetylnoroliveroline (1) and N,O-diacetyl-(-)-nornuciferidine (2), have been isolated and characterized from the rhizomes of Lysichiton camtschatcense. Their structures were determined by spectroscopic data analysis. DPPH (2,2-diphenyl-1-picrylhydrazyl) radicals were scavenged by compounds 1 and 2, but with weak activity.

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