296 results match your criteria: "Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital.[Affiliation]"

Background: Cancer-associated thromboembolism has been thoroughly investigated in previous studies, and direct oral anticoagulants (DOACs) were established for the treatment and prevention of venous thromboembolism (VTE). However, the risks of cancer-associated arterial thromboembolism (ATE) and the efficacy of DOACs remain unclear.

Objectives: To evaluate the risk factors and the clinical activity of edoxaban (EDO) for the prevention of ATE in patients with advanced lung cancer.

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Is Sublobar Resection Feasible for High-Risk Pathologic Stage I Non-small Cell Lung Cancer?

Ann Surg Oncol

December 2024

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Background: Sublobar resection is the standard procedure for cT1N0 stage I non-small cell lung cancer (NSCLC) size ≤2 cm. However, its efficacy for high-risk pathologic stage I cases with a preoperative diagnosis of cT1N0 stage I NSCLC size ≤2 cm remains unclear. This study compared the outcomes of sublobar resection with those of lobectomy from a pathologic perspective.

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  • * The Orbit study aimed to evaluate real-world outcomes for adults with CLL/SLL in Japan treated with ibrutinib between July 2018 and December 2020, including 246 patients in total.
  • * After 36 months, the study showed an 80.9% progression-free survival rate for first-line treatment and 67.2% for relapsed cases, with common significant side effects including bleeding and infections, underscoring ibr
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  • The study investigates the effectiveness of immune checkpoint inhibitors (ICI) for non-small cell lung cancer (NSCLC) patients, particularly comparing those with brain metastases (BM) to those without.
  • It analyzes data from 240 patients, finding no major overall survival differences between the two groups, but identifies a significant survival disadvantage for patients with BM among those with high PD-L1 expression (≥50%).
  • The conclusion suggests that while ICI is generally effective for both groups, patients with BM and high PD-L1 levels may have poorer outcomes compared to their counterparts without BM.
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Background And Aims: The impact of hepatitis C virus (HCV) eradication via direct-acting antiviral (DAA) therapy on overall mortality, particularly non-liver-related mortality, is understudied.

Methods: We recruited 4180 patients with chronic HCV infection who achieved sustained virological response (SVR) (HCV eradication) through DAA therapy (n = 2501, SVR group) or who did not receive antiviral therapy (n = 1679, non-SVR group); 1236 from each group were chosen using propensity score matching. Causes of death and all-cause mortality, including non-liver-related diseases, were investigated.

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Background: Distal embolization as the first manifestation of an abdominal aortic aneurysm (AAA) is relatively rare. AAAs presenting with multiple organs embolization are rarer and serious systemic conditions. There are no reports of life-saving outcomes in patients with AAAs presenting with multiple organs embolization prior to surgery.

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Amenamevir is an oral once-daily antiherpesvirus drug that can be administered without dose adjustment in patients with impaired renal function. There are currently no clinical data on immunocompromised patients with herpes zoster treated with amenamevir. Therefore, an exploratory study of the efficacy and safety of amenamevir against herpes zoster in patients with immunosuppression was conducted.

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  • The study investigates the impacts of dietary interventions on cancer survivors regarding their survival, health-related quality of life (QOL), and nutrition.
  • Eight randomized controlled trials were analyzed to assess the effectiveness of these interventions in improving clinical measures and dietary habits among adult cancer survivors.
  • While some studies reported enhancements in QOL and dietary habits, the results indicated no positive effects for cancer survivors experiencing undernutrition, suggesting that more standardized and targeted research is needed.
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Purpose: Hepatocellular carcinoma (HCC) frequently recurs after radical resection, resulting in a poor prognosis. This study assessed the prognostic value of Mac-2 binding protein glycosylation isomer (M2BPGi) for early recurrence (ER) in patients with HCC.

Methods: Patients who underwent radical resection for HCC between 2015 and 2021.

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Belumosudil mesylate is a selective Rho-associated coiled-coil kinase 2 inhibitor with immunomodulatory and antifibrosis effects. This multicenter, open-label, single-arm study evaluated belumosudil 200 mg once daily as second or subsequent line of therapy (LOT) in 21 Japanese patients ≥12 years of age with steroid-dependent/steroid-resistant chronic graft-versus-host disease (cGVHD). The primary endpoint of best overall response rate (ORR) at 24 weeks after enrollment of the last patient was 85.

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  • This study focuses on determining the D-dimer cut-off value for predicting venous thromboembolism in Japanese patients diagnosed with advanced lung cancer.
  • A multicenter observational study involved 1,008 lung cancer patients, identifying 62 with venous thromboembolism at diagnosis and analyzing their D-dimer levels.
  • The research found a D-dimer cut-off value of 3.3 μg/ml, suggesting that patients with levels at or above this may have venous thromboembolism, marking a significant finding in this patient population.
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  • The study introduces RECAM-J 2023, a modified version of the Roussel Uclaf Causality Assessment Method aimed at improving the diagnosis of drug-induced liver injury (DILI) in Japan.
  • It involved translating and adapting the original RECAM for Japanese clinical practices, and the researchers collected data from 538 DILI cases and 128 non-DILI cases to validate the new scoring system.
  • Results showed that when omitting deductions for missing hepatitis virus markers, RECAM-J 2023 significantly improved identification rates for DILI, indicating its potential effectiveness in routine medical settings in Japan.
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  • This study looked at patients in Japan who have myeloproliferative neoplasms (MPNs) and also developed lymphoid cancers.
  • Researchers wanted to see how these patients were treated for their lymphoid cancers, like lymphoma, while also managing their MPNs.
  • The results showed that most patients could still receive strong treatments for their lymphoid cancers, especially for a type called diffuse large B-cell lymphoma, without making their MPN treatment worse.
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Transient abnormal myelopoiesis (TAM) is a common complication in newborns with Down syndrome (DS). It commonly progresses to myeloid leukemia (ML-DS) after spontaneous regression. In contrast to the favorable prognosis of primary ML-DS, patients with refractory/relapsed ML-DS have poor outcomes.

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Introduction: Children and adolescents with mature B cell non-Hodgkin lymphoma (B-NHL) are treated with short-intensive chemotherapy. The burden of short-term and long-term toxicity is highly relative to its high cure rate in good-risk patients. Although the addition of rituximab to standard lymphome Malin B (LMB) chemotherapy markedly prolongs event-free survival and overall survival in high-risk patients, the benefit of rituximab in good-risk patients remains to be elucidated.

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Chronic lymphocytic leukemia (CLL) is rare in Japan. We conducted the nationwide, prospective observational study CLLRSG-01 to clarify the current state of CLL in Japan and to make accurate international comparisons by preparing naturally air-dried smears like those used in other countries. Of the 201 untreated patients enrolled and evaluated, 119 were diagnosed with CLL and 82 with non-CLL mature B-cell neoplasms, based on the WHO classification.

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To assess the benefits of HLA-haploidentical haematopoietic stem cell transplantation using post-transplant cyclophosphamide (PTCy-haplo) relative to those of umbilical cord blood (UCB) transplantation in acute lymphoblastic leukaemia (ALL), we analysed 1999 patients (PTCy-haplo, 330; UCB, 1669), using the nationwide Japanese registry. PTCy-haplo was associated with a significantly higher relapse rate, but lower non-relapse mortality, which results in overall survival and disease-free survival, comparable to those of UCB. Among patients in CR1, PTCy-haplo showed a significantly higher survival than UCB regardless of the CD34 cell dose.

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Purpose: Immune checkpoint inhibitors (ICIs) are ineffective against epidermal growth factor receptor (EGFR)-mutant non-small cell lung cancer (NSCLC). This study aimed to investigate the clinical characteristics of patients who were treated or not treated with ICIs, and of those who benefit from immunotherapy in EGFR-mutant NSCLC.

Methods: We analyzed patients with unresectable stage III/IV or recurrent NSCLC harboring EGFR mutations using a prospective umbrella-type lung cancer registry (CS-Lung-003).

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  • This study compared lower-dose melphalan (80 mg/m) and higher-dose melphalan (140 mg/m) for patients with myelodysplastic syndrome (MDS) receiving stem cell transplants.
  • Ninety-two patients were analyzed, revealing that those on the higher-dose FM140 had a significantly better overall survival rate at three years (63.9%) compared to the lower-dose FM80 group (54.2%).
  • The results indicate that higher-dose melphalan may be more effective, particularly for patients with poor cytogenetic risk, although the difference in relapse rates and nonrelapse mortality between the two groups was not statistically significant.
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Risk Factors for Bleeding Events in Japanese Patients with Advanced Lung Cancer: Data from the Rising-VTE/NEJ037 Study.

Cancers (Basel)

January 2024

Department of Internal Medicine, Division of Medical Oncology and Respiratory Medicine, Shimane University Faculty of Medicine, 89-1 Enya-cho, Izumo 693-8501, Japan.

Article Synopsis
  • The study investigates the risk factors for hemorrhagic events in patients with advanced lung cancer undergoing treatment, finding a significant occurrence in 11.4% of participants.
  • Venous thromboembolism (VTE) and poorer performance status are identified as major risk factors for bleeding, while female sex and a specific cancer stage (M1a) are linked to a reduced risk.
  • The research emphasizes the need to monitor bleeding risks in patients receiving anticoagulant therapy for cancer-related thromboembolism.
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An asymptomatic dissecting superior mesenteric artery (SMA) aneurysm in granulomatosis with polyangiitis (GPA), historically termed Wegener's granulomatosis, is rare. We herein describe a 68-year-old man who was diagnosed with GPA based on a high level of proteinase 3 (PR3)-antineutrophil cytoplasmic antibody (ANCA). One year after remission of GPA, the patient developed pyelonephritis, and his PR3-ANCA level increased again.

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Allogeneic hematopoietic cell transplantation (HCT) is the last option for long-term survival for patients with chemotherapy-refractory acute myeloid leukemia (AML). By using the Japanese nationwide registry data, we analyzed 6927 adults with AML having undergone first allogeneic HCT while not in complete remission (CR) between 2001 and 2020. The 5-year overall survival (OS), relapse, and non-relapse mortality (NRM) rates were 23%, 53%, and 27%, respectively.

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Background: The benefit of adding rituximab to standard lymphomes malins B (LMB) chemotherapy for children with high-risk mature B-cell non-Hodgkin lymphoma (B-NHL) has previously been demonstrated in an international randomized phase III trial, to which the Japanese Pediatric Leukemia/Lymphoma Study Group could not participate.

Methods: To evaluate the efficacy and safety of rituximab in combination with LMB chemotherapy in Japanese patients, we conducted a single-arm multicenter trial.

Results: In this study, 45 patients were enrolled between April 2016 and September 2018.

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  • * Multiomics analysis showed MNKPL is distinct from other leukemia types and suggested that both NK and myeloid cells may originate from shared progenitor cells.
  • * Current treatments for MNKPL are not very effective, but the study found that MNKPL is especially sensitive to the drug l-asparaginase, which aligns with clinical observations of its effectiveness in patients.
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