Publications by authors named "Kyo S"

Article Synopsis
  • The study aimed to assess the effectiveness and safety of robot-assisted radical hysterectomy (RARH) in treating cervical cancer, comparing it to traditional surgical methods.
  • A total of 100 patients underwent RARH, achieving a high success rate with minimal blood loss and low recurrence rates after 2 years.
  • Results showed strong oncological outcomes, with RARH yielding excellent recurrence-free survival (RFS) and overall survival (OS) rates, suggesting its viability as a surgical option for cervical cancer.
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  • Ovarian cancer is categorized into two types: low-grade serous carcinoma (LGSC), which arises from serous borderline tumors (SBT), and high-grade serous carcinoma (HGSC), typically originating from serous tubal intraepithelial carcinoma (STIC).
  • The case study discusses a patient diagnosed with stage IIIC HGSC, who also had SBT and LGSC, highlighting the complexities in the cancer's development and treatment.
  • Despite undergoing surgery and chemotherapy (TC + bevacizumab), the tumor was resistant to treatment and exhibited mutations, with p53 dysfunction believed to play a role in the transformation from SBT/LGSC to HGSC.
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Background: AT-rich interaction domain 1A (ARID1A) has been proposed as a new biomarker for predicting response to immune checkpoint inhibitors (ICIs). The predictive value of ARID1A for predicting ICI effectiveness has not been reported for endometrial cancer. Therefore, we investigated whether ARID1A negativity predicts ICI effectiveness for endometrial cancer treatment.

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Aim: Quality of care is important to reduce disease progression, and improve both survival and quality of life. The Japan Society of Gynecologic Oncology has published treatment guidelines to promote standardized high-quality care for ovarian cancer in Japan. We developed quality indicators based on the guideline recommendations and used them on large datasets of health service use to examine the quality of ovarian cancer care.

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Although endometriosis is a benign disease, it is associated with cancer-related gene mutations, such as or . Endometriosis is associated with elevated levels of inflammatory factors that cause severe pain. In a previous study, we demonstrated that or mutations are associated with the activation of cell proliferation, migration, and invasion in a patient-derived immortalized endometriotic cell line, HMOsisEC10.

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  • The study aimed to explore the link between sperm characteristics and the success rates of intrauterine insemination (IUI) procedures.
  • A total of 1380 IUI cycles were analyzed, focusing on sperm quality before and after washing, to see how these factors impacted clinical pregnancy rates.
  • Key findings indicated that lower sperm motility before washing significantly decreased pregnancy chances, and that achieving normal motility in post-wash samples was crucial for IUI success, especially after multiple cycles.
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Background: Early recurrence (ER) within a 90-day blanking period (BP) in catheter ablation (CA) for atrial fibrillation (AF) is a risk factor for late recurrence (LR) after 90 days postoperatively. However, few reports have examined them in the second CA and compared them to the first CA. Moreover, in recent years, there have been reports suggesting that BP should be reduced from 90 to 30 days.

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Article Synopsis
  • Mechanical circulatory support, particularly the Impella device, is increasingly used in cases of cardiogenic shock due to its effectiveness and ease of use.
  • A 58-year-old male patient with acute myocardial infarction experienced a severe decline in health after initially being stabilized with the Impella 2.5 device, which ultimately failed, leading to further complications.
  • Despite attempts to support his condition with advanced techniques, including venoarterial extracorporeal membrane oxygenation, the patient did not recover and succumbed to multi-organ failure, highlighting the need for careful patient monitoring and timely intervention.
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Objective: We examined how the sex steroids influence the synthesis of gonadotropins.

Materials And Methods: The effects of sex steroids estradiol (E2), progesterone (P4), and dihydrotestosterone (DHT) in pituitary gonadotroph cell model (LβT2 cells) in vitro and ovary-intact rats in vivo were examined. The effects of sex steroids on Kiss1 gene expression in the hypothalamus were also examined in ovary-intact rats.

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High-grade serous ovarian carcinoma (HGSOC) is the most lethal gynecological malignancy. To date, the profiles of gene mutations and copy number alterations in HGSOC have been well characterized. However, the patterns of epigenetic alterations and transcription factor dysregulation in HGSOC have not yet been fully elucidated.

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Retrograde menstruation is a widely accepted cause of endometriosis. However, not all women who experience retrograde menstruation develop endometriosis, and the mechanisms underlying these observations are not yet understood. Here, we demonstrated a pathogenic role of in the formation of ovarian endometriosis.

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Herein, we present the successful treatment of a 92-year-old woman who experienced recurrent EC in the vaginal stump and para-aortic lymph nodes. The patient was first treated with paclitaxel and carboplatin for recurrent EC, which was abandoned after two cycles of chemotherapy because of G4 hematologic toxicity. Later, the patient was treated with letrozole for early-stage breast cancer, which was diagnosed simultaneously with EC recurrence.

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Tumor heterogeneity remains an ongoing challenge in the field of cancer therapy. Intratumor heterogeneity significantly complicates the diagnosis of cancer and presents challenging clinical problems due to resistance to drug therapy. This study aimed to elucidate the genetic changes histologically (mucinous cystadenoma (MCA), mucinous borderline tumor (MBT), and mucinous ovarian carcinoma (MOC)) in a portion of mucinous ovarian tumors within the same sample.

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Type II endometrial cancer (EC) is responsible for most endometrial cancer-related deaths due to its aggressive nature, late-stage detection, and high tolerance to standard therapies. Thus, novel treatment strategies for type II EC are imperative. For patients with mismatch repair-deficient (dMMR) tumors, immunotherapy with immune checkpoint inhibitors represents a promising therapeutic strategy.

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Background: Since malignant struma ovarii is a very rare disease, its carcinogenic mechanism has not been elucidated. Here, we sought to identify the genetic lesions that may have led to the carcinogenesis of a rare case of malignant struma ovarii (follicular carcinoma) with peritoneal dissemination.

Methods: DNA was extracted from the paraffin-embedded sections of normal uterine tissues and malignant struma ovarii for genetic analysis.

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Background: Since the human papillomavirus vaccines do not eliminate preexisting infections, nonsurgical alternative approaches to cervical intraepithelial neoplasia (CIN) have been required. We previously reported that FOXP4 (forkhead box transcription factor P4) promoted proliferation and inhibited squamous differentiation of CIN1-derived W12 cells. Since it was reported that FOXP expressions were regulated by the androgen/androgen receptor (AR) complex and AR was expressed on the CIN lesions, in this study we examined the effects of androgen on CIN progression.

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mHypoA-55 cells are kisspeptin-expressing neuronal cells originating from the arcuate nucleus of the mouse hypothalamus. These cells are called KNDy neurons because they co-express kisspeptin, neurokinin B, and dynorphin A. In addition, they express gonadotropin-releasing hormone (GnRH).

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Recent studies reported the presence of oncogenic mutations in normal endometrial glands, but the biological significance remains unclear. The present study investigated the status of KRAS/PIK3CA driver mutations in normal endometrial glands as well as spheroids derived from single glands. The normal endometria of surgically removed uteri (n = 3) were divided into nine regions, and 40 endometrial single glands were isolated from each region.

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Unlabelled: A 71-year-old man was transferred urgently to our hospital after collapsing near his home post the first shot of the BNT162b2 coronavirus disease 2019 vaccine (Pfizer-BioNTech, Comirnaty®). Immediately after arrival at our hospital, cardiac arrest due to complete atrioventricular block with no ventricular escaped beats was observed on electrocardiogram. Echocardiography showed preserved left ventricular ejection fraction, however, diffuse severe hypokinesia was revealed after 3 weeks, and he died 3 months after admission because of worsening heart failure.

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