358 results match your criteria: "Matsue Red Cross Hospital.[Affiliation]"

Multinodular and vacuolating posterior fossa lesions of unknown significance: a long-term observational study and literature review.

Childs Nerv Syst

December 2024

Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, Hiroshima, 734-8551, Japan.

Multinodular and vacuolating neuronal tumor of the cerebrum (MVNT) is a rare tumefactive lesion requiring differentiation from glial tumors. Multinodular and vacuolating posterior fossa lesions of unknown significance (MV-PLUS) were initially reported in 2019 as posterior fossa lesions with characteristics similar to MVNT. MV-PLUS is often considered as a "leave-me-alone lesion" not necessitating surgical intervention.

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  • Current guidelines advocate for primary PCI in patients experiencing acute myocardial infarction, but there is limited data on its effectiveness in patients over 90 years old.
  • A study in Shimane Prefecture categorized patients with acute coronary syndrome into age groups and found that the use of primary PCI decreases as age increases, with a notable rise in in-hospital mortality for super-old patients compared to old patients.
  • Despite higher in-hospital mortality rates in super-old patients, there was no significant difference in long-term major adverse cardiovascular events when comparing super-old and old patients after 30 days.
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Persistent SARS-CoV-2 infection resolved after B-cell recovery in a patient with follicular lymphoma treated with B-cell depletion therapy.

Respir Med Case Rep

October 2024

Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, School of Medicine, Faculty of Medicine, Tottori University, Yonago City, Tottori, Japan.

A 68-year-old woman with follicular lymphoma was treated with chemotherapy, including the anti-CD20 monoclonal antibody obinutuzumab, and achieved remission. A month after the administration of obinutuzumab, the patient contracted coronavirus disease 2019 (COVID-19), and various antiviral drugs were administered. However, the infection had not been eliminated.

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Pulmonary infection with tree-in-bud appearance.

Respirol Case Rep

October 2024

Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, School of Medicine, Faculty of Medicine Tottori University Yonago Japan.

Here, we report a case of zoonosis pulmonary infection with a tree-in-bud appearance. In cases showing a tree-in-bud appearance on chest CT images, pulmonary infection should be considered in the differential diagnosis, especially in patients with pets.

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  • - This study explores the effectiveness of combining immune checkpoint inhibitors durvalumab and tremelimumab (DT) for patients with hepatocellular carcinoma (HCC) who previously received treatments like atezolizumab plus bevacizumab (AB).
  • - Results showed objective response rates (ORRs) were highest in first-line treatment (44%), followed by second-line without prior AB (54%), and significantly lower in patients who had prior AB (5%), indicating that prior treatment heavily affects success.
  • - The findings suggest that while DT may be less effective after AB treatment, it can still yield similar results to first-line therapy in patients without prior AB, highlighting the importance of treatment history when planning HCC therapy.
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Background/aim: Maintaining liver function throughout the treatment of hepatocellular carcinoma (HCC) is crucial, yet the impact of durvalumab plus tremelimumab (DT) treatment on liver function is not well understood. This multicenter study aimed to examine the changes in liver function during DT treatment.

Patients And Methods: This nationwide multicenter study included 80 patients who received DT treatment for unresectable HCC.

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Background: Upper urinary tract urothelial carcinoma (UTUC) is uncommon. In advanced cases, radical nephroureterectomy (RNU) alone is not curative, and recurrence and metastasis are likely to occur. Adjuvant chemotherapy (AC) is an evidence-based treatment.

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Mammary-type myofibroblastoma (MTMF) is a rare benign tumor of mesenchymal cells that occurs in the inguinal region, abdominal wall, buttocks, back, and vaginal wall. When a soft tissue mass develops in the inguinal region, there may be a risk of misdiagnosing it as an inguinal hernia, especially if it is asymptomatic. We report a rare case of mammary-type myofibroblastoma occurring in the inguinal region.

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  • - A man in his 30s was referred for evaluation of bile duct stricture and an intrahepatic bile duct stone, five years after having surgery for a massive liver tumor (hemangioma).
  • - Imaging tests showed multiple defects in his bile duct, and an endoscopic ultrasound revealed a raised lesion, leading to concerns about a potential tumor.
  • - A diagnosis of intraductal papillary neoplasm (low-grade dysplasia) was confirmed through oral cholangioscopy, which showed no progression of the lesion over 1.5 years.
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Lower Cervical Dural Arteriovenous Fistula with a "Skip Lesion" in the Brainstem: A Case Report.

NMC Case Rep J

June 2024

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

Spinal dural arteriovenous fistulas (SDAVFs) are rare vascular malformations that can occur anywhere in the spine. Most SDAVFs lead to slow aggressive myelopathy due to venous congestion at a level adjacent to the shunt point. However, rare cases of localized brainstem edema without spinal cord lesions have been reported.

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Background: To investigate if there are improvements in trabeculectomy outcomes supporting filtration bleb formation caused by Rho-associated protein kinase (ROCK) inhibitors.

Methods: This prospective, multicentre, randomised, open-label clinical study examined open-angle glaucoma patients who underwent trabeculectomy or trabeculectomy combined with cataract surgery followed by 3-month postoperative ripasudil treatments. After randomly allocating patients to ripasudil-ROCK inhibitor (ripasudil) or without ripasudil (non-ripasudil) groups.

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Baseline gut microbiota as a predictive marker for the efficacy of neoadjuvant chemotherapy in patients with early breast cancer: a multicenter prospective cohort study in the Setouchi Breast Project-14.

Breast Cancer Res Treat

November 2024

Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

Purpose: Various studies have demonstrated the causal relationship between gut microbiota and efficacy of chemotherapy; however, the impact of gut microbiota on breast cancer has not been fully elucidated. This study aimed to evaluate the associations between the gut microbiota before neoadjuvant chemotherapy and its consequent efficacy in breast cancer.

Methods: This prospective observational study included patients who received neoadjuvant chemotherapy for primary early breast cancer at eight institutions between October 1, 2019, and March 31, 2022.

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Pulmonary infection with cavitary lesion.

Respirol Case Rep

June 2024

Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, School of Medicine, Faculty of Medicine Tottori University Yonago Japan.

We report a rare case of pulmonary infection with cavitary lesion. Chemotherapy with rifampicin, ethambutol, and clarithromycin was effective for the lesion.

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Dural dryness makes suturing difficult during dural closure after craniotomy. In this case, dural plasty is often performed using a membrane taken from the surrounding tissue (e.g.

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We report a 1-year-7-month-old boy with West syndrome who had associated secondary adrenal insufficiency as a side effect of synthetic ACTH therapy. Serial investigation using corticotropin-releasing hormone (CRH) stimulation tests revealed the time course of his hypothalamic-pituitary-adrenal (HPA) axis recovery after the secondary adrenal insufficiency. Three days after completion of the ACTH therapy, the basal cortisol, peak cortisol, and peak ACTH levels were all low.

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Sarcopenia is a common skeletal muscle disease in older people. Lower limb muscle strength is a good predictive value for sarcopenia; however, little is known about its genetic components. Here, we conducted a genome-wide association study (GWAS) for knee extension strength in a total of 3452 Japanese aged 60 years or older from two independent cohorts.

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  • There is limited data on the outcomes of patients with diabetes who undergo IVUS-guided PCI, particularly in cases of multivessel disease.
  • The study enrolled 1,021 patients, comparing those with diabetes (560 patients) to those without (461 patients), focusing on the incidence of serious health events after the procedure.
  • Results showed similar one-year clinical outcomes for both groups, indicating that diabetes did not significantly increase risks after the procedure when managed with modern practices.
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A 59-year-old man with pancytopenia underwent 18F-fluorodeoxyglucose positron emission tomography/computed tomography for suspected carcinomatosis. The scan revealed diffuse bone marrow uptake, prompting further investigation. Bone marrow analysis revealed no malignant cells; however, erythroblasts with cytoplasmic vacuolization were observed.

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Concentrically expanded reversed halo sign caused by nivolumab-related pneumonia.

Respirol Case Rep

May 2024

Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, School of Medicine, Faculty of Medicine Tottori University Yonago Japan.

Among immune-related adverse events, pneumonitis is relatively uncommon, and nivolumab-related pneumonitis may present with a reversed halo sign.

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Introduction: Renal pseudoaneurysms reportedly occur after partial nephrectomy, renal trauma, or percutaneous procedures. Renal pseudoaneurysms can also occur after renal inflammation; however, such cases are rare and seldom reported.

Case Presentation: A 53-year-old man presented to our emergency room with a 3-day history of fever and right back pain.

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  • A study investigated the effectiveness of 8-week vs. 12-week glecaprevir and pibrentasvir (GLE/PIB) treatment for chronic hepatitis C, focusing on both non-cirrhotic and cirrhotic patients in Japan.
  • The study enrolled 1,275 patients and primarily measured the sustained virological response (SVR) rates for different treatment durations and liver conditions.
  • Results showed high SVR rates (98.9% to 100%) across all groups, indicating that both 8-week and 12-week treatment regimens are effective regardless of liver fibrosis status.
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Objective The presence of a short white hair-like appearance in the lower esophagus has recently been noted during esophagogastroduodenoscopy (EGD) at our institution. Histological findings showed that this formation was a spiked protrusion of the esophageal papilla. The results regarding the prevalence of such lesions in individuals who underwent EGD examinations as part of medical checkup procedures are herein presented.

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While local treatment of metastases is considered to be unrelated to prognosis, previous studies have suggested that local treatment of isolated lung metastases may have positive prognostic impact. We designed this prospective cohort study to investigate the clinical situation and its outcomes. We enrolled patients with fewer than 3 lung nodules suspected of being oligometastases after curative breast cancer surgery.

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  • The study investigates the risk factors for severe-to-fatal post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) in 3739 ERCP patients with biliary disease over a one-year period.
  • Key risk factors identified include pancreatic guidewire-assisted biliary cannulation, post-ERCP NSAID use, and a history of previous pancreatitis, all significantly increasing the likelihood of severe-to-fatal PEP.
  • Preventive measures that showed effectiveness include endoscopic biliary sphincterotomy and prophylactic pancreatic stents, both of which significantly reduced the risk of severe-to-fatal PEP.
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