Publications by authors named "Seung Ick Cha"

Article Synopsis
  • The study investigated the incidence and clinical significance of bacteremia in patients with complicated pleural infections, finding that 7% of the 341 patients had positive blood cultures.
  • Blood cultures offered limited additional diagnostic information compared to pleural fluid cultures and did not affect in-hospital mortality rates significantly.
  • The only factor closely linked to higher overall mortality was a higher RAPID score, indicating that blood cultures may benefit certain patients, particularly those with cavitary lesions or higher RAPID scores.
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Introduction: Data on factors related to mortality in patients with bronchiectasis exacerbation are insufficient. Computed tomography (CT) can measure the pectoralis muscle area (PMA) and is a useful tool to diagnose sarcopenia. This study aimed to evaluate whether PMA can predict mortality in patients with bronchiectasis exacerbation.

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  • The study focuses on the role of pleural fluid carcinoembryonic antigen (PF-CEA) levels in patients with advanced lung adenocarcinoma and malignant pleural effusion (MPE) in relation to epidermal growth factor receptor (EGFR) mutations and treatment outcomes.
  • Findings reveal that higher PF-CEA levels are independently linked to a greater likelihood of EGFR mutations and are associated with improved survival rates in patients treated with EGFR-tyrosine kinase inhibitors (TKIs).
  • The research underscores the need for careful evaluation of PF-CEA levels in lung cancer patients, as elevated levels could indicate useful insights for treatment strategies, even when cytology results are negative.
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Purpose: This study aimed to investigate the impact of FDG PET/CT timing for biopsy site selection in patients with stage IV lung cancer regarding complications and diagnostic yield.

Methods: This retrospective analysis was performed on 1297 patients (924 men and 373 women with a mean age of 71.4 ± 10.

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The data regarding pulmonary artery stump thrombosis (PAST) after lung cancer surgery are insufficient. The aim of the present study was to evaluate the incidence, clinical characteristics, and prognosis of PAST. We retrospectively investigated the incidence and clinical characteristics of PAST among patients who underwent lung resection for lung cancer at 2 institutions.

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Background And Purpose: This study aimed to investigate the predictive factors of severe radiation-induced lung injury (RILI) in patients with lung cancer and coexisting interstitial lung disease (ILD) undergoing conventionally fractionated thoracic radiotherapy.

Materials And Methods: The study includes consecutive patients treated with thoracic radiotherapy for lung cancer at two tertiary centers between 2010 and 2021. RILI severity was graded using the National Cancer Institute Common Terminology Criteria version 5.

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Background: Stenotrophomonas maltophilia has been increasingly recognized as an opportunistic pathogen associated with high morbidity and mortality. Data on the prognostic factors associated with S. maltophilia pneumonia in patients admitted to intensive care unit (ICU) are lacking.

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Background: Neurogenic differentiation 1 (NeuroD1) is a representative small cell lung cancer (SCLC) transcription regulator involved in the carcinogenesis and behavior of SCLC. Histone modifications play an important role in transcription, and H3 lysine 4 trimethylation (H3K4me3) is primarily associated with promoter regions.

Methods: We investigated the association between single nucleotide polymorphisms (SNPs) in NeuroD1 and H3K4me3 coincident regions, selected using ChIP sequencing (ChIP-seq), and the clinical outcomes of 261 patients with SCLC.

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Background: Patients with bronchiectasis commonly experience disease exacerbations, which cause significant morbidity and mortality. However, data regarding the clinical features of bronchiectasis patients hospitalized with hemoptysis are scarce.

Methods: We retrospectively collected the data of patients with bronchiectasis-associated hospitalization at a tertiary referral center in Korea, and classified them into the hemoptysis and infective exacerbation (IE) groups.

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Introduction: Altered lipid metabolism has been reported to be associated with prognosis in multiple cancers. This study aimed to investigate the association of polymorphisms in lipid metabolism pathway genes with survival outcomes in patients with surgically resected non-small cell lung cancer (NSCLC).

Methods: In total, 744 patients with surgically resected NSCLC (380 in the discovery cohort and 364 in the validation cohort) were included in this study.

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Article Synopsis
  • Necroptosis, a type of regulated cell death linked to cancer progression, was studied to see how genetic variants in its regulators affect survival rates in non-small cell lung cancer (NSCLC) patients after surgery.
  • Among 674 patients analyzed, two specific genetic variants (RIPK1 rs17548629C > T and MLKL rs877375G > C) showed a connection with improved overall and disease-free survival, particularly in those with adenocarcinoma.
  • The study's findings suggest that these genetic variants could serve as useful biomarkers for predicting survival outcomes in NSCLC patients who have undergone surgical treatment.
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Non-expandable lung (NEL) often occurs during pleural fluid drainage in patients with malignant pleural effusion (MPE). However, data regarding the predictors and prognostic impact of NEL on primary lung cancer patients with MPE receiving pleural fluid drainage, compared to malignant pleural mesothelioma (MPM), are limited. This study was aimed to investigate the clinical characteristics of lung cancer patients with MPE developing NEL following ultrasonography (USG)-guided percutaneous catheter drainage (PCD) and compare the clinical outcomes between those with and without NEL.

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Background: Computed tomography (CT) is the mainstay imaging modality for suspected pleural malignancy. Tuberculous pleural effusion (TPE) can present with various pleural abnormalities. However, few studies have evaluated the different characteristics of pleural abnormalities on chest CT between TPE and malignant pleural effusion (MPE).

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Limited data exist about the comparative immune cell population profile determined by cytometry by time-of-flight (CyTOF) analysis between active tuberculosis (TB) and latent TB infection (LTBI). In this study, we performed CyTOF analysis using peripheral blood mononuclear cells (PBMCs) to compare the differential immune cellular profile between active TB and LTBI. A total of 51 subjects (active TB [n = 34] and LTBI [n = 17]) were included.

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Article Synopsis
  • NEUROD1 is often overexpressed in small-cell lung cancer (SCLC), playing a crucial role in enhancing cancer cell behavior and survival.
  • A study involving 261 SCLC patients identified two specific single nucleotide polymorphisms (SNPs)—SEMA6A rs3806915C>A and NHLH1 rs11265375C>T—that were significantly linked to better chemotherapy responses and overall survival.
  • The findings indicate that these SNPs influence the promoter activity of their respective genes, potentially impacting the survival outcomes of patients with SCLC.
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Background: Data regarding the clinical characteristics and treatment outcomes of patients with community-acquired pneumonia (CAP) and bronchiectasis (BE) are rare. This study aims to elucidate the clinical relevance of BE in patients with CAP.

Methods: Patients hospitalized with CAP in a single center were retrospectively analyzed and divided into significant BE (BE with ≥ 3 lobes or cystic BE on computed tomography) and control groups.

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Pemetrexed is an anti-folate agent which is one of the most frequently used chemotherapy agents for non-squamous non-small cell lung cancer (NSCLC) patients. However, clinical response to pemetrexed chemotherapy and survival outcome of patients varies significantly. We evaluated whether the genetic variants in miRNA target sites may affect the treatment outcome of pemetrexed chemotherapy in lung adenocarcinoma patients.

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Article Synopsis
  • This study explored how genetic variations in specific areas related to histone modification affect the effectiveness of PEM chemotherapy in lung adenocarcinoma patients.
  • Researchers analyzed 279 single nucleotide polymorphisms (SNPs) in 314 patients and found that 18 SNPs influenced chemotherapy response, while 28 impacted overall survival.
  • Notably, the SNP rs549794A>G was linked to poorer chemotherapy response and worse survival outcomes, with implications highlighting the role of the RPS3 gene in chemotherapy resistance.
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  • This study examined how genetic variations in the LKB1/AMPK/mTOR pathway affect treatment outcomes for non-small cell lung cancer (NSCLC) patients receiving chemotherapy.
  • It involved 379 patients treated with first-line paclitaxel-cisplatin chemotherapy, focusing on 19 specific genetic variants.
  • Two variants, AKT1 rs2494750G>C and TSC1 rs2809244C>A, were found to predict better chemotherapy response and overall survival, particularly in patients with adenocarcinoma.
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Hemoptysis is a common cause of emergency department (ED) visits. There is little data about the role of systemic hypertension as a cause of hemoptysis. The aim of this study was to evaluate the association between systemic blood pressure and the unknown etiology of hemoptysis.

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Differential leukocyte counts of pleural fluid are routinely recommended for the early diagnosis and management of exudative pleural effusions. Rapid automated cellular analysis agrees strongly with standard manual microscopic counts and has become a reality in many clinical laboratories. However, discordant results sometimes observed between automated and manual analyses raise concern about using automated analysis to aid prompt differential diagnosis.

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Pulmonary vein stump thrombosis (PVST) is uncommonly encountered postoperative in-situ thrombosis in the stump of pulmonary veins after lung resection. Data regarding the incidence and clinical behaviour of PVST are scarce. Thus, this study aims to investigate the incidence, clinical characteristics and outcome of PVST after lung resection in patients with lung cancer.

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Background: Foreign-body aspiration is common in children aged 6 months to 3 years. However, with the aging population and increasing prevalence of disabilities such as hemiparesis and neuromuscular diseases in adults, an increased incidence of aspiration is expected.

Methods: This was a multicenter retrospective, observational study in four major referral hospitals in Daegu, South Korea, between 2000 and 2019.

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Article Synopsis
  • The study aimed to identify factors that predict outcomes in patients with community-acquired complicated parapneumonic effusion (CPPE) or empyema.
  • Significant differences were found in length of stay (LOS), with CPPE or empyema patients staying longer (average 13 days) than the control group (8 days), but mortality rates were similar across both groups.
  • Independent predictors of prolonged LOS in these patients included high Pneumonia Severity Index classes, increased attenuation of extrapleural fat on CT, and the presence of pleural microbubbles.
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