Publications by authors named "Keiichi Ohta"

Purpose This study aims to evaluate the performance of three large language models (LLMs), the Generative Pre-trained Transformer (GPT)-3.5, GPT-4, and Google Bard, on the 2023 Japanese National Dentist Examination (JNDE) and assess their potential clinical applications in Japan. Methods A total of 185 questions from the 2023 JNDE were used.

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Article Synopsis
  • Adenoid cystic carcinoma (ACC) is a rare cancer mainly found in the salivary glands, known for potentially spreading to distant sites long after initial treatment, as exemplified by a case involving lung metastasis 20 years post-treatment.
  • A 52-year-old man experienced painful swelling on the right side of his oral floor, leading to the diagnosis of ACC after a biopsy confirmed malignancy.
  • Despite surgical removal and initial treatment, the patient eventually developed lung, skin, and bone metastases, ultimately dying from multiple organ failure, highlighting the need for long-term follow-up for ACC patients even after successful local control.
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A 77-year-old woman presented with a 2-year history of denture sores at the left mandibular gingiva. She had no smoking history or alcohol use. Intraoral examination showed a cauliflower-like, 28 × 20 mm mass on the left mandibular gingiva without induration.

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Intraoral hemorrhage is an undesirable and emergency condition, and it can also occur spontaneously. Clinicians sometimes face difficulty in identifying the hemorrhage points and the causes of hemorrhage, as well as difficulty in the hemostatic procedures. Here, the authors present two rare cases of spontaneous intraoral hemorrhage related to dental calculus.

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Rationale: Oral liposarcoma is an extremely rare lesion that is often clinically misdiagnosed as a benign lesion because of its asymptomatic and indolent clinical course. we report a case of atypical lipomatous tumor/well-differentiated liposarcoma (ALT/WDL) of buccal mucosa, provisionally diagnosed as lipoma.

Patient Concerns: A 97-year-old female was referred to dentistry and oral surgery department with an asymptomatic mass on the right buccal mucosa which had been present for an unknown period of time.

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Periodontitis is one of the most common chronic oral inflammatory conditions worldwide and is associated with a risk of developing oral squamous cell carcinoma (OSCC). is a major pathogen in periodontitis, and its lipopolysaccharide (LPS) promotes the expression of cyclooxygenase-2 (COX-2) in OSCC both and . Celecoxib is a selective COX-2 inhibitor; however, its antitumor effects on LPS-stimulated OSCC and the underlying molecular mechanism remain unclear.

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Oral squamous cell carcinoma (OSCC) is one of the most common malignant tumors in the oral region. Despite current therapeutic strategies, the survival rate has not been improved for several decades. Thus, it is important to develop a novel approach for the treatment of OSCC.

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Article Synopsis
  • Cytological examination is a common diagnostic method, but its effectiveness is hindered by issues like sampling errors and low cancer cell detection.
  • This study explores a new cancer detection tool using a modified adenovirus that targets epithelial cells and expresses luciferase for clearer identification.
  • Testing showed high sensitivity in detecting as few as 10 cancer cells, effectively distinguishing between malignant and benign cancers in fluid samples from patients, but not in samples from non-epithelial origins.
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Aims And Background: To evaluate the efficacy of a combination of aprepitant and conventional antiemetic therapy in patients with advanced or recurrent lung cancer receiving moderately emetogenic chemotherapy (MEC).

Methods: Patients with advanced or recurrent lung cancer who were treated with MEC regimens at the Department of Respiratory Medicine, Fukuoka University Hospital, were included and classified into the following groups: control group (treatment: 5-HT3 receptor antagonists + dexamethasone) and aprepitant group (treatment: 5-HT3 receptor antagonists + dexamethasone + aprepitant). The presence or absence of chemotherapy-induced nausea and vomiting (CINV) was evaluated according to the Common Terminology Criteria for Adverse Events (CTCAE) v4.

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