1,779 results match your criteria: "Chiba Cancer Center.[Affiliation]"

Article Synopsis
  • Proton-based chemoradiotherapy (P-CRT) for esophageal squamous cell carcinoma (ESCC) demonstrated similar overall survival rates compared to the traditional surgery-based treatment (NAC-S) according to a multicenter Japanese study involving 518 patients.
  • The 3-year overall survival rates were 74.8% for the P-CRT group and 72.7% for the NAC-S group, while the progression-free survival was lower for P-CRT (51.4%) compared to NAC-S (59.6%).
  • The study suggests that P-CRT may be particularly beneficial as a first-line treatment for patients with stage I-II ESCC, showing a favorable survival advantage in earlier disease stages.
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  • Recent advancements in treatments for hepatocellular carcinoma (HCC) have improved patient survival, but these therapies are expensive, creating a financial burden on patients and society.
  • A study analyzed first-line systemic treatments for advanced HCC in Japan, focusing on the number of patients receiving different treatments and their associated monthly costs from July 2021 to June 2022.
  • The study found that 82.2% of patients received high-cost regimens, with atezolizumab plus bevacizumab being the most common and expensive treatment at 1,176,284 JPY per month.
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  • This study assessed the safety and effectiveness of ramucirumab as a second- and third-line treatment for advanced hepatocellular carcinoma (HCC) in a real-world setting, complementing findings from the REACH-2 trial.
  • Conducted in Japan with 19 enrolled patients, the study found a 6-month progression-free survival rate of 14.3%, with median progression-free survival and overall survival of 3.7 and 12.0 months, respectively.
  • The most common severe adverse events included hypertension (23.5%), proteinuria (17.6%), and neutropenia (11.8%), with 29.4% of patients discontinuing treatment due to these adverse effects.
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Loss of heterozygosity (LOH) has been reported to occur in HLA regions in cervical intraepithelial neoplasia (CIN) and cervical cancer. However, the details of how this is related to the progression of CIN have been unclear. In this study, we examined the human papillomavirus (HPV) antigen-presenting capacity of people with CIN and the significance of LOH of HLA class I in the progression of CIN.

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Background/aim: Synovial sarcoma (SS) is a rare malignant tumor with a poor survival rate. We previously reported that a combination of auranofin (AUR), a thioredoxin reductase inhibitor, and celecoxib (CE), an anti-inflammatory drug, significantly impedes the local progression of osteosarcoma (OS). However, the role of redox regulation in SS remains to be elucidated.

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  • A phase I/II study previously established an optimal carbon-ion radiotherapy (CIRT) dose for treating early-stage esophageal cancer, prompting further evaluation of its long-term efficacy and feasibility in a larger patient group.
  • The retrospective study included 38 patients treated from 2012 to 2022, showing that all participants, including high-risk individuals, completed the CIRT regimen with manageable side effects, mainly grade 3 esophagitis and pneumonia.
  • After five years, the study reported a 76.6% overall survival rate and confirmed that the recommended CIRT dose fractionation is both effective and feasible for patients with cT1bN0M0 esophageal squamous cell carcinoma.
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Surgical Risk in Elderly Patients with Meningiomas in Japan.

J Clin Med

May 2024

Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.

Article Synopsis
  • The study aimed to understand surgical risk factors for elderly patients with meningiomas using a national database from Japan, as existing guidelines are lacking due to insufficient data.
  • Researchers analyzed data from 8,138 patients treated surgically between 2010-2015, focusing on variables like age, sex, and medical history, to identify risk factors for complications and in-hospital mortality.
  • Advanced age was linked to a higher risk of functional decline post-surgery but not to increased in-hospital mortality, indicating that with appropriate management, elderly patients can still achieve good recovery outcomes.
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Background and objective Implementing electronic patient-reported outcomes (ePROs) in oncology practice has shown substantial clinical benefits. However, it can be challenging in routine practice, warranting strategies to adapt to different clinical contexts. In light of this, this study aimed to describe the implementation process of the ePRO system and elucidate the provider-level implementation barriers and facilitators to a novel ePRO system at cancer hospitals in Japan.

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Purpose: The randomized phase 2 Neo-peaks study examined usefulness of neoadjuvant trastuzumab emtansine + pertuzumab (T-DM1 + P) following docetaxel + carboplatin + trastuzumab + pertuzumab (TCbHP) as compared with the standard TCbHP regimen. We previously reported that pCR rate after neoadjuvant therapy tended to be higher with TCbHP followed by T-DM1 + P. We conducted an exploratory analysis of prognosis 5 years after surgery.

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Article Synopsis
  • Dermatofibroma (DF) is a benign tumor typically found on the limbs and trunk of young adults, characterized by a specific arrangement of fibroblast-like cells and various secondary elements, which can lead to misdiagnosis as other tumors like sarcomas.
  • A notable case was documented involving a 26-year-old woman whose DF was initially misdiagnosed as angiosarcoma after a biopsy showed atypical spindle cells; imaging indicated tumor and lymph node involvement.
  • The report underscores the need for careful evaluation of DF’s clinical and histological features to prevent misdiagnosis, and suggests that nanopore DNA sequencing may provide valuable diagnostic insights.
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Article Synopsis
  • - This study investigated the link between small fish consumption and mortality rates, focusing on a cohort of 80,802 participants in Japan aged 35-69.
  • - Results showed that higher intake of small fish significantly lowered the risk of all-cause and cancer-related deaths in females, while no notable relationship was found for males.
  • - The findings suggest that incorporating small fish into the diet may be beneficial for reducing mortality risks, particularly for women.
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Background: Genetic polymorphisms of molecules are known to cause individual differences in the therapeutic efficacy of anticancer drugs. However, to date, germline mutations (but not somatic mutations) for anticancer drugs have not been adequately studied. The objective of this study was to investigate the association between germline polymorphisms of gemcitabine metabolic and transporter genes with carbohydrate antigen 19-9 (CA 19-9) response (decrease ≥50% from the pretreatment level at 8 weeks) and overall survival (OS) in patients with metastatic pancreatic cancer who receive gemcitabine-based chemotherapy.

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This study aimed to assess the feasibility of a skin marker-less patient setup using a surface-guided radiotherapy (SGRT) system for extremity radiotherapy. Twenty-five patients who underwent radiotherapy to the extremities were included in this retrospective study. The first group consisted of 10 patients and underwent a traditional setup procedure using skin marks and lasers.

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Article Synopsis
  • The study aims to analyze the mutational patterns in circulating tumor DNA (ctDNA) and tumor tissue from patients with hormone receptor-positive, HER2-negative metastatic breast cancer who were treated with abemaciclib and endocrine therapy.
  • Blood and tissue samples were collected from 97 female patients, with assessments of genomic alterations and clinical characteristics, focusing on changes before and after treatment.
  • Results indicated specific genetic mutations common in the patient population, revealing an increase in certain alterations after treatment, thereby enhancing understanding of the mutational landscape in this type of breast cancer.
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CD106 in Tumor-Specific Exhausted CD8+ T Cells Mediates Immunosuppression by Inhibiting TCR Signaling.

Cancer Res

July 2024

Department of Tumor Microenvironment, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

Article Synopsis
  • * The study found that CD106 is mainly expressed in exhausted CD8+ T cells within the TME and its high levels are linked to better responses to cancer treatments.
  • * CD106 hampers antitumor immunity by interfering with T-cell receptor signaling, making it a potential biomarker and therapeutic target for improving cancer immunotherapy outcomes.
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Background: The aim of this study was to explore the clinical utility of serum HER2 extracellular domain (sHER2 ECD) using data from a clinical trial evaluating trastuzumab combined S-1 plus oxaliplatin (SOX) in HER2 positive gastric cancer.

Methods: sHER2 ECD were prospectively measured at baseline and subsequent treatment courses. Based on each quantile point of baseline sHER2 ECD levels and its early changes, patients were divided into two groups and compared clinical outcomes.

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Purpose: This study aimed to determine the clinicopathologic and prognostic significance of squamous cell carcinoma antigen (SCC-Ag) in patients with esophageal SCC who underwent radical surgery without neoadjuvant therapy.

Methods: This study included 566 patients with primary esophageal SCC who underwent radical resection without neoadjuvant therapy at 15 Japanese hospitals between 2008 and 2016. The cutoff value of SCC-Ag was 1.

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Background: Kampo, a Japanese herbal medicine, is approved for the treatment of various symptoms/conditions under national medical insurance coverage in Japan. However, the contemporary nationwide status of Kampo use among patients with acute cardiovascular diseases remains unknown.

Methods and results: Using the Japanese Diagnosis Procedure Combination database, we retrospectively identified 2,547,559 patients hospitalized for acute cardiovascular disease (acute myocardial infarction, heart failure, pulmonary embolism, or aortic dissection) at 1,798 hospitals during the fiscal years 2010-2021.

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Metastasis is a major contributor to treatment failure and death in urological cancers, representing an important biomedical challenge at present. Metastases form as a result of cancer cells leaving the primary site, entering the vasculature and lymphatic vessels, and colonizing clones elsewhere in the body. However, the specific regulatory mechanisms of action underlying the metastatic process of urological cancers remain incompletely elucidated.

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Patient-derived organoids (PDOs) retain the original tumor's characteristics to a large degree and allow direct evaluation of the drug sensitivity, thereby emerging as a valuable resource for both basic and preclinical researches. Whereas most past studies stereotypically adopted a single PDO as an avatar of the patient, it remains to be investigated whether this assumption can be justified even for the tumor with spatial diversity. To address this issue, we established and characterized multiple PDOs originating from various sites of a patient with advanced uterine carcinosarcoma (UCS).

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Background/aim: The aging population is expected to increase the occurrences of bone sarcoma (BS) and soft tissue sarcoma (STS). Carbon ion radiotherapy (CIRT) is reported to be effective for BS and several STSs. However, the effect of CIRT on clinical outcomes, functional prognoses, and quality of life (QOL) in older patients who underwent CIRT has not been reported.

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NCYM is a cis-antisense gene of MYCN oncogene and encodes an oncogenic protein that stabilizes MYCN via inhibition of GSK3b. High NCYM expression levels are associated with poor clinical outcomes in human neuroblastomas, and NCYM overexpression promotes distant metastasis in animal models of neuroblastoma. Using vacuum-ultraviolet circular dichroism and small-angle X-ray scattering, we previously showed that NCYM has high flexibility with partially folded structures; however, further structural characterization is required for the design of anti-cancer agents targeting NCYM.

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The diagnostic utility of cytology specimen in a case of EWSR1::NFATC2 sarcoma.

Virchows Arch

March 2024

Division of Surgical Pathology, Chiba Cancer Center, 666-2 Nitona-Cho, Chuo-Ku, Chiba-Shi, Chiba, 260-8717, Japan.

EWSR1::NFATC2 sarcoma, a rare round cell sarcoma constituting the majority of EWSR1::non-ETS sarcomas, has recently been defined in the latest WHO classification. To date, the cytological findings of EWSR1::NFATC2 sarcoma remain undocumented. We present the case of a 25-year-old man with a history of polyostotic fibrous dysplasia in the right leg, referred to our hospital with left thigh pain.

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Background/aim: Osteosarcoma (OS) is a rare malignant tumor with a poor survival rate. Our previous study reported that auranofin (AUR), a thioredoxin reductase inhibitor, suppresses OS pulmonary metastases; however, the local progression of OS is not affected, in vivo. Nonetheless, the development of augmentation therapy with AUR to inhibit OS local progression remains challenging.

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Background/aim: Chemoresistance in rhabdomyosarcoma (RMS) is associated with poor survival, necessitating the development of novel anticancer drugs. Auranofin (AUR), an anti-rheumatic drug, is a thioredoxin reductase (TXNRD) inhibitor with anticancer properties. Although patient-derived xenograft (PDX) models are essential for studying cancer biology, reports on sarcomas using the PDX model are scarce because of their rarity.

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