Publications by authors named "Kenichirou Morishige"

Background: Anemia in patients with cancer negatively affects their quality of life and cancer outcomes. However, most patients with chemotherapy-induced anemia (CIA) are not appropriately evaluated or treated, and the prevalence of iron deficiency anemia (IDA) in CIA remains unclear.

Methods: We retrospectively reviewed the electronic records of patients with gynecological cancer in two tertiary hospitals, between March 2023 and July 2023, and evaluated their anemia status.

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Article Synopsis
  • Fertility preservation and reproductive treatments in Japan involve significant out-of-pocket expenses for adolescents and young adults, with current healthcare policies lacking in insurance coverage for these services.
  • Patients can apply for government subsidies under specific conditions, but the costs and amounts paid vary by facility.
  • A study conducted with 186 fertility preservation facilities revealed that about one-third of the expenses are shouldered by patients, highlighting the need for improved pricing and insurance options to ensure ongoing access to care.
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Background: Perinatal mental health, such as postpartum depression, is an important issue that can threaten the lives of women and children. It is essential to understand the risk factors in advance and intervene before they can lead to postnatal depression. The risk factors of postpartum depression are reported to vary considerably in Japan.

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Background: Our web-based training program called "Educating Medical Professionals about Reproductive Issues in Cancer Healthcare" aims to help healthcare professionals communicate promptly with patients and survivors who are adolescents and young adults, with information pertinent to reproductive health issues such as the risk of infertility and fertility preservation.

Methods: The study participants were professional healthcare providers, including physicians, nurses, pharmacists, social workers, midwives, psychologists, laboratory technicians, genetic counselors, and dieticians. Pre- and post- and 3-month follow-up tests consisting of 41 questions were administered to measure changes in knowledge and confidence.

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  • Fertility preservation (FP) services for cancer patients, particularly child, adolescent, and young-adult (CAYA) patients, are increasingly utilized in Japan, but data on its usage rates and outcomes were previously lacking.
  • The Japan Society for Fertility Preservation launched the Japan Oncofertility Registry (JOFR) in 2018 to gather detailed information on patients' diseases, FP treatments, and outcomes, with analysis conducted up to 2021.
  • As of 2021, 1,244 patients received FP counseling or treatment, with notable trends showing that most female patients were aged 31-40 and that leukemia and breast cancer were the most common diagnoses among male and female patients, respectively; over 700
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Artesunate, an antimalarial drug, induces ferroptosis, but the mechanism is still unclear. In the present study, we investigated how Artesunate induces ferroptosis in ovarian serous carcinoma. Experiments were performed using the ovarian serous carcinoma cell lines CaOV3 and SKOV3ip1, and the sensitivity of CaOV3 to Artesunate was higher than that of SKOV3ip1.

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Background/aim: Nausea and vomiting are two of the most distressing adverse events of cancer radiotherapy. The aim of this study was to examine the control rate and risk factors associated with nausea and vomiting in patients with cervical cancer receiving radiotherapy.

Patients And Methods: This retrospective study examined patients with cervical cancer who received radiotherapy alone or with concomitant cisplatin.

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Background: Olanzapine has been reported to be an effective antiemetic in patients receiving carboplatin-based chemotherapy. However, the efficacy of a neurokinin-1 receptor antagonist (NKRA) added to olanzapine, a 5-hydroxytryptamine-3 receptor antagonist (5-HTRA), and dexamethasone (DEX) has not been proven. This study aimed to assess the efficacy and safety of NKRA, in combination with three-drug antiemetic regimens containing olanzapine, in preventing nausea and vomiting induced by carboplatin-based chemotherapy.

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Objective: To assess the magnetic resonance imaging (MRI) findings of endometrial cancers and to reveal the differences between endometrioid carcinoma (EC), serous carcinoma (SC), and clear cell carcinoma (CCC).

Methods: In this study, 274 consecutive patients with histopathologically confirmed endometrial cancer (231 ECs, 25 SCs, and 18 CCCs) who underwent MRI before hysterectomy were enrolled. MRI images were retrospectively reviewed and compared between the three pathologies.

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The Japan Society of Clinical Oncology (JSCO) published the "JSCO Clinical Practice Guidelines 2017 for Fertility Preservation in Childhood, Adolescent, and Young Adult Cancer Patients" in 2017. This was the first guideline in cancer reproductive medicine in Japan. In the field of cancer reproductive medicine, close cooperation between an oncologist and a physician for reproductive medicine is important from before treatment initiation until long after treatment.

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Purpose: This study aimed to evaluate the utility of uterine extension determined via MRI for the differentiation of large subserosal leiomyomas from ovarian tumors.

Methods: In total, 55 patients with subserosal leiomyomas and 127 patients with ovarian tumors were included in this study. These patients were selected from a cohort of female patients whose pelvic masses were larger than 10 cm and who underwent preoperative MRI.

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In 2017, the Japan Society of Clinical Oncology (JSCO) published the JSCO Clinical Practice Guidelines 2017 for Fertility Preservation in Childhood, Adolescent, and Young Adult Cancer Patients. These were the first Japanese guidelines to address issues of oncofertility. In this field of medicine, sustained close cooperation between oncologists and reproductive specialists is essential from the diagnosis of cancer until many years after completion of cancer treatment.

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In recent years, local governments in Japan have established a public financial support system for fertility preservation in pediatric, adolescent, and young adult cancer patients. Fertility preservation has become popular for patients with cancers included in the gonadal toxicity risk classification of the 2017 edition of the Guideline for Fertility Preservation in Children, Adolescents and Young Adult Cancer Patients from the Japan Society of Clinical Oncology. However, patients with cancer and non-cancer diseases that are not included in the Guideline's gonadal toxicity risk classification also often receive treatment that may affect fertility, but they are often denied the opportunity of fertility preservation because no public financial support is available for diseases not listed in the Guideline.

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Objective: The purpose of our study was to conduct a detailed survey of radical hysterectomy in Japanese patients with early-stage cervical cancer, and to compare oncologic outcomes between open and minimally invasive radical hysterectomy.

Methods: In Japan during 2015, the medical records of 929 patients with FIGO stage IB1 and IIA disease treated with radical hysterectomy were retrospectively reviewed. We assessed patients' characteristics, disease-free survival (DFS), overall survival (OS) and prognostic factors for survival.

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Article Synopsis
  • Olanzapine at a low dose of 5 mg shows efficacy in controlling nausea and vomiting for cancer patients undergoing carboplatin chemotherapy, with high response rates of up to 87.9%.
  • No serious adverse events were reported, indicating the treatment's safety.
  • Younger patients may face a higher risk of not achieving total control of their symptoms, but the use of additional antiemetic agents did not significantly impact overall control rates.
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This study clarifies the association between postpartum depression (PPD) and satisfaction with social support after childbirth through an anonymous survey of 427 postpartum mothers. Mothers' PPD was found to be significantly associated with satisfaction levels regarding formal-instrumental support (OR: 0.32, 95% CI: 0.

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  • Acute funisitis is an inflammation of the umbilical cord that can cause problems for babies, but there hasn’t been an easy way to detect it.
  • Researchers looked at 261 cases and created a scoring system using a special marker to find inflammation in the umbilical cord.
  • They discovered that severe forms of inflammation were linked to bad outcomes for mothers and babies, and checking three sections of the umbilical cord helped find issues better than just two.
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Purpose: The purpose of this study was to determine the computed tomography (CT) and magnetic resonance imaging (MRI) characteristics of ovarian mature teratoma in patients with anti-N-methyl-d-aspartate receptor encephalitis (NMDAR-E).

Materials And Methods: A total of 125 women (mean age, 40.9±17.

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Introduction And Hypothesis: Little is known about the prevalence of pelvic organ prolapse (POP). We aimed to evaluate the prevalence of POP and identify its risk factors in Japan.

Methods: This was a single-centre, cross-sectional study.

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Purpose: Our purpose was to determine if MRI could be used to distinguish ovarian mucinous carcinoma (MC) from mucinous borderline tumor (MBT).

Materials And Methods: This study included 63 consecutive patients with histopathologically proven ovarian mucinous neoplasms (11 MCs and 52 MBTs) who underwent preoperative contrast-enhanced MRI. MRI images were retrospectively reviewed and compared between the 2 pathologies.

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Purpose: To assess MR imaging findings of low-grade serous carcinoma (LGSC) of the ovary compared with those of serous borderline tumor (SBT).

Methods: Twenty-four patients with histopathologically proven 7 LGSCs and 25 SBTs who underwent preoperative MR imaging were included. We retrospectively reviewed MR images and compared MR findings between the two pathologies.

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Purpose: Decidualized endometriomas (DEs) and seromucinous borderline tumors (SMBTs) exhibit similar MR findings including markedly hyperintense mural nodules within endometriotic cysts on T2-weighted images. The present study aimed to assess the efficacy of MR imaging for differentiating between DEs and SMBTs of the ovary.

Materials And Methods: MR images of 8 DEs and 14 SMBTs were retrospectively assessed and compared according to pathologies.

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