Publications by authors named "Kochi M"

A 61-year-old man with chronic renal failure had an embolic stroke of undetermined source that was treated with warfarin. Five weeks later, the patient contracted coronavirus disease (COVID-19). Six days after the onset of COVID-19, high blood pressure (>200 ‍mmHg) and consciousness disturbance were reported.

View Article and Find Full Text PDF

The INHAND (International Harmonization of Nomenclature and Diagnostic Criteria for Lesions) Project (www.toxpath.org/ inhand.

View Article and Find Full Text PDF

Introduction: Spindle cell sarcoma (SCS) is a sarcoma subtype rarely described in the abdominal cavity, and with a worse prognosis compared with that at other sites. We report a case of SCS occurring at the anastomosis after ileal resection for colorectal cancer.

Presentation Of Case: An 86-year-old woman with a chief complaint of abdominal pain had undergone ileal resection, D2 dissection, and hand-sewn anastomosis in 2011 to treat papillary stage I adenocarcinoma.

View Article and Find Full Text PDF

The clinical significance of FOLFOXIRI (5-FU, leucovorin, oxaliplatin, and irinotecan) plus anti-EGFR monoclonal antibody using cetuximab for metastatic colorectal cancer (mCRC) remains controversial. We report results from a randomized phase 2 DEEPER trial (UMIN000018217, jRCTs061180022) to test the superiority of modified (m)-FOLFOXIRI plus weekly cetuximab over bevacizumab in patients with RAS wild-type (wt) mCRC. Primary endpoint was depth of response (DpR).

View Article and Find Full Text PDF
Article Synopsis
  • - Small bowel bleeding is increasingly diagnosed due to advances in capsule endoscopy, which can identify issues not visible through other methods.
  • - An 80-year-old woman on hemodialysis and antiplatelet therapy experienced hematochezia caused by a lipoma, which was detected via capsule endoscopy after other diagnostic methods failed.
  • - Surgical resection of the lipoma was successful without complications, suggesting that this approach can be safe for patients with similar health conditions.
View Article and Find Full Text PDF

Introduction: The benefits of intracorporeal anastomosis in laparoscopic colorectal cancer surgery remain unclear. Therefore, we aimed to investigate the short-term postoperative outcomes of intracorporeal anastomosis.

Methods: We retrospectively analyzed 87 patients who underwent laparoscopic surgery for right-sided colon tumors using a colon database.

View Article and Find Full Text PDF

Background: Pancreatic adenosquamous cell carcinoma (PASC) is a relatively rare histological type of pancreatic malignancy, and preoperative diagnosis is difficult because of its rarity. PASC accounts for 1-4% of all pancreatic cancers, and even after curative surgery, its prognosis is poorer than that of ordinary pancreatic adenocarcinoma. Pathologically, it shows glandular and squamous differentiation of cells.

View Article and Find Full Text PDF

Introduction: The "weekday effect" on elective surgery remains controversial. We aimed to examine the association between the day of surgery and short-term outcomes after elective surgery for stage I-III colorectal cancer (CRC).

Methods: We performed a multicenter retrospective analysis of 2574 patients who underwent primary colorectal resection for CRC between January 2017 and December 2019 at 15 institutions belonging to the Hiroshima Surgical Study Group of Clinical Oncology.

View Article and Find Full Text PDF

Background: In this phase I study, we aimed to examine the safety of a triple combination (TAS-102/irinotecan/bevacizumab) therapy in patients with previously treated metastatic colorectal cancer (mCRC).

Methods: In the TAS-102 dose-escalation phase, we determined dose-limiting toxicity (DLT), estimated the maximum tolerated dose (MTD), and determined the recommended dose (RD); in the expansion phase, we evaluated safety. The RD was administered in advance for 10 patients.

View Article and Find Full Text PDF

Purpose: Adjuvant chemotherapy is recommended following colorectal cancer resection based on risk of recurrence. In older patients, treatment decisions should consider recurrence rates and tolerability, as well as functional prognosis, residual disease, and social factors. This study aims to investigate factors, including social background, influencing implementation of postoperative adjuvant chemotherapy in older patients undergoing curative resection for colorectal cancer.

View Article and Find Full Text PDF
Article Synopsis
  • The study explored the effectiveness of adjuvant chemotherapy in elderly patients (≥80 years) with stage III colorectal cancer, focusing on survival outcomes.
  • Conducted across 17 institutions in Hiroshima, the research involved 214 patients and aimed to analyze 3-year disease-free, overall, and relapse-free survival rates.
  • Results suggested that completing adjuvant chemotherapy improved disease-free survival, with rates of 80% for those who completed treatment, highlighting its potential benefit despite limitations in patient numbers.
View Article and Find Full Text PDF

Cyclic peptides have been expected to be one of the modalities of intracellular protein-protein interaction (PPI) inhibitors, but they are generally known to have low cell membrane permeability. In this study, we focused on the conformation of cyclic peptides in the cell membrane to determine the requirement for their cell membrane permeability through passive diffusion. Utilizing the requirement, we searched for structures with high affinity for MDMX via computational chemistry and acquired cyclic peptide ( = 0.

View Article and Find Full Text PDF

With the rapid expansion of genomic medicine, more citizens are compelled to think about genetics in their daily lives. This study aims to explore appropriate types of educational media and methods to enlighten activities for genetics and hereditary cancer. We presented an 18-min YouTube video on genetics and hereditary cancer to participants at a scientific event, Science Agora 2020, and administered a web questionnaire to investigate their opinions about when and how citizens should start learning about genetics and hereditary cancer.

View Article and Find Full Text PDF

Purpose: A phase III trial comparing S-1 and docetaxel with S-1 alone as postoperative chemotherapy for pathologically Stage III gastric cancer was conducted and clarified the superiority of the doublet in terms of 3-year relapse-free survival as the primary endpoint (67.7% versus 57.4%, hazard ratio [HR] 0.

View Article and Find Full Text PDF
Article Synopsis
  • * It analyzed data from 155 patients, using muscle and body fat measurements to define sarcopenia and obesity, finding that 16.8% had both conditions (sarcopenic obesity).
  • * Results showed that patients with sarcopenic obesity faced significantly more severe postoperative complications compared to those without it, indicating it as an independent risk factor.
View Article and Find Full Text PDF

Purpose: Emojis are commonly used for daily communication and may be useful in assessing patient-reported outcomes (PROs) in breast cancer. The purpose of this study is to develop and validate a Symptom Illustration Scale (SIS) as a new PRO measurement.

Methods: Eighteen original SIS items were developed from the PRO-CTCAE.

View Article and Find Full Text PDF
Article Synopsis
  • A 64-year-old man was diagnosed with a gallbladder tumor that posed challenges in distinguishing between intracystic papillary neoplasms (ICPN) and adenocarcinoma during preoperative examinations.
  • The patient underwent an extended cholecystectomy, revealing papillary lesions in the gallbladder, leading to a diagnosis of ICPN due to the presence of irregular adenocarcinoma-like cells.
  • Postoperatively, the patient's prognosis is good, but the case highlights the difficulties in preoperative diagnosis and the importance of careful treatment planning for gallbladder cancer.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigated the characteristics of α-fetoprotein (AFP)-producing gastric carcinoma (AFP-GC) with a focus on its association with HER2 overexpression to enhance treatment strategies.
  • A total of 41 patients were analyzed for serum AFP levels and HER2 expression using immunohistochemistry and fluorescence in situ hybridization techniques.
  • Results indicated that 17.1% of the patients had HER2 overexpressed AFP-GC, which was linked to a heterogeneous histology and mixed-type tumors; these mixed-type tumors showed a trend towards better clinical outcomes compared to other types.
View Article and Find Full Text PDF

Introduction: Xanthine oxidase (XO) inhibitors may slow down chronic kidney disease (CKD) progression. The comparative effectiveness of the different urate-lowering drugs is unknown. The aim of this study was to determine whether urate-lowering therapy with an XO inhibitor (febuxostat) and that with a uricosuric drug (benzbromarone) are comparable in slowing renal function decline in patients with CKD complicated with hypertension and hyperuricemia.

View Article and Find Full Text PDF

Purpose: Perioperative inflammatory cytokines may be related to cancer proliferation, although few studies have investigated this issue in patients undergoing breast reconstruction surgery.

Methods: We conducted a prospective study of patients scheduled for mastectomy only, mastectomy plus deep inferior epigastric perforator flap reconstruction (DIEP), or mastectomy plus tissue expander reconstruction (TE), with or without axial dissection (Ax), for primary breast cancer. Blood samples were collected for analysis of serum IL-6 and VEGF preoperatively, then within 24 h postoperatively (POD 1), and 4-6 days postoperatively (POD 4-6).

View Article and Find Full Text PDF

Background: This study investigated whether schedule modification of bi-weekly nanoparticle albumin-bound paclitaxel (nab-PTX) plus ramucirumab (RAM) is efficacious against gastric cancer (GC) or gastroesophageal junction cancer (GJC).

Patients And Methods: Patients with unresectable GC or GJC who were previously treated with fluoropyrimidine-containing regimens received nab-PTX (100 mg/m) on days 1, 8, and 15 and RAM (8 mg/kg) on days 1 and 15 of a 28-day cycle. Based on the incidence of severe adverse events (AEs) during the first cycle, patients were modified to bi-weekly therapy from the second cycle.

View Article and Find Full Text PDF

This study aimed to investigate the effect of hyperuricemia (HU) on the association of systolic blood pressure (SBP) with the prevalence of proteinuria and low estimated glomerular filtration rate (eGFR) in the general population. This cross-sectional study enrolled 24,728 Japanese individuals (11,137 men and 13,591 women) who underwent health checkups in 2010. The prevalence of proteinuria and low eGFR (< 60 mL/min/1.

View Article and Find Full Text PDF

Although small bowel cancer is rare, cases of carcinoma arising from the abdominal wall have not been reported. We report a case of a tumor arising from a stoma scar site, following ileostomy closure that was performed 60 years earlier. The tumor was resected for both therapeutic and diagnostic purposes and was found to be a primary cancer of the small intestine.

View Article and Find Full Text PDF

A hereditary breast and ovarian cancer (HBOC) pedigree was detected via liquid biopsy, and cancer prevention was initiated for the patient's daughter, after receiving a definitive result from BRCA genetic testing. A 48-yearold woman with ovarian cancer was administered precision medicine, which used cell-free DNA from plasma. The results revealed a pathogenic variant of BRCA1 as a presumed germline pathogenic mutation.

View Article and Find Full Text PDF