Publications by authors named "Keiichi Fujiwara"

Herein, we present the detection of two cystic lesions via the transesophageal route using endobronchial ultrasound and emphasize the fact that understanding the anatomy may enhance the diagnostic yield.

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Background: The iPocc trial, a randomized, global phase 3 study that compared intraperitoneal (IP) and intravenous (IV) carboplatin with dose-dense paclitaxel chemotherapy in epithelial ovarian cancer (EOC) patients, demonstrated improved progression-free survival in patients who received IP chemotherapy. The present study aimed to investigate the role of preexisting tumor immunity in the clinical outcomes of patients receiving IP chemotherapy.

Methods: This study involved analyzing patient data from the iPocc trial, selectively of those whose tumor specimens were preserved at the time of primary surgery.

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Background: In the phase 3 EMPOWER-Cervical 1/GOG-3016/ENGOT-cx9 study, cemiplimab significantly improved overall survival (OS) versus chemotherapy for patients with recurrent or metastatic cervical cancer who progressed after first-line platinum-based chemotherapy. We present a post hoc subgroup analysis of patients enrolled in Japan.

Methods: Patients were enrolled regardless of programmed cell death-ligand 1 status and randomized 1:1 to cemiplimab 350 mg intravenously every 3 weeks or investigator's choice  single-agent chemotherapy for up to 96 weeks.

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  • A 65-year-old woman with recurrent polychondritis was hospitalized for airway narrowing caused by a fractured metallic stent.
  • She underwent a bronchoscopic procedure where the stent was cauterized using Argon Plasma Coagulation (APC) to improve the airway.
  • The procedure was successful, with the airway ballooning allowing clear passage through the trachea and main bronchi, and no complications were reported.
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  • A 78-year-old man with pancreatic cancer had a chest CT that showed a growing area in his right lung, leading doctors to suspect organizing pneumonia after initial biopsies showed no cancer.
  • Despite these findings, his levels of a tumor marker (carbohydrate antigen 19-9) were rising monthly, raising fears of possible lung cancer metastasis.
  • A transbronchial cryobiopsy (TBCB) was conducted to confirm pulmonary metastasis, highlighting the importance of differentiating between lung consolidation due to cancer and organizing pneumonia.
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An 86-year-old woman with leg edema and dyspnea on exertion was admitted to our hospital. Chest computed tomography (CT) revealed a mass in the anterior mediastinum with pericardial invasion. Histological examination with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) led to the diagnosis of Masaoka stage IVa type B2 thymoma.

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  • The study investigates the potential cellular origins and molecular subtypes of clear cell ovarian carcinoma (CCOC) using advanced genomic and epigenomic analyses of 78 samples.
  • Findings revealed that ARID1A and PIK3CA mutations occur without mutations in certain DNA repair genes and identified major CCOC subtypes associated with specific tissue types.
  • CCOC subtypes were categorized into three clusters based on mutations and morphological similarities, with implications for understanding their biological behavior and guide treatment approaches.
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Background: We previously demonstrated the applicability of the concept of "platinum sensitivity" in recurrent endometrial cancer. Although immune checkpoint inhibitors have been widely incorporated into endometrial cancer treatment, the debate continues regarding treatment options in patients with recurrent endometrial cancer who have previously received platinum-based chemotherapy. In this study, we assessed the duration of response to secondary platinum-based treatment using pooled data from the SGSG-012/GOTIC-004/Intergroup study.

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  • Recurrent cervical cancer poses serious health risks, especially after initial treatment, leading to the need for new therapy options.
  • A phase 3 trial compared the effects of tisotumab vedotin to standard chemotherapy in 502 patients with recurrent or metastatic cervical cancer, focusing on overall survival.
  • Results show that tisotumab vedotin significantly improved median overall survival (11.5 months vs. 9.5 months) and progression-free survival (4.2 months vs. 2.9 months), with a higher response rate compared to chemotherapy, despite both groups experiencing a high incidence of adverse events.
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At the International Gynecologic Cancer Society (IGCS) Global Meeting in 2023 held in Seoul, South Korea, we held a Presidential Plenary Session focusing on palliative care (https://www.youtube.com/watch?v=TBDIoQ50xgI).

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Background And Aim: There is no gold standard for making the diagnosis of autoimmune hepatitis (AIH), and the diagnosis of acute onset AIH (A-AIH) is most challenging. A-AIH sometimes develops into acute liver failure with poor prognosis if the diagnosis is delayed. Therefore, it is most important for the better prognosis to diagnose non-severe A-AIH early and treat appropriately.

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Background: Platinum/taxane (TC) chemotherapy with debulking surgery stays the mainstay of the treatment in ovarian cancer patients with peritoneal metastasis, and recently its novel modality, intraperitoneal carboplatin with dose-dense paclitaxel (ddTCip), was shown to have greater therapeutic impact. Nevertheless, the response varies among patients and consequent recurrence, or relapse often occurs. Discovery of therapeutic response predictor to ddTCip and/or TC therapy is eagerly awaited to improve the treatment outcome.

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Background: Airway stenting is an established procedure for treating oncological emergencies in patients with airway disorders. In patients with airway hemorrhage, respiratory conditions may worsen during stenting. Bronchial artery embolization (BAE) is useful to prevent bleeding from the bronchus.

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A woman in her mid-50s was admitted to our hospital with airway stenosis secondary to mediastinal lymph node enlargement. An AERO stent was placed under rigid bronchoscopy. Immediately after stent placement, tissue sampling was performed on the lymph nodes.

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In patients presenting with abnormal pulmonary nodules, especially those with a history of asthma, allergic bronchopulmonary mycosis should be considered. Eosinophil counts and IgE levels should be checked in such patients.

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A 75-year-old woman with stage IVB (cT2bN3M1b) lung adenocarcinoma was administered nivolumab, ipilimumab, carboplatin, and paclitaxel. Fourteen days after receiving chemotherapy, she experienced an impaired consciousness and a cerebrospinal fluid analysis revealed high protein levels and pleocytosis. She was diagnosed with nivolumab- and ipilimumab-induced encephalitis and was treated with corticosteroids which were tapered to 10 mg/day, with no symptom recurrence.

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A 70-year-old woman with anti-aminoacyl-tRNA synthetase (ARS) antibody-positive interstitial lung disease (ARS-ILD) received daily medications and regular cyclophosphamide cycles for recurring exacerbations. Approximately four years after immunosuppression initiation, the patient was admitted for progressive dyspnea on exertion. Chest computed tomography (CT) findings were suggestive of acute exacerbation.

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Article Synopsis
  • - The study aimed to validate the SeqOne assay for detecting homologous recombination deficiency (HRD) using tumor samples from the PAOLA-1 trial, comparing it to the Myriad MyChoice HRD test.
  • - Results showed a high concordance rate of 95% between the two tests in determining HRD status, with both assays suggesting significant benefits of olaparib plus bevacizumab treatment for patients with HRD-positive tumors.
  • - The findings indicate that the SeqOne assay is a clinically validated method for detecting HRD, which can help tailor treatment strategies for advanced ovarian cancer patients.
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Hereby, we present a rare case of a resected endobronchial tumour that floated or showed oil droplets in saline. In this study, we report an interesting image related to endobronchial lipomatous hamartoma cryotherapy.

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Background: The D-dimer test is a simple test frequently used in routine clinical screening for venous thromboembolism (VTE). The Cancer-VTE Registry was a large-scale, multicenter, prospective, observational study in Japanese patients with cancer. This study aimed to clarify the relationship between D-dimer level at cancer diagnosis (baseline) and the incidence of events during cancer treatment (1-year follow-up period).

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