Publications by authors named "Song Jihyung"

Article Synopsis
  • The study compares lymph node spread patterns in young (≤45 years) and elderly (≥80 years) patients with stage III colon cancer who underwent extensive lymphadenectomy in Japan between 1998 and 2018.
  • Results showed that younger patients had significantly more lymph nodes harvested and a higher rate of positive central lymph nodes compared to elderly patients.
  • The findings suggest that younger patients face a higher risk of central lymph node invasion, which is linked to poorer recurrence-free survival outcomes, indicating a potentially more aggressive form of the disease.
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  • Comprehensive genomic profiling (CGP) has been covered by health insurance since June 2019, but its clinical impact on metastatic colorectal cancer (mCRC) patients is still not well understood, with limited reports on patient outcomes.
  • A questionnaire was sent to 51 mCRC patients who received CGP results after April 2021, with 21 patients responding about their satisfaction and the timing of their tests.
  • While 66.7% of respondents were satisfied with CGP, half were unaware of it before their doctors discussed it, highlighting the need for better patient education early in the treatment process.
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  • Understanding the branch patterns of internal iliac vessels, particularly veins, is crucial for safely performing minimally-invasive pelvic surgeries.
  • A study of 30 patients examined the anatomical variations of these vessels using surgical videos and 3D simulations, focusing on several key arteries and veins.
  • Results showed a dominant branch pattern for the internal iliac vein, with high correlation between the arteries and veins, which can improve surgical outcomes and safety in procedures.
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  • Total pelvic exenteration is a complex surgical procedure for advanced rectal cancer, and researchers are exploring a new approach using transanal minimally invasive surgery.
  • A two-team surgical method combines laparoscopic and transanal techniques to effectively remove pelvic organs while minimizing complications.
  • Preliminary results from eight patients show manageable blood loss and operation time, with no severe complications, suggesting this method is a promising alternative for complex cases.
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  • Fluorouracil infusion requires patients with advanced colorectal cancer to self-remove a needle from a central venous port; initial outpatient instructions led to low success rates.
  • A study compared results of self-removal instructions given in outpatient settings vs. in-hospital patient wards, finding similar initial success rates but higher overall success in the ward with family involvement.
  • Involving patients' families during hospital stays significantly improved needle self-removal rates, especially for elderly patients, suggesting that family support plays a critical role in the process.
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Preemptive skin treatment led by nurses and pharmacists was started for patients with metastatic colorectal cancer (mCRC)who received anti-EGFR antibody treatment. Incidence of skin-related toxicities, amount of topical moisturizers used, and administered cycles of anti-EGFR antibody were retrospectively compared between a preemptive skin treatment group and a control group. Thirty-four mCRC patients before the introduction of preemptive skin treatment led by nurses and 23 mCRC patients treated with preemptive skin treatment led by nurses were evaluated.

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A 55-year-old man was referred for surgery after colonoscopy revealed type 3 advanced lower rectal cancer in the lower rectum. CT and MRI scan showed no distant metastasis but on the left side of the rectum, there was a 34×30 mm large mass suspicious of lymph node metastasis, which had left-sided wall pelvic fascia invasion. We performed preoperative chemoradiotherapy(CRT)to ensure a secure surgical margin.

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Background: Lateral pelvic lymph node dissection (LLND) combined with removal of the internal iliac vessels is a challenging surgical procedure in minimally invasive surgery. We herein report our dissection approach and short-term outcomes.

Methods: We conducted a study on rectal cancer patients who underwent laparoscopuic LLND combined with removal of the internal iliac vessels at our institution in March 2017-December 2019.

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The anatomical spread of lymph node (LN) metastasis is of practical importance in the surgical management of colon cancer (CC). We examined the effect of KRAS, BRAF, and microsatellite instability (MSI) on LN count and anatomical spread pattern in stage III CC. We determined KRAS, BRAF, and MSI status from stage III CC patients.

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Tumour-Node-Metastasis (TNM) staging of colorectal cancer (CRC) needs further classification for better treatment because of disease heterogeneity. Although molecular classifications which are expensive and laborious are under study, cost and labour efficient subtyping is desirable. We assessed the combinations of preoperative tumour marker (TM) elevation and tumour lymphovascular invasion (LVI) as a solution.

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Purpose: Data on long-term outcomes of familial adenomatous polyposis (FAP) are unclear in Japan because a nationwide registry system is lacking. We assessed overall survival, incidence of neoplasms, fecal incontinence, and postoperative follow-up status of patients with FAP treated surgically in our hospital.

Methods: In total, 154 patients with FAP who underwent radical surgery from 1981 to 2017 in our department were available for the questionnaire.

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We experienced 2 cases of pelvic recurrence from rectal cancer. These patients received radiofrequency ablation(RFA) therapy. Case 1 was a 76-year-old man who underwent intersphincteric resection for lower rectal cancer in October 2013.

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The purpose of the present study was to assess the efficacy and toxicity of preoperative chemoradiotherapy using irinotecan against locally advanced lower rectal cancer according to UDP-glucuronosyltransferase 1A1 (UGT1A1) polymorphisms. Between 2009 and 2016, 46 patients with resectable rectal cancer (T3-T4, N0-N2, M0) received preoperative chemoradiotherapy consisting of 80 mg/m per day tegafur/gimeracil/oteracil (S-1; days 1-5, 8-12, 22-26, and 29-33), 60 mg/m per day irinotecan (days 1, 8, 22, and 29), and 45 Gy radiation (1.8 Gy/day, 5 days per week for 5 weeks).

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Case 1: 63-year-old woman received abdominoperineal resection with lateral lymph node dissection for rectal cancer in 2008. After adjuvant chemotherapy, she suffered from lung metastasis and received partial pneumonectomy in 2012. However, chemotherapy was performed again for lung metastasis and mediastinal lymph nodes in 2013.

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We had 2 cases of liver-limited and unresectable liver metastases from colorectal cancer with RAS mutations. These patients received hepatic arterial infusion chemotherapy(HAI), finally achieving pCR. Case 1 was a 76-year-old female with rectosigmoid cancer and multiple liver metastases.

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A 67-year-old woman was diagnosed with cecal cancer, para-aortic lymph node metastasis, peritoneum dissemination, and left breast cancer. We administered mFOLFOX6 plus panitumumab for cecal cancer and an aromatase inhibitor for her breast cancer. She received 7 courses of systemic chemotherapy and showed a partial response.

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