Publications by authors named "Kohei Furukawa"

Background/aim: Concomitant chemoradiotherapy (CCRT) with cisplatin is commonly administered after neck dissection in patients with oral squamous cell carcinoma (OSCC) showing extranodal extension (ENE). This study investigated whether the efficacy of CCRT differed depending on the degree of ENE and whether the expression of epithelial cell adhesion molecule (EpCAM) was associated with prognosis.

Patients And Methods: Patients with OSCC who underwent neck dissection and had histologically proven neck metastasis (pN+) were investigated retrospectively.

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Salvage surgery for recurrent oral squamous cell carcinoma (OSCC) often leads to a poor quality of life (QOL). The present study described three cases that resulted in favorable locoregional control with cetuximab in combination with radiotherapy (Cmab + RT). Case 1 had regional recurrence of OSCC at the lower right mastoid area 4 months after primary surgery.

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Background: Pathological close margins are considered a significant factor for local recurrence in patients with oral cancer. However, the oral cavity has complicated anatomical features, and the appropriate margin distance for each site is unknown. This multicenter, retrospective study aimed to determine the appropriate resection margin for early tongue cancer and investigate the need for additional treatment for close margins and stump dysplasia.

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Background/aim: The expression of tumor-associated programmed death-ligand 1 (PD-L1) predicts clinical responses to PD-1-directed immunotherapy. The expression levels of PD-L2, another PD-1 ligand, and its relationship with responses to PD-1-targeting therapy in oral squamous cell carcinoma (OSCC) remain unclear. Furthermore, the clinicopathological characteristics and prognostic effects of the expression of PD-L1 and PD-L2 in OSCC have not yet been elucidated.

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High expression of the 110 kDa catalytic subunit of the class IA PI3K (PI3Kp110α) may play an important role in cetuximab resistance exhibited by both colorectal cancer and head and neck squamous cell carcinoma. Therefore, the present study aimed to examine the association between the expression of proteins in the PI3Kp110α pathway and cetuximab resistance, and the antitumor effects of alpelisib (PI3K inhibitor) and cetuximab in oral squamous cell carcinoma (OSCC) cells. The association between PI3Kp110α protein expression levels and the tumor response to cetuximab was determined using immunohistochemistry.

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Article Synopsis
  • * The researchers analyzed various potential influences like age, sex, and the extent of the surgical setback to understand their effects on the jaw's position after surgery.
  • * They found that the amount of setback (less than 7.25 mm) significantly affected the likelihood of posterior drift, suggesting that surgeries with larger setback magnitudes (over 7.25 mm) might result in more stable outcomes postoperatively.
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Undifferentiated carcinoma of the oral cavity is a rare and possibly fatal malignant neoplasm. We present here a case of undifferentiated carcinoma of the oral tongue, which responded well to chemotherapy with cisplatin, 5-fluorouracil, and cetuximab. A 59-year-old man was referred to our hospital for a large tumor of the tongue.

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Article Synopsis
  • Neoadjuvant chemotherapy (NAC) may enhance the tumor microenvironment in patients with oral tongue squamous cell carcinoma (OTSCC), but it also risks immune suppression from remaining cancer cells, making its effectiveness uncertain.
  • A study analyzed data from 121 patients who had radical surgery for OTSCC and found that expressions of immune checkpoint molecules PD-1 and PD-L1 were linked to higher local recurrence rates and poorer 5-year survival.
  • High PD-1 and PD-L1 expressions were more common in the NAC-treated group compared to those who only had surgery, suggesting NAC could lead to local immune suppression and questioning its recommendation for OTSCC patients.
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Article Synopsis
  • - The study investigates the relationship between low pre-operative lymphocyte-to-monocyte ratio (LMR) and outcomes in tongue cancer, finding that low LMR is linked to worse overall survival (OS).
  • - Researchers analyzed data from 103 tongue cancer patients, using various statistical methods to assess the significance of LMR and the ratio of specific tumor-infiltrating cells (CD8/CD14).
  • - Results indicate that both low LMR and low CD8/CD14 cell ratios are independent predictors of poor OS, highlighting their potential as useful prognostic biomarkers in tongue cancer.
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Background/aim: Postresective mandibular reconstruction is common in cases of oral and mandibular tumors. However, complications such as plate fracture and/or plate exposure can occur. The purpose of this study was to analyze complications and survival of reconstructive plates used to correct mandibular defects caused by oral cancer.

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Radical esophagectomy for thoracic esophageal cancer is invasive and frequently results in postoperative pulmonary complications. Postoperative pneumonia is the most common such complication and affects hospital mortality and survival rates. Oral care has been very effective in reducing pneumonia.

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Background/aim: Mammalian target of rapamycin (mTOR) plays a critical role in the regulation of tumor cell motility, invasion and cancer cell metastasis. mTOR consists of two separate multi-protein complexes, mTOR complex (mTORC) 1 and mTORC2.

Materials And Methods: We investigated the expression levels of mTORC1 and mTORC2 immunohistochemically in oral squamous cell carcinoma (OSCC).

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Purpose: To present a case report on the presence of an ectopic mandibular third molar (EMTM), the surgical treatment, and outcome.

Case Report: A 63-year-old woman presented with right preauricular facial swelling, limited jaw function, and pain. Radiographic assessment demonstrated an EMTM positioned in the superoposterior aspect of the ramus.

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