538 results match your criteria: "Kansai Medical University Hospital.[Affiliation]"

Article Synopsis
  • Lung cancer treatment has advanced significantly in the last decade, but the cost of drugs has skyrocketed, especially in Japan where data on treatment regimens and costs is limited.
  • A survey of 60 Japanese centers revealed that a substantial number of patients with advanced lung cancer are receiving high-cost treatments, often over 500,000 Japanese yen per month, with a notable preference for immune checkpoint inhibitors (ICI).
  • The study highlights the disparity in treatment costs, showing that these high-priced therapies are widely used despite insufficient evidence for their effectiveness, urging physicians to consider treatment costs more carefully.
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  • The Lung Cancer Surgical Study Group (LCSSG) of the Japan Clinical Oncology Group (JCOG), formed in 1986, has expanded from 26 to 52 institutions, involving various specialists in lung cancer treatment.
  • Initially focused on combined therapies, the group has shifted to studying surgical options for small-sized and peripheral non-small cell lung cancer since the 2000s, demonstrating the effectiveness of sublobar resection through clinical trials.
  • With advances in targeted therapies and the need for personalized medicine, the JCOG-LCSSG is adapting treatment strategies and conducting numerous clinical trials to enhance comprehensive care for lung cancer patients.
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  • The study explored the role of minor salivary glands in the hypopharynx as potential markers for ensuring safe surgical removal of superficial hypopharyngeal cancers while minimizing complications.
  • The research involved examining 23 cadaver specimens to assess the presence, size, and depth of minor salivary glands across different hypopharyngeal regions and analyzing resected tissues from 5 patients with cancer.
  • Findings indicated that these glands were commonly found, especially in the postcricoid area, and their locations could help determine safe margins during surgery, suggesting they are effective indicators for surgical strategies.
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  • This study examined factors that predict how well head and neck cancer patients respond to nivolumab, an anti-PD-1 treatment, focusing on clinical, microenvironmental, and genomic aspects.
  • It analyzed 100 patients, revealing that responders typically had lower smoking and drinking habits, more immune-related side effects, and higher PD-L1 expression compared to non-responders.
  • Additionally, factors like age, previous treatment with cetuximab, and specific gene mutations affected the response to treatment, highlighting the complexity of immune responses in cancer therapy.
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We provide updated results (median follow-up duration: 20.4 months) of a retrospective study on the effectiveness of trastuzumab deruxtecan (T-DXd) in patients with human epidermal growth factor receptor 2-positive (HER2+) breast cancer with brain metastases (BM) and/or leptomeningeal disease (ROSET-BM). Median progression-free survival (PFS) was 14.

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  • Anti-HER2 therapies have improved outcomes for HER2-positive breast cancer, but some patients still don’t respond well; this research links the transcription factor SREBF2 to poor prognosis and higher ERBB2 expression in these cases.* -
  • Statins, which block the mevalonate pathway, can enhance the effectiveness of HER2-targeting treatments by inducing cell death and inhibiting critical signaling pathways (AKT and ERK) associated with tumor growth.* -
  • The study highlights the potential of using Rac1 expression as a biomarker to identify HER2-positive breast cancer patients who may benefit from combining HER2 therapies with statin treatment, paving the way for more tailored treatment approaches.*
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A case of diffuse midline glioma (DMG), H3 K27-altered, that arose in the right thalamus of a 14-year-old boy is reported. The patient died of tumor spread after a progressive clinical course of approximately 13 months. Histopathologically, the tumor consisted of a mixture of loose proliferation of stellate cells and compact fascicular growth of spindle cells showing a "piloid" feature.

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Article Synopsis
  • Eribulin, a treatment for HER2-negative metastatic breast cancer, shows promising outcomes for overall survival when used as a first or second-line therapy, although its effect on health-related quality of life remains to be fully understood.
  • A phase III clinical trial conducted in Japan enrolled 302 patients and compared the HRQoL and survival outcomes between those treated with eribulin and those treated with S-1, revealing a slight non-inferiority in HRQoL and longer median overall survival for eribulin.
  • Results indicated a median overall survival of 34.7 months for eribulin compared to 27.8 months for S-1, with eribulin also showing similar progression-free survival
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Introduction Surgery is the recommended treatment for medication-related osteonecrosis of the jaw (MRONJ). However, the disease may recur postoperatively. We reviewed imaging findings in patients undergoing three or more surgeries.

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Background: The global impact of the coronavirus disease 2019 (COVID-19) pandemic has resulted in significant morbidity and mortality. Immunocompromised patients, particularly those treated for B-cell lymphoma, have shown an increased risk of persistent infection with SARS-CoV-2 and severe outcomes and mortality. Multi-mutational SARS-CoV-2 variants can arise during the course of such persistent cases of COVID-19.

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  • Perioperative oral care is crucial for preventing infections in patients undergoing gastrointestinal surgery, but there's uncertainty about the specific care needed for different patients.
  • The study analyzed 20 patients and found that those with lower oral functions had higher levels of salivary bacteria before and after surgery, particularly in the fasting period.
  • It concluded that patients with reduced oral function require more attention in oral care, as bacterial counts rise during fasting, emphasizing the need for timely oral feeding post-surgery.
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Article Synopsis
  • The study investigates the risks and survival outcomes for non-small cell lung cancer (NSCLC) patients with pre-existing autoimmune disorders (AIDs) undergoing immune checkpoint blockade (ICB) therapy.
  • Conducted across 20 centers in Japan, it analyzed data from 229 patients, revealing that 25.4% experienced AID flare-ups while receiving ICB, particularly those diagnosed with NSCLC within a year of their AID diagnosis.
  • The results suggest that ICB therapy not only extends survival but also emphasizes its potential benefit for NSCLC patients with AIDs, despite some associated immune-related adverse effects.
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Article Synopsis
  • The SCRUM-Japan MONSTAR-SCREEN consortium is conducting a nationwide project that uses AI and multi-omics analyses for molecular profiling in patients with advanced cancers, aiming to create new treatments and diagnostics.
  • The project includes the CIRCULATE-Japan study, focusing on precision medicine for resectable solid tumors and requires substantial data storage in a high-tech supercomputing system called VAPOR CONE.
  • As of December 2023, over 24,000 patients have been registered, with 5.0% of those in advanced solid tumors participating in matched clinical trials, showing a 29.2% response rate and significantly improved survival rates compared to those not receiving matched therapies.
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Pancreatic cancer remains a highly lethal disease with a 5-year survival proportion of <10%. Chemoradiotherapy is a treatment option for unresectable locally advanced (UR-LA) or borderline resectable (BR) pancreatic cancer, but its efficacy is not sufficient. Induction of the synergistic effect of irradiation and immune checkpoint inhibitors can be an attractive strategy.

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Apalutamide and Goserelin for Androgen Receptor-Positive Salivary Gland Carcinoma: A Phase II Nonrandomized Clinical Trial, YATAGARASU.

Clin Cancer Res

August 2024

Department of Head and Neck Oncology and Surgery, International University of Health and Welfare, Mita Hospital, Tokyo, Japan.

Article Synopsis
  • The study aimed to evaluate the effectiveness and safety of apalutamide combined with goserelin for treating androgen receptor-positive unresectable or metastatic salivary gland carcinoma.
  • A total of 31 patients were enrolled, but only 25% of the first 24 patients responded to the treatment, which did not meet the expected effectiveness criteria; however, the clinical benefit rate was 50%.
  • The treatment demonstrated potential benefits in a subgroup of patients with high AR positivity (≥70%) and reported side effects were in line with what’s typically observed in prostate cancer treatments.
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Amivantamab plus Lazertinib in Previously Untreated -Mutated Advanced NSCLC.

N Engl J Med

October 2024

From the Division of Medical Oncology, Yonsei Cancer Center, Yonsei University College of Medicine (B.C.C.), Samsung Medical Center, Sungkyunkwan University School of Medicine (S.-H.L.), and the Lung Cancer Center, Asan Medical Center Cancer Institute (S.-W.K.), Seoul, the Department of Hematology-Oncology, Seoul National University Bundang Hospital, Seongnam (J.-S.L.), and the Medical Department, Chungbuk National University Hospital, Cheongju (K.-H.L.) - all in South Korea; the Department of Medical Oncology, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai (S.L.), Harbin Medical University Cancer Hospital, Harbin (B.L.), the Department of Medical Oncology, Huizhou Municipal Central Hospital of Guangdong Province, Huizhou (H.X.), and Jilin Cancer Hospital, Changchun (Y.C.) - all in China; the Medical Oncology Service, Vall d'Hebron Barcelona Hospital Campus-Vall d'Hebron University Hospital, Barcelona (E. Felip), and the Medical Oncology Department, Hospital Regional Universitario de Málaga y Virgen de la Victoria, Institute of Biomedical Research of Malaga, Malaga (V.G.C.) - both in Spain; Virginia Cancer Specialists, Fairfax (A.I.S.); Institut Curie, Institut du Thorax Curie-Montsouris, Paris (N.G.), and Paris-Saclay University, Université de Versailles Saint-Quentin-en-Yvelines, Versailles (N.G.), and Paris-Saclay University and Institut Gustave Roussy, Villejuif (B.B.) - all in France; the National Cancer Institute, Kyiv, Ukraine (Y.O.); the Division of Medical Oncology, Department of Medicine, Siriraj Hospital Faculty of Medicine, Mahidol University Bangkok Noi Campus, Bangkok, Thailand (P.D.); the Clinical Oncology Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur (A.A.), and the Department of Internal Medicine, Division of Respiratory Medicine, International Islamic University Malaysia Medical Specialist Center, Pahang (S.-H.H.) - both in Malaysia; British Hospital of Buenos Aires, Central British Hospital, Buenos Aires (E.K.); the Department of Medical Oncology, Barretos Cancer Hospital, São Paulo (J.M.D.); the School of Medicine and Institute of Medicine, Chung Shan Medical University, and the Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung (G.-C.C.), and the Department of Medical Oncology, National Taiwan University Cancer Center, Taipei (J.C.-H.Y.) - both in Taiwan; the Department of Thoracic Oncology, Kansai Medical University Hospital, Hirakata (H.Y.), and the Department of Medical Oncology, Kindai University Faculty of Medicine, Osaka (H.H.) - both in Japan; the Department of Thoracic Oncology, Thoraxklinik, Heidelberg University Hospital, and the National Center for Tumor Diseases Heidelberg, German Center for Lung Research, Heidelberg, Germany (M.T.); City of Hope National Medical Center, Duarte (D.N.), Chao Family Comprehensive Cancer Center, University of California, Irvine, School of Medicine, Orange (S.-H.I.O.), and Janssen Research and Development, San Diego (E. Fennema, D.M., S.M.S.) - all in California; St. John of God Murdoch Hospital, Murdoch, WA, Australia (S.M.); the Department of Medical Oncology, Division of Adult Solid Tumor, Tata Memorial Center and Homi Bhabha National Institute, Mumbai, India (K.P.); the Local Health Unit Authority of Romagna, Ravenna Hospital and Department of Onco-Hematology, Santa Maria delle Croci Hospital of Ravenna, Ravenna (M. D'Arcangelo), and the Division of Thoracic Oncology, European Institute of Oncology IRCCS, Milan (F.M., A.P.) - both in Italy; Health Pharma Professional Research, Mexico City (J.A.-A.), Oncología Médica, Antiguo Hospital Civil de Guadalajara "Fray Antonio Alcalde," Guadalajara, and Universidad de Guadalajara, Guadalajara (J.C.V.L.) - all in Mexico; Instituto Português de Oncologia do Porto, Porto, Portugal (S.A.); Moscow City Oncology Hospital No. 62 (D.S.) and the Medical Center in Kolomenskoe (M.P.) - both in Moscow; the Department of Medical Oncology, Ankara Bilkent City Hospital and Ankara Yıldırım Beyazıt University (M.A.N.Ş.), and the Department of Medical Oncology, Gazi University Faculty of Medicine (O.Y.) - both in Ankara, Turkey; the Department of Medical Oncology, Christie NHS Foundation Trust and Division of Cancer Sciences, University of Manchester, Manchester, United Kingdom (R.C.); the Division of Hematology-Oncology, Henry Ford Cancer Institute, Henry Ford Health, Detroit (S.M.G.); Janssen Research and Development, Raritan, NJ (J.X., T.S., M.M., M. Daksh, M.B.); Janssen Research and Development, Spring House, PA (M.E., R.I., P.L., S. Shah, J.M.B., S. Sethi, R.E.K.); and Johnson and Johnson Clinical Innovation, Campus Basel, Allschwil, Switzerland (I.L.).

Article Synopsis
  • - The study investigates the effectiveness of amivantamab plus lazertinib compared to osimertinib in treating patients with advanced non-small-cell lung cancer (NSCLC) caused by specific genetic mutations.
  • - Results showed that patients receiving the amivantamab-lazertinib treatment had a significantly longer progression-free survival (23.7 months) than those on osimertinib (16.6 months), and the response rate was similar among both groups.
  • - Side effects primarily related to treatment were noted, but the overall survival analysis indicated a potential benefit for amivantamab-lazertinib over osimertinib, with fewer serious complications leading to treatment discontinuation.
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Purpose: This study aimed to determine whether the 21-Gene Breast Recurrence Score® assay from primary breast tissue predicts the prognosis of patients with hormone receptor-positive and human epidermal growth factor 2-negative advanced breast cancers (ABCs) treated with fulvestrant monotherapy (Group A) and the addition of palbociclib combined with fulvestrant (Group B), which included those who had progression in Group A from the Japan Breast Cancer Research Group-M07 (FUTURE trial).

Methods: Progression-free survival (PFS) and overall survival (OS) were compared using the log-rank test and Cox regression analysis based on original recurrence score (RS) categories (Low: 0-17, Intermediate: 18-30, High: 31-100) by treatment groups (A and B) and types of ABCs (recurrence and de novo stage IV).

Results: In total, 102 patients [Low: n = 44 (43.

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Pembrolizumab is a major treatment for recurrent or advanced non-small-cell lung cancer (NSCLC). However, data on its use and pharmacokinetics (PK) in older patients are limited. This open-label, multicenter, observational study evaluated real-world data on the safety, efficacy, and PK of pembrolizumab in older patients with NSCLC.

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  • This study investigates the effectiveness of MRI navigation surgery, including lateral pelvic lymph node dissection (LLND), after chemoradiotherapy for patients with middle to low rectal cancer.
  • The analysis included 43 patients who underwent laparoscopic radical surgery post-CRT, showing a 100% local pelvic recurrence-free survival rate compared to 85.1% in a previous patient group not using MRI navigation.
  • The findings suggest that using MRI guidance can enhance local control and maintain better functional outcomes for rectal cancer patients post-treatment.
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Introduction Medication-related osteonecrosis of the jaw (MRONJ) develops from odontogenic infection. However, there are also some cases of MRONJ developing from sites with no teeth, no root canal lesions, or no periodontal disease. This study aimed to retrospectively review radiographic images of MRONJ cases and examine the differences in characteristics between MRONJ suspected to be related to dental infection (odontogenic MRONJ) and MRONJ that occurred without dental involvement or of unknown cause (non-odontogenic MRONJ).

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  • The study aimed to determine minimal clinically important differences (MCIDs) for patients undergoing surgery for spinal metastases to improve patient care by linking quality of life assessments with clinical outcomes.
  • A total of 171 patients were evaluated pre- and post-surgery using various scales, leading to the identification of specific MCID values for different quality of life aspects based on their treatment outcomes.
  • The study successfully established both anchor-based and distribution-based MCIDs for surgical interventions, which can help in assessing patient progress and overall treatment effectiveness.
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Background: An important unmet need for new treatment options remains for patients with recurrent or metastatic head and neck squamous cell carcinoma (R/M-HNSCC) previously treated with both platinum-based chemotherapy and anti-programmed cell death protein 1 (PD-1) antibody. Retrospective studies suggest that previous treatment with immune checkpoint inhibitor might augment the efficacy of subsequent chemotherapy. Here, we conducted a phase II trial aimed to evaluate the efficacy and safety of paclitaxel plus biweekly cetuximab for patients in this setting.

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