Publications by authors named "Y Ikura"

In Japan, liver biopsies were previously crucial in evaluating the severity of hepatitis caused by the hepatitis C virus (HCV) and diagnosing HCV-related hepatocellular carcinoma (HCC). However, due to the development of effective antiviral treatments and advanced imaging, the necessity for biopsies has significantly decreased. This change has resulted in fewer chances for diagnosing liver disease, causing many general pathologists to feel less confident in making liver biopsy diagnoses.

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Pancreatic and bile duct metastases from esophageal cancer are extremely rare. We report a case of advanced esophageal cancer successfully treated with chemotherapy, selected on the basis of an accurate pathologic diagnosis. A 69-year-old man with chronic renal dysfunction presented with persistent abdominal pain and anorexia.

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We present a case study of breast cancer initially diagnosed as invasive ductal carcinoma (IDC), which subsequently substituted into invasive lobular carcinoma (ILC) following neoadjuvant chemotherapy (NAC). A 61-year-old woman presented with a palpable breast lump, and histological examination through core needle biopsy (CNB) confirmed the presence of IDC. After a 6-month course of NAC, the patient achieved a clinically complete response (cCR) and underwent mastectomy.

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A 56-year-old man with diarrhea and bloody stools was found to have a type 2 tumor in the rectosigmoid region. A biopsy revealed well-differentiated tubular adenocarcinoma(tub1), and laparoscopic high anterior resection was performed. The final diagnosis was MiNEN(NEC:adenocarcinoma=6:4), RS, type 2, Ly0, V0, pT3(SS), pN0, M0, and pStage Ⅱa.

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Article Synopsis
  • The study aimed to differentiate between idiosyncratic drug-induced liver injury (DILI) and non-DILI in patients with acute liver injury (ALI), focusing on the effectiveness of modified diagnostic scores.* -
  • A total of 29 DILI patients and 77 non-DILI patients were analyzed, with the results showing high diagnostic accuracy for distinguishing DILI using modified international AIH group scores (IAIHGs) and the Roussel-Uclaf Causality Assessment Method (RUCAM).* -
  • The modified scores demonstrated excellent performance in both derivation and validation cohorts, achieving accuracy rates of 96% and 95% respectively, indicating that detailed medical interviews and lab data can effectively identify D
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