Publications by authors named "Takahiro Einama"

Tumor cell nuclear size (NS) indicates malignant potential in breast cancer; however, its clinical significance in esophageal squamous cell carcinoma (ESCC) is unknown. Artificial intelligence (AI) can quantitatively evaluate histopathological findings. The aim was to measure NS in ESCC using AI and elucidate its clinical significance.

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Superior mesenteric artery (SMA) invasion by a malignant tumour is a serious condition leading to intestinal ischaemia. Although SMA stenting has been reported to be useful for SMA dissection and stenosis caused by atherosclerotic plaque, SMA stenting for stenosis caused by malignant tumour invasion is rarely reported and uncertain. A 75-year-old woman presented intestinal ulcer and melena caused by SMA invasion of unresectable pancreatic cancer.

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Tumor markers such as carbohydrate antigen 19-9 (CA19-9) are generally useful in ruling out malignancy of hepatic cysts. The patient was a 72-year-old man who had a ruptured liver cyst in the right liver, which had been noted since he was 67 years old at another hospital. The initial laboratory tests demonstrated elevated CA19-9 (193 784.

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  • The study aimed to determine if preoperative treatment for pancreatic cancer increases the risk of developing hepatic steatosis (HS) and if HS impacts short-term surgical recovery.
  • It involved reviewing medical records of 230 patients who underwent surgery from 2010 to 2023, identifying various risk factors for HS, including factors like female sex, disease stage, and preoperative chemotherapy.
  • Results showed that while preoperative HS was linked to several risk factors, it did not influence short-term postoperative complications.
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  • In colorectal cancer, the type of fibrotic stroma in tumors helps predict patient outcomes, while in pancreatic cancer (PC), the fibrotic stroma, called desmoplasia, needs better characterization for prognostic evaluation.
  • A study of 167 patients with resected PC classified desmoplastic reactions into mature, intermediate, and immature patterns and analyzed their impact on survival rates.
  • Results indicated that mature desmoplastic patterns are linked to better disease-free survival, suggesting that understanding these patterns could improve treatment strategies for PC patients.
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  • Pancreatic ductal adenocarcinoma (PDAC) has a high recurrence rate, over 70%, and is typically treated with gemcitabine (GEM) chemotherapy, though outcomes are often poor.
  • A case study of a 63-year-old woman shows she achieved clinical complete remission for over 7 years after receiving GEM monotherapy, even after developing liver metastases post-surgery.
  • Analysis of hENT1 protein levels in tumor tissues suggests that assessing hENT1 expression could help predict the efficacy of GEM treatment in PDAC patients.
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Adjuvant chemotherapy is usually not considered for pT1a pN0 human epidermal growth factor receptor 2 (HER2)-positive breast cancer due to its low recurrence rate. The present report describes a case of pT1a hormone receptor-positive HER2-positive breast cancer with multiple recurrences in the axillary lymph nodes and liver within 1 year after radical surgery. A 58-year-old woman underwent left total mastectomy and sentinel lymph node biopsy for left breast cancer with pathological stage IA (pT1a pN0).

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  • The study aimed to explore how AI-based measurements of myxoid stroma can predict outcomes in patients with esophageal squamous cell carcinoma (ESCC) who have undergone surgery after neoadjuvant chemotherapy (NAC).
  • Two patient groups were analyzed: 85 patients from the first cohort and 80 patients from a second validation cohort, both assessed for myxoid stroma in their resected tumors.
  • Results indicated that a higher amount of myxoid stroma was linked to worse overall survival and recurrence outcomes in both cohorts, confirming its potential as a significant prognostic factor in ESCC patients post-NAC.
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Tumor resectability, which is increasingly determined based on preoperative chemotherapy, is critical in determining the best treatment for pancreatic cancers. The present study evaluated the usefulness of serum carbohydrate antigen 19-9 (CA19-9) and the preoperative 8F-fluorodeoxyglucose positron emission tomography/computed tomography standardized uptake value (SUV) percentage change (SUVmax%=[(SUVmax2-SUVmax1)/SUVmax1] ×100, where SUVmax1 and SUVmax2 represent the initial and delayed phases, respectively) as biological factors indicative of tumor resectability. The present study included patients with resectable pancreatic cancer who underwent complete surgical resection, for whom both CA19-9 and SUVmax% were documented using cut-off values of 500 U/ml and 24.

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Background: Tumor size (TS) is a well-established prognostic factor of pancreatic ductal adenocarcinoma (PDAC). However, whether a uniform treatment strategy can be applied for all resectable PDACs (R-PDACs) and borderline resectable PDACs (BR-PDACs), regardless of TS, remains unclear. This study aimed to investigate the impact of preoperative TS on surgical outcomes of patients with R-PDACs and BR-PDACs.

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  • This study investigates how the retention index from PET scans using 18F-fluorodeoxyglucose can predict the long-term outcomes of esophageal cancer and the effectiveness of neoadjuvant chemotherapy.
  • It analyzed data from 151 patients who had esophagectomies, categorizing them into high-retention index and low-retention index groups based on the retention index calculated from their PET scan results 60 and 120 minutes post-injection.
  • Results showed that patients in the high-retention index group had significantly worse overall survival and relapse-free survival rates, lower response rates to chemotherapy, and poorer pathological outcomes compared to those in the low-retention index group.
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Objective: The aim of the study is to evaluate the influence of cachexia at the time of diagnosis of pancreatic ductal adenocarcinoma (PDAC) on prognosis in patients undergoing surgical resection.

Methods: Patients with data on preoperative body weight (BW) change followed by surgical resection during 2008-2017 were selected. Large BW loss was defined as weight loss >5% or >2% in individuals with body mass index less than 20 kg/m2 within 1 year preoperatively.

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  • The study investigates the effectiveness of conversion surgery in patients with initially unresectable advanced pancreatic ductal adenocarcinoma (PDAC) by analyzing surgical resection rates and survival outcomes from 2013 to 2018.
  • In a sample of 211 patients classified as resectable (R), borderline resectable (BR), and unresectable (UR), resection rates were highest in the R group (99%) and lowest in the UR group (19%), with overall survival markedly differing across groups (31 months for R, 18 months for BR, and 11 months for UR).
  • Patients who underwent surgical resection showed similar relapse-free and overall survival rates regardless of their initial classification, suggesting that while conversion surgery is
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Background: S-1 adjuvant chemotherapy is the standard treatment in Asia for resectable pancreatic ductal adenocarcinoma. The relative dose intensity of adjuvant chemotherapy influences survival in pancreatic cancer but does not precisely reflect treatment schedule modifications. We investigated the effects of total dose intensity of S-1 adjuvant chemotherapy on the survival of patients with pancreatic cancer and the permissible dose reduction.

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We examined the value of preoperative dual time point (DTP) 18F-fluorodeoxyglucose positron emission tomography/computed tomography fusion imaging (FDG PET/CT) as a predictor of early recurrence or the outcomes in patients with pancreatic cancer. Standardized uptake values (SUVs) in DTP FDG PET/CT were performed as preoperative staging. SUVmax1 and SUVmax2 were obtained in 60 min and 120 min, respectively.

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The expression of mesothelin correlates with a poor prognosis in patients with breast cancer. Since mesothelin plays a role in cancer metastasis in association with CA125, we herein examined the expression of mesothelin and CA125, and the clinicopathological meaning and prognosis of the co-expression of mesothelin and CA125 in breast cancer. Our results showed that among 478 patients, mesothelin and CA125 were co-expressed in 48 (10 %), mesothelin only in 75 (16 %), CA125 only in 217 (45 %), and neither in 234 (49 %).

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  • Inflammatory pseudotumor (IPT) is a benign growth made up of inflammatory cells and fibrous tissue, particularly notable in cases relating to IgG4-related disease (IgG4-RD).
  • A 75-year-old woman with rectal cancer showed a low-density liver mass, initially diagnosed as cholangiolocellular carcinoma, but later confirmed as IgG4-related hepatic IPT through histopathological examination.
  • Accurate diagnosis of IgG4-related hepatic IPT can be challenging, highlighting the importance of considering IgG4-RD in liver tumor evaluations and performing thorough histological analysis.
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  • The study investigates the impact of metastases to lymph node #14 (LN#14) on the prognosis of patients with pancreatic head cancer who underwent surgery.
  • Among 99 patients analyzed, those with LN#14 metastasis had a significantly lower median overall survival (10.2 months) compared to those without (31.1 months).
  • The findings suggest that LN#14 metastasis is a critical prognostic indicator, independent of other lymph node metastases, highlighting its potential importance in patient outcomes.
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Background: Mesothelin (MSLN) is a cell-surface glycoprotein present on mesothelial cells; its expression in several epithelial cancers generally portends an unfavorable prognosis. We investigated MSLN as a surrogate chemopredictive biomarker and examined the impact of MSLN expression in stage IV colorectal cancer (CRC).

Methods: We recruited 254 patients with CRC who received systemic chemotherapy following primary tumor resection between 2000 and 2019.

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Ventilator-induced lung injury (VILI) can be life-threatening and it is important to prevent the development of VILI. It remains unclear whether the prone position affects neutrophilic inflammation in the lung regions in vivo, which plays a crucial role in the pathogenesis of VILI. This study aimed to assess the relationship between the use of the prone position and the development of VILI-associated regional neutrophilic lung inflammation.

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Recent studies have suggested that the interaction of mesothelin (MSLN) and cancer antigen 125 (CA125) enhances tumor metastases. The aim of the present study was to clarify the impact of MSLN and CA125 co-expression on the prognosis of patients with extrahepatic bile duct carcinoma (BDC). Tissue samples from patients who underwent surgical resection between 2007 and 2015 for perihilar or distal BDC were immunohistochemically examined.

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Background: This study aimed to investigate the association between clinicopathologic factors, mesothelin, and cancer antigen (CA) 125 in endometrial carcinoma.

Methods: Between 1989 and 2017, patients with endometrial carcinoma who underwent total hysterectomy and bilateral salpingo-oophorectomy at our hospital were identified. The association between either or both immunochemical expression of mesothelin and CA125 and clinicopathological features were retrospectively examined.

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  • Long-term outcomes for patients with bile duct cancer after surgery are generally poor, especially following tumor recurrence, with current standard treatment being gemcitabine and cisplatin (GC) therapy.
  • A case study of a 65-year-old man showed promising results using carbon ion radiotherapy (CIRT) after initial GC therapy was effective, leading to reduced tumor size and improved survival for extended periods.
  • Despite multiple treatments and temporary stabilization, the patient ultimately experienced tumor regrowth and passed away 81 months post-surgery, highlighting the ongoing challenges in managing advanced bile duct cancer.
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Background: Mesothelin is a 40-kDa glycoprotein that is highly overexpressed in various types of cancers, however molecular mechanism of mesothelin has not been well-known. Amatuximab is a chimeric monoclonal IgG1/k antibody targeting mesothelin. We recently demonstrated that the combine therapy of Amatuximab and gemcitabine was effective for peritonitis of pancreatic cancer in mouse model.

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