Publications by authors named "Kazuhisa Asahara"

Article Synopsis
  • The study evaluated the effectiveness and safety of a nonselective transarterial chemoembolization (TACE) method using cisplatin powder for treating multifocal hepatocellular carcinoma (HCC) after initial promising results from the Japanese Interventional oncology group.
  • A review of medical records from TACE-naïve patients showed that out of 60 patients, the overall survival duration was 30.3 months, with a 65% overall response rate and 86.7% disease control rate.
  • The results indicated that the DDP-H TACE treatment effectively reduced tumors while maintaining liver function, with minimal cases of lasting liver impairment.
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Three patients aged 79, 75, and 81 years with unresectable hepatocellular carcinoma (HCC) and undergoing maintenance hemodialysis were treated with a combination of atezolizumab and bevacizumab. The patients, respectively, received their 22nd, 2nd, and 4th treatment cycles, and one achieved long-term stable disease. No serious adverse events, including immune-related adverse events, were observed in any patient.

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Introduction: Solid organ malignancies rarely metastasize to the duodenal papilla. We describe a case of primary lung cancer with duodenal papillary metastasis in a patient who presented with melena. To the best of our knowledge, this is only the second report of duodenal papillary metastasis from lung cancer.

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Aims: Small common bile duct stones are known to occasionally clear spontaneously. This study aimed to prospectively assess the role of biliary stent placement in promoting the spontaneous clearance of small common bile duct stones.

Methods And Results: We analyzed patients presenting with common bile duct stones of ≤5 mm diameter between June 2020 and May 2022.

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Background: Although transcatheter arterial embolization for pseudoaneurysms is already well-established, ureteral artery pseudoaneurysm embolization is extremely rare. The present case shows a successful transcatheter arterial embolization for pseudoaneurysms in the ureteral branch of the renal artery due to ureteral invasion from gastric cancer.

Case Presentation: A 57-year-old female presented with gross hematuria after treatments for poorly differentiated gastric adenocarcinoma.

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We assessed whether there are differences in the diagnostic yield and safety of serial pancreatic juice aspiration cytologic examination (SPACE) among different indications. We retrospectively analyzed 226 patients who underwent SPACE. They were classified into group A (patients with pancreatic masses, including advanced adenocarcinoma, sclerosing pancreatitis, or autoimmune pancreatitis), group B (suspicious pancreatic carcinoma patients without obvious pancreatic masses, including small pancreatic carcinoma, carcinoma in situ, or benign pancreatic duct stenosis), and group C (intraductal papillary mucinous neoplasm, IPMN).

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A 65-year-old woman presented with epigastric pain persisting for more than 3 months. She was diagnosed with autoimmune pancreatitis (AIP), based on high serum IgG4 levels (981 mg/dL) and diffuse pancreatic enlargement with a capsule-like rim on computed tomography (CT). Additionally, the main pancreatic duct was indistinct on magnetic resonance cholangiopancreatography.

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