Publications by authors named "Miwa Fujihara"

Trastuzumab-emtansine (T-DM1) is a therapeutic agent molecularly targeting human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer (MBC), and it is especially effective for MBC with resistance to trastuzumab. Although several reports have described T-DM1 resistance, few have examined the mechanism underlying T-DM1 resistance after the development of acquired resistance to trastuzumab. We previously reported that YES1, a member of the Src family, plays an important role in acquired resistance to trastuzumab in -amplified breast cancer cells.

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Article Synopsis
  • A study analyzed 387 patients who had implant-based breast reconstruction between 2004 and 2017, focusing on local recurrence and related risk factors.
  • The local recurrence rate was found to be 3.1%, mainly caused by palpable masses, with lymphatic vessel invasion and inadequate vertical margins identified as significant risk factors.
  • Findings suggest that surgical intervention and adjuvant radiation therapy can lead to positive outcomes for patients experiencing local recurrence after the reconstruction.
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  • This phase II study aimed to assess the effectiveness of combining nab-paclitaxel (nab-PTX) with anthracycline-based therapy as a neoadjuvant treatment for advanced breast cancer.
  • A total of 41 patients were treated, with observable pathological complete response (pCR) rates varying significantly among different breast cancer subtypes, with a total pCR of 24% overall but as high as 100% for HER2-positive cases.
  • The treatment was generally well-tolerated, although notable side effects included peripheral sensory neuropathy and neutropenia, with one patient experiencing fatal complications linked to pneumonia.
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Differentiated thyroid carcinoma (DTC) in juvenile patients is often an extensive and aggressive disease with a high frequency of recurrence. However, the prognosis is excellent, with a low mortality rate even when advanced disease is present, although prognostic factors and treatment strategy remain uncertain. Between April 2004 and March 2017, 33 juvenile patients (< 30 years old) were diagnosed with DTC and treated at our institution.

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