Publications by authors named "Makiguchi T"

Article Synopsis
  • Surgical treatment for diabetic foot ulcers (DFU) or chronic limb-threatening ischemia (CLTI) is complicated due to patients' poor health, making general anesthesia risky; therefore, peripheral nerve block with dexmedetomidine sedation is used in this study.
  • The study involved 18 patients and assessed sedation levels, intraoperative stress, and memory using various scales, showing effective sedation and low stress levels during surgery, though some patients experienced hypoxemia.
  • The findings indicate that using peripheral nerve block with dexmedetomidine can reduce patient stress and anxiety during surgery, but the potential for hypoxemia should be monitored closely.
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  • Immune checkpoint inhibitors combined with chemotherapy (ICI-chemo) are a standard treatment for non-small cell lung cancer (NSCLC), but the effectiveness compared to ipilimumab and nivolumab (I-N) for patients with a PD-L1 tumor proportion score (TPS) of 1-49% was not previously assessed.
  • A study involving 401 NSCLC patients analyzed treatment outcomes, finding that median overall survival (OS) was similar between the ICI-chemo group (21.0 months) and the I-N group (20.0 months), with no significant survival differences after matching for confounders.
  • However, in patients with a TPS of 25-49%, the ICI-chemo group showed a
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  • The study investigates the effectiveness of durvalumab, an immunotherapy drug, after chemoradiotherapy in patients with unresectable locally advanced non-small-cell lung cancer (LA-NSCLC), particularly those with poorer performance status or older age.
  • In a phase II trial with 86 participants, 61 received durvalumab after low-dose carboplatin and radiotherapy, showing a 12-month progression-free survival (PFS) rate of 51%, exceeding the expected 35%.
  • The treatment was deemed effective, with a median overall survival of 28.1 months, but pneumonitis was noted as the most common severe side effect.*
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  • This study investigates if elective neck dissection can enhance outcomes for patients with early-stage tongue and floor squamous cell carcinoma (SCC) by examining biopsy data related to cervical lymph node metastasis (CLM).
  • A total of 103 patients with cT1-T2 cancer were analyzed, revealing that a budding score (BS) of 5 or higher and a pathological depth of invasion (pDOI) of 5 mm or more are significant risk factors for developing CLM.
  • The findings suggest that for early-stage cancers with a tumor diameter of 20 mm or less, patients may need additional treatment for hidden CLM if they meet specific preoperative criteria related to BS and pDOI.
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  • - Patients with ALK-positive non-small cell lung cancer often benefit from ALK tyrosine kinase inhibitors, but resistance mutations commonly lead to cancer recurrence, highlighting the need for early detection methods.
  • - This study aimed to develop a highly sensitive and cost-effective technique using oligoribonucleotide interference-PCR (ORNi-PCR) combined with droplet digital PCR (ddPCR) to detect common ALK-TKI resistance mutations (G1202R and L1196M) in cell-free DNA from patients.
  • - The results showed that ORNi-PCR successfully identified as few as 1-10 copies of the resistance mutations in model samples and patient samples, outpacing conventional methods, which could enhance early detection of resistant NSCLC.*
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  • Necrotizing fasciitis (NF) is a severe and rapidly spreading infection that can be deadly, but negative pressure wound therapy (NPWT) has shown effectiveness in aiding wound healing despite its risk of infection.
  • Continuous local antibiotic perfusion (CLAP) is an innovative method that delivers high levels of antibiotics directly to the infected area via NPWT, utilizing techniques like intramedullary and intra-soft tissue antibiotic perfusion.
  • Two cases of lower extremity NF treated with intra-soft tissue antibiotic perfusion (iSAP) demonstrated successful infection control and faster wound healing, highlighting iSAP as a promising treatment option with a shorter treatment duration for patients.
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Objectives: Immune-related adverse events (irAEs) are known to be associated with clinical efficacy and better prognoses in patients receiving immune checkpoint inhibitors. In particular, endocrine irAE (e-irAE) is related to better prognoses. Since the incidence of irAEs increase as treatment duration becomes longer, we should consider lead-time bias not to overvalue the result.

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  • Pyogenic myositis is a bacterial infection of skeletal muscle, commonly caused by Staphylococcus aureus, but can also occur in immunocompromised patients, particularly in tropical regions.
  • An 82-year-old Japanese man with type 2 diabetes experienced severe pain and swelling in his chest, leading to a diagnosis of pectoralis major pyomyositis caused by Morganella morganii after various tests ruled out other conditions.
  • The patient underwent surgical debridement and had a successful recovery, highlighting the need for prompt intervention as antibiotics alone may not be sufficient to treat this infection.
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Background And Aim: G protein-coupled estrogen receptor (GPER) is an estrogen receptor located on the plasma membrane. We previously reported that the administration of G-1, a GPER-specific agonist, suppressed development of acute ovalbumin (OVA)-induced asthma in a mouse model. Herein, we evaluate the involvement of GPER in a mouse model of chronic OVA asthma.

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Anamorelin, a ghrelin receptor agonist, is approved in Japan for the treatment of cachexia in patients with lung and gastrointestinal cancer. However, there is limited research on the usefulness of anamorelin in clinical settings, therefore, the present study evaluated its efficacy using patient characteristics. A total of 40 patients with non-small cell lung cancer and cachexia who were prescribed anamorelin in the Department of Respiratory Medicine, Hirosaki University Graduate School of Medicine (Aomori, Japan) between July 2021 and November 2022, were retrospectively assessed.

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Candida osteomyelitis is a manifestation of invasive candidiasis. The common sites of infection are the vertebra, sternum, and femur, whereas infection of the rib cartilage is very rare. In the present case, candida costochondritis developed after traumatic small-bowel perforation.

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Background: Idiopathic pulmonary fibrosis (IPF) is a risk factor for mortality in patients with lung cancer. Nintedanib has been known to slow down the decline of lung function and reduce IPF exacerbation. We aimed to explore the feasibility of adding nintedanib to chemotherapy for non-small cell lung cancer (NSCLC) patients with IPF.

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Granulomatosis with polyangiitis (GPA) is a systemic disease that causes vasculitis in various organs. Although the mechanism of pathogenesis remains unclear, infection has been reported to be a causative factor. We herein report a case of GPA that developed following coronavirus disease 2019 (COVID-19) in an adolescent girl.

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Background: The standard of care for unresectable, locally advanced non-small-cell lung cancer (LA-NSCLC) is chemoradiotherapy (CRT) followed by durvalumab, based on the PACIFIC study. Although multiple Japanese phase II studies have shown high efficacy and tolerability of CRT with cisplatin plus S-1 (SP), no prospective study using durvalumab after SP-based CRT has been reported.

Objectives: We conducted a multicenter phase II study of this approach, the interim analysis of which showed a high transition rate to durvalumab consolidation therapy.

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Staphylococcal toxic shock syndrome (TSS) is a rare but potentially life-threatening systemic bacterial intoxication. TSS is characterized by fever, hypotension, rash, digestive symptoms such as vomiting and diarrhea, multiorgan system involvement, and desquamation in the initial recovery period. We report a case of a 35-year-old woman who developed TSS caused by methicillin-resistant following deep inferior epigastric perforator flap breast reconstruction.

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An acute exacerbation of interstitial lung disease (ILD) is an acute deterioration that can occur at any time and is associated with significant morbidity and mortality rates. We herein report three patients with ILD who experienced acute respiratory failure after SARS-CoV-2 messenger RNA vaccination. All the patients were male; the mean age was 77 years.

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Rationale: Medial maxillary fractures are defined as fractures of the medial aspect of the maxilla, that is, fractures of the nasomaxillary buttress. The diagnosis of medial maxillary (nasomaxillary buttress) fractures is challenging because of its similarities with nasal, and naso-orbito-ethmoidal (NOE) fractures.

Patient Concern: The patients included a 17-year-old Japanese man and a 37-year-old Japanese woman with facial injuries.

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Small-cell lung cancer (SCLC) is a highly malignant tumor, and no standard third-line therapy has been established. The present study retrospectively analyzed the efficacy and safety of platinum-based regimens in patients with third-line SCLC who received third-line chemotherapy. The association of regimen type with overall survival (OS) or time to treatment failure (TTF) was evaluated using the Cox hazard proportional method, including well-known covariates affecting the prognosis of SCLC.

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Article Synopsis
  • The study investigates the effectiveness and safety of durvalumab following chemoradiotherapy (CRT) using cisplatin and S-1 in patients with unresectable locally advanced non-small cell lung cancer (LA-NSCLC), a combination not previously evaluated prospectively.
  • Out of 59 patients treated, 86.4% successfully transitioned to durvalumab, with the most common reasons for not proceeding being disease progression and adverse events, though most issues were manageable.
  • The results show promising outcomes with a 62.7% objective response rate and high disease control rate, alongside low incidences of severe side effects like pneumonitis.
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L-type amino acid transporter 1 (LAT1), also referred to as SLC7A5, is believed to regulate tumor metabolism and be associated with tumor proliferation. In invasive breast cancer, we clinicopathologically investigated the utility of LAT1 expression. LAT1 expression was evaluated via immunohistochemistry analyses in 250 breast cancer patients undergoing long-term follow-up.

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We describe a case of diabetic ketoacidosis (DKA) shortly after the SARS-CoV-2 (COVID-19) vaccination in a 65-year-old woman with non-small-cell lung cancer under a combination treatment of programmed cell death protein 1 (PD-1) and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) inhibitors. She had no history of diabetic mellitus. A few days after the second shot of COVID-19 vaccination, she developed DKA.

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Background: Fibrous sclerosing tumours and hypertrophic lesions in IgG4-related disease (IgG4-RD) are formed in various organs throughout the body, but disease in the oral region is not included among individual organ manifestations. We report a case of ossifying fibrous epulis that developed from the gingiva, as an instance of IgG4-RD.

Case Presentation: A 60-year-old Japanese man visited the Department of Oral and Maxillofacial Surgery, Gunma University Hospital, with a chief complaint of swelling of the left mandibular gingiva.

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Introduction: Secretory carcinoma (SC) is a malignancy of the salivary glands, which is similar to SC of the breast regarding its association with neurotrophic tyrosine receptor kinase fusion-positive gene. SC is a recently described salivary gland tumor, and there are a few reports describing oral minor salivary gland-derived SC. We reported two cases of SC in the oral cavity and reviewed the literature.

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Tumor-infiltrating lymphocytes (TILs) are a significant prognostic factor in triple-negative breast cancer. However, the clinicopathological significance of TILs in estrogen receptor (ER)-positive and human epidermal growth factor receptor 2 (HER2)-negative breast cancer remains unclear. The purpose of the present study was to evaluate the role of TILs in the prognosis of ER-positive and HER2-negative breast cancer.

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