Publications by authors named "Takao Morohoshi"

Article Synopsis
  • The study investigates the best timing and criteria for treating postoperative air leaks after lung surgery, as practices vary across hospitals.
  • Using data from a 2019 multicenter study, researchers identified 420 patients with air leaks and compared those who received treatment to those who were only monitored.
  • Key findings showed that factors like low body mass index, type of lung surgery, use of fibrin glue, and the severity of air leaks on the first postoperative day can predict the need for intervention, and that a significant number of air leaks resolved spontaneously within a week.
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Article Synopsis
  • The study investigates metachronous lung cancer (arising after resection of non-small-cell lung cancer), distinguishing between second primary lung cancer (SPLC) and intrapulmonary metastasis (IPM), which is challenging to diagnose.
  • A retrospective analysis included 105 patients who had a second lung resection, revealing that most had SPLC, and the overall 5-year survival rate after surgery was 70.6%.
  • Key factors affecting poor survival rates included being over 70 years old at the second surgery, male sex, lymph node involvement, larger tumor size, and shared histology with the original cancer, although histological IPM wasn't a significant risk factor.
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Due to the scarcity of large-sized prospective databases, the Japanese Joint Committee for Lung Cancer Registry conducted a nationwide prospective registry for newly diagnosed and untreated pleural mesothelioma. All new cases diagnosed pathologically as any subtype of pleural mesothelioma in Japan during the period between April 1, 2017, to March 31, 2019, were included before treatment. Data on survival were collected in April 2021.

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Article Synopsis
  • The study investigates the effectiveness of adjuvant chemotherapy (ACT) for elderly patients (aged 75 and older) with completely resected non-small-cell lung cancer (NSCLC) at p-stage II-IIIA, addressing a gap in previous research that focused on younger patients.
  • Data was analyzed from a nationwide registry of 812 patients who underwent lobectomy in 2010, with findings indicating that those who received ACT had significantly better overall survival compared to those who did not.
  • The study concludes that ACT should be considered for elderly patients with completely resected NSCLC, reinforcing the idea that age alone should not determine treatment options.
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  • Immune checkpoint inhibitors (ICIs) have shown effectiveness in treating pleural mesothelioma, and the tumor microenvironment (TME) plays a crucial role in predicting responses to these treatments.
  • A study analyzed surgical specimens from 22 patients treated with nivolumab, finding that higher densities of CD8 T cells near tumor cells were linked to better treatment responses.
  • Conversely, regulatory T cells were found farther from tumor cells in responding patients, indicating that the spatial arrangement of immune cells in the TME could serve as a potential predictor for ICI effectiveness in this cancer type.
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Although the diagnosis of malignant pleural mesothelioma at an in situ stage was traditionally challenging, it is now possible owing to advances in molecular biological methods such as P16 fluorescence in situ hybridization or BRCA1-associated protein 1 immunohistochemistry. Here, we report the first case, to our knowledge, of total parietal pleurectomy for mesothelioma in situ. Future follow-up and accumulation of cases are necessary to determine whether total parietal pleurectomy could be applied as a treatment for mesothelioma in situ or not.

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Objectives: The first surge in severe acute respiratory syndrome coronavirus 2 infection had a significant impact on health care institutions. Understanding how the pandemic affected general thoracic surgery would provide valuable data for establishing a health care protocol for upcoming surges.

Methods: A questionnaire survey on coronavirus disease-related patient statistics and health care was conducted between February 2020 and June 2020 across 14 facilities affiliated with the Kanagawa General Thoracic Surgery Study Group.

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Introduction: Acute exacerbation of interstitial pneumonia (AE-IP) is a lethal complication after lung surgery. We conducted a prospective, multi-institutional phase II trial to assess the efficacy and safety of prophylactic measures.

Method: Patients with lung cancer with dorsal subpleural fibrotic changes occupying three or more segments of both lower lobes and planned anatomical lung resection were enrolled.

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Background: The International Association for the Study of Lung Cancer, in collaboration with members of the International Mesothelioma Interest Group (IMIG), developed a large international database and TNM-based system to study malignant pleural mesothelioma (MPM). However, this database has some limitations since it was a retrospective study and it was based predominantly on surgical cases. The Japanese Joint Committee of Lung Cancer Registry (JJCLCR) employs a project of prospective registry database of patients in Japan with MPM in order to clarify MPM's epidemiology, current management practices, and prognosis and also to investigate the potential capabilities to target the best patients for therapy.

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The absence of highly specific markers for malignant mesothelioma (MM) has served an obstacle for its diagnosis and development of molecular-targeting therapy against MM. Here, we show that a novel mucin-like membrane protein, sialylated protein HEG homolog 1 (HEG1), is a highly specific marker for MM. A monoclonal antibody against sialylated HEG1, SKM9-2, can detect even sarcomatoid and desmoplastic MM.

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Background: A partial anomalous pulmonary venous connection is a rare congenital defect in which blood from the pulmonary vein is returned to the right atrium. Asymptomatic patients with a partial anomalous pulmonary venous connection with a small left-to-right shunt do not require surgical treatment. If such patients require a major lung resection, the surgical procedure could precipitate fetal right heart failure if the anomalous venous connection remains uncorrected.

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Objectives: Although the prognostic implications of visceral pleural invasion (VPI) are well established, it remains controversial whether the extent of VPI affects survival in patients with completely resected non-small-cell lung cancer (NSCLC). In addition, the impact of VPI according to nodal status is unclear. We evaluated the influence of the extent of pleural invasion on survival by analysing a multicentre retrospective database of patients who had undergone surgery for NSCLC.

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We report 3 patients with pulmonary hamartoma, all of whom had undergone nephrectomy for renal cell carcinoma. A lung tumor was detected 2 to 9-months following nephrectomy. Preoperative diagnosis was pulmonary metastasis from renal cell carcinoma and pulmonary tumor resection was performed in each case.

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