2,055 results match your criteria: "Kyushu Cancer Center[Affiliation]"

Article Synopsis
  • Conversion therapy, involving surgery or chemoradiotherapy, is being explored for treating esophageal squamous cell carcinoma (ESCC) patients with distant metastases, which were previously considered incurable.
  • A study reviewed 147 patients who underwent conversion therapy, revealing that most had major complications post-surgery, but overall survival rates were promising, with a 5-year survival rate of 31.7% for patients who responded to treatment.
  • The research concluded that conversion therapy for ESCC with distant metastasis is not only safe but also may lead to better patient outcomes, particularly for those who show a positive response to treatment.
View Article and Find Full Text PDF

Background: Concurrent chemoradiotherapy is the standard therapy for locally advanced non-small cell lung cancer (NSCLC). However, there is little evidence supporting its use in older adults. Low-dose daily carboplatin combined with thoracic radiotherapy is considered a standard regimen for this population.

View Article and Find Full Text PDF
Article Synopsis
  • Cricothyrotomy is a procedure used to secure an airway in emergency situations and can also help patients expel sputum; however, its overall safety and effectiveness are still being evaluated.
  • A nationwide survey in Japan involved data from 1,001 patients across 116 healthcare facilities between 2010 and 2021, highlighting that most cricothyrotomies (94.4%) were performed for sputum suctioning post-surgery, primarily after esophagectomy.
  • Results indicated lower complication rates for sputum suctioning compared to emergency airway clearance, suggesting that cricothyrotomy is safer for patients recovering from esophagectomy, but additional research is necessary to confirm its benefits.
View Article and Find Full Text PDF

Impact of COVID-19 pandemic on bone and soft tissue sarcoma patients' consultation and diagnosis.

Sci Rep

September 2024

Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

The coronavirus disease (COVID-19) pandemic negatively affected the diagnosis and treatment of several cancer types. However, this pandemic's exact impact and extent on bone and soft tissue sarcomas need to be clarified. We aimed to investigate the effect of the COVID-19 pandemic and emergency declaration by the local government on consultation behavior and clinical stage at diagnosis of bone and soft tissue sarcoma.

View Article and Find Full Text PDF

We present a unique case of metastatic metaplastic breast carcinoma responding dramatically to immunochemotherapy. A 46-year-old Japanese woman with primary metaplastic carcinoma of the breast, which was immunohistochemically confirmed to be triple-negative breast cancer, underwent radical surgery, followed by adjuvant chemotherapy with an anthracycline and a taxane. Since multiple lung metastases were detected two months post-chemotherapy and the primary site was shown to be PD-L1-positive, the immune checkpoint inhibitor (ICI) pembrolizumab plus gemcitabine/carboplatin was initiated.

View Article and Find Full Text PDF

Background: Distant metastases from lung cancer are commonly found in the brain, bone, and liver. Metastases to the breast from non-mammary malignancies are extremely rare, and their clinical presentations remain unclear.

Case Presentation: We herein report a case of bilateral breast metastases from anaplastic lymphoma kinase-positive advanced lung cancer in a 51-year-old Japanese male patient.

View Article and Find Full Text PDF
Article Synopsis
  • CAPItello-291 is a phase 3 clinical trial studying the effects of capivasertib combined with fulvestrant on progression-free survival in patients with advanced hormone receptor-positive, HER2-negative breast cancer who experienced relapse after aromatase inhibitors.
  • The trial involved a diverse group of participants, including both men and women aged 18 and older, and was conducted across 193 centers in 19 countries, focusing on those with a specific type of breast cancer and previous treatment history.
  • Researchers also assessed the impact of this treatment on quality of life, symptoms, and tolerability, aiming to analyze how the new combination therapy affects overall health and wellbeing beyond just cancer progression.
View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on using circulating tumor DNA (ctDNA) analysis to identify homologous recombination deficiency (HRD) and BRCA1/2 and ATM mutations in patients with advanced pancreatic cancer (APC).
  • Out of 702 APC patients analyzed, 4.8% had BRCA1/2 mutations and 4.4% had ATM mutations, with those having BRCA mutations showing significantly better response rates to platinum-based chemotherapy compared to those without.
  • ctDNA profiling is suggested as a valuable, non-invasive method for assessing mutation status and selecting appropriate treatments in advanced pancreatic cancer, offering a practical approach to HRD screening.
View Article and Find Full Text PDF
Article Synopsis
  • FOLFOXIRI plus bevacizumab is a first-line chemotherapy for metastatic colorectal cancer, but is rarely used due to severe side effects, with limited real-world efficacy and safety data available.
  • A study analyzed clinical data from 104 patients, finding that 63% required dose reductions and that treatment discontinuation was primarily due to toxicities, with 45% completing the planned therapy cycles.
  • Results showed promising outcomes with a median progression-free survival of 12.8 months and overall survival of 27.9 months, along with a high disease control rate of 98.9%, and no treatment-related deaths reported.
View Article and Find Full Text PDF

Outcome of hepatectomy after systemic therapy for hepatocellular carcinoma: a Japanese multicenter study.

Surg Today

August 2024

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Background And Purpose: In recent years, new systemic therapies have been developed for hepatocellular carcinoma (HCC). The aim of this study was to evaluate the prognosis of patients with unresectable HCC treated with R0 hepatectomy after systemic therapy.

Methods: Data from 27 patients who underwent hepatectomy for HCC after systemic therapy at six facilities were analyzed retrospectively.

View Article and Find Full Text PDF

Introduction: Achieving an adequate surgical plane through optimal traction is crucial for liver parenchymal transection in minimally invasive liver surgery (MILS). MILS is more technically demanding than open liver surgery because of limited instrument mobility and the inability to use the surgeon's hand, potentially leading to iatrogenic injuries. The Pulley maneuver using barbed sutures has been used for laparoscopic hepatectomy; however, the sutures are single-use and may pass through the liver parenchyma, making it uneconomical and inflexible.

View Article and Find Full Text PDF

Background: Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare malignancy. Many cases of BIA-ALCL are identified based on the presence of late-onset effusion and/or masses. Importantly, the United States Food and Drug Administration noted that in all cases diagnosed in patients with textured implants, the patients either had a history of mixed implantation of smooth and textured devices or no clinical history was supplied for review.

View Article and Find Full Text PDF
Article Synopsis
  • Palbociclib combined with tamoxifen was tested in a phase 3 study involving 184 women with HR+/HER2- advanced breast cancer to evaluate its efficacy and safety compared to tamoxifen alone.
  • The results showed a significant improvement in progression-free survival (PFS), with a median of 24.4 months for the palbociclib-tamoxifen group versus 11.1 months for the placebo-tamoxifen group.
  • While overall survival (OS) data is still being gathered, there is a trend suggesting palbociclib-tamoxifen may also reduce mortality risk, though neutropenia was a common severe side effect.
View Article and Find Full Text PDF

Purpose: HER2-targeted therapies in ERBB2-amplified metastatic colorectal cancer (mCRC) are effective; however, a notable portion of patients do not respond to treatment, and secondary resistance occurs in most patients receiving these treatments. The purpose of this study was to investigate determinants of treatment efficacy and resistance in patients with ERBB2-amplified mCRC who received HER2-targeted therapy by analyzing multiomics data.

Experimental Design: We investigated genomic data from a nationwide large cancer genomic screening project, the SCRUM-Japan project.

View Article and Find Full Text PDF
Article Synopsis
  • A phase 3 trial evaluated the effectiveness of adding a CTLA-4 inhibitor to standard platinum-based chemotherapy and PD-1/PD-L1 inhibitors for patients with advanced non-small-cell lung cancer, as no prior studies had focused on this combination's survival benefits.
  • Conducted across 48 hospitals in Japan, the trial involved patients aged 20+ with untreated NSCLC, but had to stop recruitment early due to a concerning number of treatment-related deaths in the nivolumab-ipilimumab group.
  • The final results indicated no significant difference in overall survival between those receiving pembrolizumab and those receiving nivolumab-ipilimumab, with median survival rates of 23.7 months and 20.5
View Article and Find Full Text PDF
Article Synopsis
  • The study examined the role of preoperative serum creatine kinase (CK) levels as a prognostic factor for patients with thymic epithelial tumors undergoing surgery.
  • Researchers analyzed data from 120 patients, finding that a low CK level was linked to lower serum albumin and cholesterol, as well as decreased muscle mass (sarcopenia).
  • The findings indicated that low CK levels were associated with poorer disease-free and overall survival, suggesting that CK could be a useful biomarker for predicting postoperative outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • 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.
View Article and Find Full Text PDF

Background: Second primary esophageal cancer often develops in patients with head and neck cancer, and esophagectomy in patients with a history of total pharyngolaryngectomy (TPL) is challenging. However, the clinical outcomes of these patients have yet to be examined in a multicenter setting.

Methods: We evaluated the surgical outcomes of a nationwide cohort of 62 patients who underwent esophagectomy for esophageal cancer with a history of TPL.

View Article and Find Full Text PDF
Article Synopsis
  • This study investigates the long-term effects of adjuvant therapy on different melanoma subtypes, particularly focusing on acral and mucosal types, using anti-PD-1 antibody and a combination of BRAF and MEK inhibitors.
  • A total of 120 patients were analyzed, revealing a median time to relapse of 18.4 months, with acral and mucosal types having 3-year recurrence-free survival rates of 28.1% and 38.5%, respectively.
  • Results indicate that adjuvant therapy is more effective for non-acral cutaneous melanoma compared to acral and mucosal types, especially regarding time to relapse.
View Article and Find Full Text PDF

Background: The subtype of urothelial carcinoma (SUC) has been known to possess morphological diversity for histologic subtype or divergent differentiation. However, the efficacy of avelumab against SUC remains unclear. Therefore, the effect of the treatment as well as the survival results of avelumab monotherapy were evaluated as a first-line therapeutic maintenance in patients with advanced SUC.

View Article and Find Full Text PDF
Article Synopsis
  • The HERALD/EPOC1806 trial evaluated trastuzumab deruxtecan (T-DXd) for patients with progressive solid tumors that were identified as HER2-amplified through cell-free DNA (cfDNA) testing rather than traditional methods.
  • A total of 4,734 patients underwent cfDNA testing, with 252 showing HER2 amplification; the study ultimately included 62 patients from various cancer types, who received T-DXd treatment every three weeks.
  • The trial reported a 56.5% overall response rate (ORR), with a median progression-free survival of 7 months and noted interstitial lung diseases in 26% of patients, primarily mild to moderate cases.
View Article and Find Full Text PDF

The optimal timing for actively discontinuing immune checkpoint inhibitor therapy in long-term responders with recurrent/metastatic head and neck squamous cell carcinoma (R/M HNSCC) remains unresolved. We conducted a retrospective study of 246 patients with R/M HNSCC treated with nivolumab to determine the optimal timing to actively discontinue nivolumab therapy. We examined the point at which progression-free survival (PFS) plateaued in all cases.

View Article and Find Full Text PDF

Background/aim: This study retrospectively evaluated whether enfortumab vedotin (EV) monotherapy is effective as a late-line treatment according to prior treatment type in patients with advanced urothelial carcinoma (UC).

Patients And Methods: We assessed consecutive patients from the Uro-Oncology Group in the Kyushu study population with lower and upper urinary tract cancer treated with EV monotherapy after platinum-based chemotherapy and immune checkpoint inhibitor therapy failure between December 2021 and March 2024. In particular, patients receiving avelumab maintenance or pembrolizumab therapy before EV for advanced UC were analyzed and compared according to the response rate, progression-free survival (PFS), and overall survival (OS).

View Article and Find Full Text PDF