Publications by authors named "T Gokita"
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.
Article Synopsis
- Reconstruction after periacetabular bone tumor removal poses challenges between using large bone grafts or implants for walking function and opting for hip transposition, which has less risk but variable results.
- The study aims to assess recovery time for walking function after hip transposition, identify factors influencing early recovery, and examine if quick recovery correlates with improved walking ability and higher MSTS scores.
- A retrospective review included 48 patients over a decade, focusing on those treated with hip transposition, with 38 patients monitored for at least 6 months to evaluate their functional recovery post-surgery.
Article Synopsis
- Carbon ion radiotherapy (CIRT) is being investigated as a treatment for malignant pelvic tumors, especially for patients who cannot undergo surgery due to high risks.
- The study involved 28 patients treated with CIRT and 69 control patients who underwent surgery, comparing their complication rates and functional outcomes over time.
- Results indicated that CIRT had fewer early complications but more late complications, while functional outcomes remained stable with CIRT in the short term, contrasting with a decline in the surgery group that later rebounded, leading to similar mid-term outcomes between the two treatments.
Background: Image-guided percutaneous core needle biopsy (CNB) has been an important diagnostic procedure for musculoskeletal lesions. Here we surveyed the variety of diagnostic strategies available and assessed the clinical usefulness and limitations of image-guided CNB carried out by a multidisciplinary team comprising specialists in various fields.
Methods: We conducted a retrospective study of 284 image-guided CNBs among 1899 consecutive biopsy procedures carried out at our institution for musculoskeletal tumorous conditions, focusing on their effectiveness including diagnostic accuracy and utility for classification of specimens according to malignant potential and histological subtype as well as their correlation with biopsy routes.
Nodular fasciitis is a mesenchymal lesion, which has been viewed as a reactive process. The MYH9-USP6 fusion gene was recently detected in nodular fasciitis, and nodular fasciitis is now considered to be a self-limiting neoplastic process. Recently, a case of nodular fasciitis that recurred a number of times and metastasized to soft tissues was reported, and the features of aggressive cases of nodular fasciitis are currently under investigation.
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