Publications by authors named "Suguru Fukushima"

Article Synopsis
  • Postoperative scoliosis is a common issue following hemipelvectomy for pelvic tumors, though specific development patterns and risk factors are not fully understood.
  • A study reviewed 30 patients and found that the Cobb angle (a measure of scoliosis) significantly increased after surgery, particularly in the first year, with external hemipelvectomy patients showing greater changes.
  • Key risk factors for developing scoliosis included the type of hemipelvectomy performed, specific tissue resections, and whether pelvic ring reconstruction was done; about 30% of patients ultimately had a Cobb angle of 10° or more.
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Background: Serum level of tartrate-resistant acid phosphatase 5b (TRACP5b) is an excellent serum marker of bone resorption. In patients with giant cell tumor of bone (GCTB), TRACP5b levels are reportedly elevated. This study investigated whether TRACP5b could be a diagnostic serum marker and be useful for detecting postoperative disease progression for GCTB.

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Dermatofibrosarcoma protuberans (DFSP) is the most prevalent dermal sarcoma, characterized by the presence of the fusion of the collagen type I alpha 1 (COL1A1) gene with the platelet-derived growth factor beta chain (PDGFB) gene. Although PDGF receptor inhibitor imatinib mesylate was approved for the treating patients with unresectable or metastatic DFSP, disease progression was shown in 9.2% of the patients.

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Article Synopsis
  • The proximal humerus is commonly affected by primary and metastatic tumors, and there is no consensus on the best reconstruction technique after resection.
  • This study reviewed data from 19 patients who underwent a sling procedure using a free vascularized fibular graft from 1998 to 2022, noting their surgical and functional outcomes.
  • Results showed that the procedure had a low complication rate, with a majority of patients achieving favorable bone union and functional outcomes based on MSTS scores.
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Giant cell tumor of bone (GCTB) is a rare bone tumor with osteolytic features, composed of stromal cells with a monotonous appearance, macrophages, and osteoclast-like giant cells. GCTB is commonly associated with a pathogenic mutation in the H3-3A gene. While complete surgical resection is the standard cure for GCTB, it often results in local recurrence and, rarely, metastasis.

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Article Synopsis
  • Tumor-devitalized autografts are biological reconstruction methods used after tumor excision in aggressive bone or soft tissue tumors, providing benefits like no disease transmission risk and better fit for the implant site, but they also have limitations including reduced healing potential and biomechanical strength.
  • The study aimed to investigate rates of complications (like fracture and infection), 5-year and 10-year graft survival, union rates of the graft-host junction, and overall limb function related to these autografts.
  • Conducted as a retrospective study across 26 sarcoma centers in Japan, the research analyzed data from 494 patients over a 25-year period, focusing on the outcomes and factors affecting the effectiveness of these treatments.
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  • This study looked at how a special tool called a vessel sealing system (VSS) can help people recover better after surgery for a type of cancer called soft-tissue sarcoma in the thigh.
  • They compared two groups of patients: one group had surgery with the VSS and the other without it, checking how much blood they lost and how long they stayed in the hospital.
  • The results showed that patients using the VSS had less drainage (fluid) after surgery and spent less time in the hospital compared to those who didn't use it.
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Objective: eribulin, an anticancer agent that inhibits microtubule growth, along with trabectedin and pazopanib, has been approved for the treatment of advanced soft tissue sarcoma (STS). However, there has been no consensus on the optimal second-line therapy among these three agents following treatment failure with doxorubicin. Recently, the effects of eribulin on the tumor microenvironment and immunity have been reported in breast cancer, and peripheral blood immune markers have also been reported to be a predictor of eribulin efficacy, though this remains unverified in STS.

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  • A study highlights the importance of physical activity (PA) interventions for improving physical function (PF) in advanced cancer patients, emphasizing the role of motivation through technology.
  • A 40-year-old woman with lymphoma faced significant declines in PF after her treatment and was initially supported by a smartphone app to track and gradually increase her daily steps.
  • Despite setbacks due to health complications, her adherence to the app led to long-term improvements in her PA, PF, and overall quality of life, allowing her to regain independence after treatment.
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Denosumab is a game-changing drug for giant cell tumor of bone (GCTB); however, its clinical biomarker regarding tumor ossification of GCTB has not been elucidated. In this study, we investigated the relationship between Wnt/β-catenin signaling and the ossification of GCTB and evaluated whether endogenous nuclear β-catenin expression predicted denosumab-induced bone formation in GCTB. Genuine patient-derived primary GCTB tumor stromal cells exhibited osteoblastic characteristics.

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Objective: The Transatlantic Australasian Retroperitoneal Sarcoma Working Group conducted a retrospective study on the disease course and clinical management of ganglioneuromas.

Background: Ganglioneuromas are rare tumors derived from neural crest cells. Data on these tumors remain limited to case reports and single-institution case series.

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Giant cell tumor of bone (GCTB), is a rare intermediate malignant bone tumor with high local infiltrative ability, and is genetically characterized by mutation in the H3-3A gene. Standard treatment is curative surgical tumor resection. GCTB demonstrates both local recurrence and pulmonary metastasis after surgical treatment, and effective systematic chemotherapy is yet to be established.

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Li-Fraumeni syndrome (LFS) is a cancer predisposition syndrome caused by a germline mutation of the TP53. The lifetime risk of cancer in individuals with LFS is ≥ 70% for men and ≥ 90% for women. Undifferentiated pleomorphic sarcoma (UPS) is one of the core cancers associated with LFS.

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Background: Mutant isocitrate dehydrogenase (IDH) in chondrosarcoma produces the oncometabolite 2-hydroxyglutarate (2-HG) and contributes to malignant progression, and is therefore a potential therapeutic target for chondrosarcoma. Robust historical control data are important in clinical trials of rare cancers such as chondrosarcoma in order to show a clear benefit of new drugs. However, it remains controversial whether IDH mutation status is associated with the clinical outcome of chondrosarcoma, and this hinders the development of mutant IDH inhibitors in clinical trials.

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Giant cell tumor of bone (GCTB) is a locally aggressive and rarely metastasizing tumor. GCTB is characterized by the presence of unique giant cells and a recurrent mutation in the histone tail of the histone variant H3.3, which is encoded by H3F3A on chromosome 1.

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Dedifferentiated liposarcoma (DDLPS) is a highly malignant subtype of liposarcoma, with characteristic amplification of MDM2 and CDK4 (12q14-15). It is caused by the dedifferentiation of well-differentiated liposarcoma. DDLPS is refractory to conventional chemotherapy; thus, surgical resection is the primary treatment modality.

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BACKGROUND CIC-rearranged sarcoma (CRS) is a recently described subset of undifferentiated small-round-cell sarcomas of bone and soft tissue. DUX4 is the most common gene involved in CRS. CRS usually presents in the soft tissue of the trunk and extremities, and is recognized as being clinically aggressive, with poor prognosis.

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Dedifferentiated liposarcoma (DDLPS) is one of the four subtypes of liposarcomas; it is characterized by the amplification of the 12q13-15 region, which includes MDM2 and CDK4 genes. DDLPS has an extremely high local recurrence rate and is refractory to chemotherapy and radiation, which leads to poor prognosis. Therefore, a novel therapeutic strategy should be urgently established for improving the prognosis of DDLPS.

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Article Synopsis
  • Alveolar soft-part sarcoma is a rare mesenchymal cancer with a poor long-term prognosis due to late metastases, and current treatments have not been effective.
  • The study successfully established a new cell line (NCC-ASPS1-C1) derived from patient tumor tissue, which maintains the disease's unique genetic characteristics, including the ASPSCR1-TFE3 fusion gene.
  • Screening revealed that the MET inhibitor tivantinib and the multi-kinase inhibitor orantinib effectively inhibit the growth of these cells, suggesting potential new therapeutic avenues worth exploring in further research.
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Desmoplastic fibroblastoma (DFB) is an uncommon, benign, soft tissue tumor. The tumor most often presents as a slowly growing, painless soft tissue mass and is usually small. There have been only a few reports of patients with DFB who presented with bone invasion.

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Article Synopsis
  • Chondrosarcoma is a serious type of bone cancer that doesn't respond well to regular treatments like chemotherapy or radiation.
  • About half of the people with this cancer have a change in a gene called IDH, which makes the cancer worse by producing a harmful substance.
  • A new drug called DS-1001b shows promise by stopping the bad effects of the IDH change, helping to slow down cancer growth and possibly improve treatment options for patients.
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Eribulin is a new drug to treat soft tissue sarcoma (STS) that exerts antitumor activity by binding to microtubules. The prognosis of STS is poor, and eribulin is expected to improve the treatment outcome. We observed several cases that exhibited resistance to eribulin and developed an eribulin-resistant leiomyosarcoma cell line to investigate the mechanism of resistance.

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Objective: To investigate the correlation between changes of contralesional cortical excitability evaluated by transcranial magnetic stimulation (TMS) and functional recovery in patients with hemiparetic stroke.

Methods: Eight inpatients (mean age: 75.9±13.

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