Publications by authors named "Tsutomu Yoshida"

Mixed-phenotype acute leukemia (MPAL) with -TKD mutations is a rare and challenging subtype of leukemia. Effective management strategies are crucial for improving patient outcomes. A 31-year-old man with -TKD-mutated MPAL achieved hematological remission through the JALSG ALL202-O protocol and gilteritinib, followed by cord blood transplantation (CBT).

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  • A trial studying preoperative chemoradiotherapy (CRT) followed by nivolumab for locally advanced rectal cancer (LARC) reported promising 3-year outcomes with 39 microsatellite stable (MSS) and 5 microsatellite instability-high (MSI-H) patients.
  • For the MSS group, the 3-year relapse-free survival (RFS) rate was 79.5%, while the MSI-H group had a remarkable 100% RFS rate; overall survival (OS) rates were similarly high for both groups.
  • Key biomarkers like PD-L1 positivity and a high CD8+ T cell/effector regulatory T cell ratio appeared to contribute to better outcomes in MSS patients, highlighting potential prognostic indicators
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Objectives: To address the paucity of HIV-related lymphoma (HRL)-specific prognostic scores for the Japanese population by analyzing domestic cases of HRL and constructing a predictive model.

Design: A single-center retrospective study coupled with a review of case reports of HRL.

Methods: We reviewed all patients with HRL treated at our hospital between 2007 and 2023 and conducted a comprehensive search for case reports of HRL from Japan using public databases.

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Objective: comprehensive genomic profiling test has been covered by Japanese health insurance since June 2019. However, no real-world data on the test have been reported with a focus on Japanese patients with prostate cancer.

Methods: we retrospectively reviewed the data of 45 consecutive patients with metastatic castration-resistant prostate cancer, who underwent the comprehensive genomic profiling tests at Kitasato University Hospital between August 2019 and December 2022.

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  • The case study discusses a 34-year-old pregnant woman who was referred for a suspected congenital lung issue, which turned out to be a congenital peribronchial myofibroblastic tumor (CPMT) detected through imaging.
  • The tumor was identified in the fetus during ultrasound and MRI, showing abnormal characteristics that suggested it could be a type of lung cancer rather than a typical lung malformation.
  • Unfortunately, the fetus passed away due to complications likely caused by the tumor's growth, highlighting the need for careful monitoring and potential early delivery in similar cases to improve outcomes.
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  • Stereomicroscopic on-site evaluation (SOSE) is an effective method used during endoscopic ultrasound-guided tissue acquisition (EUS-TA) to quickly assess tissue samples, particularly for unresectable pancreatic cancer.
  • A study with 66 patients showed that a median of 3 EUS-TA punctures resulted in high positive diagnoses (95.5%) and adequate tumor cell content in the samples, with the suggested tumor cell content cut-off at ≥ 20%.
  • The findings indicate that using the stereomicroscopically visible white core (SVWC) cut-off values can help predict the quality of tissue samples for comprehensive genome profiling (CGP), potentially enhancing clinical decision-making.
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A 72-year-old woman underwent a close examination because of chest computed tomography (CT) scan revealed a nodule in the left lower lobe of the lung. Positron emission tomography( PET) showed strong accumulation of fluorodeoxyglucose (FDG) in the lesion. Since lung cancer was strongly suspected, video-assisted thoracoscopic lung biopsy was performed.

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The probability of successful drug discovery is declining, and research and development costs are increasing. To solve these problems, pharmaceutical companies tend to in-license seeds from venture companies and academia. Therefore, academia's role in drug discovery is extremely important.

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Objective: We prospectively investigated whether cells derived from pancreatic cancers adhered to the puncture needle's external surface after endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and whether wiping the needle with alcohol swabs removed residual cancer cells.

Methods: The participants were 100 consecutive patients who underwent EUS-FNA for suspected pancreatic ductal adenocarcinoma. In the first pass of EUS-FNA, we prepared aspiration and lavage cytological diagnosis materials from the lumen and external surface of the puncture needle, respectively.

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Prostaglandin E-major urinary metabolite (PGE-MUM) is a urinary biomarker reflecting ulcerative colitis (UC) activity. This prospective observational study aimed to evaluate the usefulness of PGE-MUM via rapid chemiluminescent enzyme immunoassay in detecting endoscopic remission (ER) and histologic remission (HR) in pediatric UC (6-16 years) in comparison with fecal calprotectin (FCP). ER and HR were defined as Mayo endoscopic score (MES) of 0 and Matts' histological grades (Matts) of 1 or 2, respectively.

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A 55-year-old woman was referred to our department for further examination for chest abnormal shadow in the right lower lobe. Chest computed tomography (CT) showed two nodules in the right lower lobe and positron emission tomography( PET)-CT showed abnormal accumulation of fluorodeoxyglucose (FDG) only in the main lesion. Because of lung cancer could not be denied, she underwent a partial resection of the right lower lobe.

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Birt-Hogg-Dubé (BHD) syndrome is a rare autosomal and predominantly inherited disorder. A 43 year-old woman was admitted to our hospital for right spontaneous pneumothorax and the thoracoscopic pulumonary wedge resection was performed. A chest computed tomography (CT) scan before surgery showed multiple bilatetal thin walled pulmonary cysts predominant to the lower mediastinum side of the lung field.

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Prospective studies have demonstrated the efficacy of pembrolizumab in patients with previously treated unresectable or metastatic microsatellite instability-high(MSI-H)cancers. Pembrolizumab has been covered by the Japanese health insurance system since December 2018. The frequency of MSI-H in patients is as low as approximately 2%.

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A 57-year-old man was referred to our department for further examination for chest abnormal shadow in the right upper lobe. Positron emission tomography (PET)-computed tomography (CT) showed abnormal accumulation of fluorodeoxyglucose (FDG). Because of lung cancer could not be denied, he underwent right upper lobectomy and the nodule was diagnosed as adenocarcinoma by pathology.

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Background/aim: Here, we investigated whether bortezomib as a maintenance therapy affected outcomes in transplant-ineligible patients with multiple myeloma (MM).

Patients And Methods: Following induction therapy with bortezomib, maintenance therapy with bortezomib (1.3 mg/m ) and dexamethasone (20 mg) was administered once or twice every 4 weeks until disease progression.

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This real-world study examined the prevalence of programmed death ligand-1 (PD-L1) expression and assessed the frequency of microsatellite instability-high (MSI-H) status and Epstein-Barr virus (EBV) positivity in Japanese patients with advanced gastric and gastroesophageal junction (GEJ) adenocarcinoma. This multicenter (5 sites), retrospective, observational study (November 2018-March 2019) evaluated Japanese patients with advanced gastric and GEJ adenocarcinoma after surgical resection (Stage II/III at initial diagnosis) or unresectable advanced cancer (Stage IV). The primary objectives were prevalence of PD-L1 expression (combined positive score [CPS] ≥1), MSI status, and EBV positivity.

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Although the synchronous occurrence of testicular seminoma and systemic sarcoidosis has been reported, that of intracranial germinoma and systemic sarcoidosis is unknown. A 26-year-old man presented with symptoms of panhypopituitarism and consciousness disturbance. Imaging demonstrated a large nodule in the upper right lung field and swelling of multiple bilateral pulmonary and mediastinal lymph nodes in addition to the bifocal pineal and suprasellar tumors with obstructive hydrocephalus.

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Purpose: Preoperative chemoradiotherapy (CRT) and surgical resection are the standard treatment for locally advanced rectal cancer (LARC). Combining immune checkpoint inhibitors with radiation suggests a promising approach for enhancing efficacy. We investigated the efficacy of CRT followed by nivolumab and surgery in patients with LARC.

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Video 1Video describing the clinical course of this case, the endoscopic treatment method, and the histopathologic results.

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Introduction: The Japan Lung Cancer Society (JLCS) and the Japanese Society of Clinical Cytology (JSCC) have proposed a new four-tiered cytology reporting system for lung carcinoma (JLCS-JSCC system). Prior to the proposal, the Papanicolaou Society of Cytopathology (PSC) had proposed a revised reporting system (PSC system), which comprises the "neoplastic, benign neoplasm, and low-grade carcinoma" category (N-B-LG category), in addition to the 4 categories of the JLCS-JSCC system. This study aimed to evaluate the interobserver agreement of the JLCS-JSCC system with an additional dataset with more benign lesions in comparison with the PSC system.

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A 60-year-old woman was referred to our department for further examination for chest abnormal shadow in the right upper lobe. She had a past history of rheumatoid arthritis. Positron emission tomography-computed tomography (PET-CT) showed mild abnormal accumulation of fluorodeoxyglucose (FDG).

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Aims: L-type amino acid transporter 1 (LAT1) is a major Na-independent neutral amino acid transporter, forming a complex with CD98hc. The aim of this study is to investigate the significance of LAT1 and CD98hc in invasive breast cancer.

Methods: LAT1 and CD98hc expression was immunohistochemically assessed in 280 invasive breast cancers and analysed for association with clinicopathological features.

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Liquid-based cytology (LBC) specimens of lung adenocarcinoma have the potential to be widely used for genetic analysis. However, formaldehyde contained in some LBC preservation solutions can cause DNA fragmentation during specimen storage, rendering the samples unsuitable for molecular analysis. To investigate a novel preservation technique for improved DNA stability, which was evaluated by mutation analysis of epidermal growth factor receptor (EGFR) gene in human lung adenocarcinoma cell lines.

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  • A 76-year-old man was diagnosed with two primary cancers: poorly differentiated esophageal squamous cell carcinoma (ESCC) and gastric adenocarcinoma (GAC), both at stage I with submucosal invasion.
  • He underwent chemoradiotherapy for ESCC, which included specific chemotherapy and radiation treatment.
  • After endoscopic submucosal dissection (ESD) for GAC, it was down-staged to intramucosal cancer; however, the patient later developed multiple metastases in the gastrointestinal tract, indicating that ESD is not curative for such cases.
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Ulcerative colitis (UC) is characterized by chronic inflammation in the colonic mucosa and submucosa with repeating relapse and remission, but the pathogenesis is unknown. Patients with long-standing UC are at high risk of neoplasm development. The aim of the present study was to identify molecules whose expression is associated with UC and UC-associated colorectal cancer (UCCA).

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