Treatment strategies for advanced and recurrent endometrial cancer using immune checkpoint inhibitors.

Doxorubicin + cisplatin and paclitaxel + carboplatin are standard chemotherapy regimens for endometrial cancer. The development of PD-1 and PDL-1 antibody drugs has led to the use of these agents for endometrial cancer in other countries. The KEYNOTE-775 trial for advanced or recurrent endometrial cancer demonstrated the benefits of pembrolizumab and lenvatinib combination therapy, and the results of this trial led to the approval of its coverage for recurrent cancer by the Japanese health insurance system.

Robotically assisted mitral valve repair using the butterfly technique in a patient with a narrow chest.

Background: Minimally invasive cardiac surgery for mitral regurgitation is challenging in patients with narrow chests due to limited thoracic space. The butterfly technique can prevent systolic anterior motion in patients with degenerative mitral regurgitation and redundant posterior leaflets, but it is difficult to perform via minimally invasive cardiac surgery. Few reports have described mitral valve repair using the butterfly technique or in a narrow chest.

A Case of Pott's Puffy Tumor in a Patient With Eosinophilic Chronic Rhinosinusitis.

Eosinophilic chronic rhinosinusitis (ECRS) is a refractory type 2 inflammation-based airway allergic disease that is prone to complications such as bronchial asthma. Pott's puffy tumor (PPT) is a rare clinical entity characterized by osteomyelitis of the frontal bone accompanied by a subperiosteal abscess. A 56-year-old female with a history of cranial surgery and bronchial asthma presented to an otolaryngology clinic with nasal obstruction and loss of smell, later developing swelling and redness on her forehead.

Technical tips in non-robotic endoscopic mitral valve surgery: How to approach and expose the mitral valve.

The non-robotic endoscopic mitral valve surgery is performed via a right mini-thoracotomy without the use of rib spreader or robotic assistance. Although it has several advantages over the direct vision minimally invasive and robotic approaches, operating in very limited working space without robotic assistance is technically demanding. In the first place, it is impossible to perform non-robotic endoscopic mitral valve surgery safely and efficiently without knowing how to approach and expose the mitral valve in very limited working space without robotic assistance.

Novel Therapeutic Strategies for Refractory Ovarian Cancers: Clear Cell and Mucinous Carcinomas.

Ovarian cancer has the worst prognosis among gynecological cancers. In particular, clear cell and mucinous carcinomas are less sensitive to chemotherapy. The establishment of new therapies is necessary to improve the treatment outcomes for these carcinomas.

Comparison of Postoperative Adjuvant Chemotherapy and Concurrent Chemoradiotherapy for FIGO2018 Stage IIIC1 Cervical Cancer: A Retrospective Study.

: In October 2018, the International Federation of Gynecology and Obstetrics (FIGO) revised its classification of advanced stages of cervical cancer. The main points of the classification are as follows: stage IIIC is newly established; pelvic lymph node metastasis is stage IIIC1; and para-aortic lymph node metastasis is stage IIIC2. Currently, in Japan, radical hysterectomy is performed in advanced stages IA2 to IIB of FIGO2014, and concurrent chemoradiotherapy (CCRT) is recommended for patients with positive lymph nodes.

Effect of increased male and female age at mating on the reproductive performance of Cnaphalocrocis medinalis (Crambidae: Lepidoptera).

The success of mating disruption using synthetic sex pheromones depends not only on preventing mating, but also on delayed mating in the target insect. Using the rice leaffolder moth, Cnaphalocrocis medinalis (Guenée), we determined the effect of increased age at mating imposed on males only (male treatment), females only (female treatment),or on both sexes simultaneously (both sexes treatment). These increased age treatments had a negative effect on the percentage of mating, the total number of eggs, and the hatchability.

Combined use of a synthetic trail pheromone and insecticidal bait provides effective control of an invasive ant.

Background: Except for sex pheromones, use of pheromones in pest management has been largely unexplored. A high concentration of trail pheromone disrupts ant trail following and foraging, and thus synthetic trail pheromone can be a novel control agent for pest ants. In this study, a year-long treatment of small areas (100 m(2) plots of urban house gardens) with synthetic trail pheromone, insecticidal bait or both was conducted to develop a novel control method of the invasive Argentine ant Linepithema humile (Mayr).

Workers select mates for queens: a possible mechanism of gene flow restriction between supercolonies of the invasive Argentine ant.

Some invasive ants form large networks of mutually non-aggressive nests, i.e., supercolonies.

Long-term field trial to control the invasive Argentine ant (Hymenoptera: Formicidae) with synthetic trail pheromone.

Previous short-term experiments showed that trail following behavior of the Argentine ant, Linepithema humile (Mayr) (Hymenoptera: Formicidae), can be disrupted by a high concentration of synthetic trail pheromone component (Z)-9-hexadecenal. In this study, a long-term field trial was conducted in 100-m2 plots of house gardens in an urban area of Japan to see whether the control effect on Argentine ants can be obtained by permeating synthetic trail pheromone from dispensers. The dispensers were placed in the experimental plots during the ant's active season (April-November) for 2 yr with monthly renewal.

A male-specific odorant receptor conserved through the evolution of sex pheromones in Ostrinia moth species.

In many moths, mate-finding communication is mediated by the female sex pheromones. Since differentiation of sex pheromones is often associated with speciation, it is intriguing to know how the changes in female sex pheromone have been tracked by the pheromone recognition system of the males. A male-specific odorant receptor was found to have been conserved through the evolution of sex pheromone communication systems in the genus Ostrinia (Lepidoptera: Crambidae).

Private ultrasonic whispering in moths.

Sound-producing moths have evolved a range of mechanisms to emit loud conspicuous ultrasounds directed toward mates, competitors and predators. We recently discovered a novel mechanism of sound production, i.e.

Pheromone-gland-specific fatty-acyl reductase in the adzuki bean borer, Ostrinia scapulalis (Lepidoptera: Crambidae).

The adzuki bean borer moth, Ostrinia scapulalis, uses a mixture of (E)-11- and (Z)-11-tetradecenyl acetates as a sex pheromone. At a step in the pheromone biosynthetic pathway, fatty-acyl precursors are converted to corresponding alcohols by an enzyme, fatty-acyl reductase (FAR). Here we report the cloning of FAR-like genes expressed in the pheromone gland of female O.

Alternative suppression of transcription from two desaturase genes is the key for species-specific sex pheromone biosynthesis in two Ostrinia moths.

Crossing of two Ostrinia moths that use different positional isomers as sex pheromone components revealed that species-specific pheromone is produced through alternative suppression of two pheromone gland-specific desaturases at the gene transcription level. The sex pheromone of Ostrinia scapulalis (the adzuki bean borer) is a blend of (Z)-11- and (E)-11-tetradecenyl acetates (Z/E11-14:OAc), whereas that of Ostrinia furnacalis (the Asian corn borer) is a blend of (Z)-12- and (E)-12-tetradecenyl acetates (Z/E12-14:OAc). Delta11-Desaturase is known to be involved in the biosynthesis of Z/E11-14:OAc, and Delta14-desaturase, in that of Z/E12-14:OAc.

Two mitochondrial lineages occur in the Asian corn borer, Ostrinia furnacalis (Lepidoptera: Crambidae), in Japan.

The genealogy and diversity of the mitochondrial cytochrome oxidase subunit II (COII) gene were investigated for Ostrinia furnacalis in Japan. A preliminary examination of mitochondrial lineages in China and the Philippines was also made. Two lineages (A and B) were found in the COII gene.

Moths produce extremely quiet ultrasonic courtship songs by rubbing specialized scales.

Insects have evolved a marked diversity of mechanisms to produce loud conspicuous sounds for efficient communication. However, the risk of eavesdropping by competitors and predators is high. Here, we describe a mechanism for producing extremely low-intensity ultrasonic songs (46 dB sound pressure level at 1 cm) adapted for private sexual communication in the Asian corn borer moth, Ostrinia furnacalis.

Adaptation to the new land or effect of global warming? An age-structured model for rapid voltinism change in an alien lepidopteran pest.

1. Hyphantria cunea Drury invaded Japan at Tokyo in 1945 and expanded its distribution gradually into northern and south-western Japan. All populations in Japan were bivoltine until the early 1970s, at which time trivoltine populations appeared in several southern regions.

Unusual response characteristics of pheromone-specific olfactory receptor neurons in the Asian corn borer moth, Ostrinia furnacalis.

Male moth pheromone-detecting receptor neurons are known to be highly specific and very sensitive. We investigated physiological and behavioral responses to female sex pheromone components in male Ostrinia furnacalis moths (Lepidoptera: Crambidae). Using recordings from a cut-sensillum technique, trichoid sensilla could be grouped into four physiological types (1-4), according to the response of receptor neurons to the two major pheromone components, (E)-12- and (Z)-12-tetradecenyl acetate (E12- and Z12-14:OAc).

Variation in mitochondrial COII gene sequences among two species of Japanese knotweed-boring moths, Ostrinia latipennis and O. ovalipennis (Lepidoptera: Crambidae).

The Ostrinia latipennis group contains two species, O. latipennis (Warren) and O. ovalipennis Ohno.